J Korean Oncol Nurs.  2011 Aug;11(2):108-115.

Effects of Preoperative Pain Management Education on the Control of Postoperative Pain: Focused on the PCA used Surgical Patients with Uterine Tumor

• Park JS
• Lee MH
• Lee HR

Abstract

PURPOSE
The purpose of this study was to examine the effects of preoperative pain management education on postoperative pain control in patients with uterine tumor using patient controlled analgesia.
METHODS
This study used non-equivalent control group non-synchronized design. Data were collected from September, 2008 to March, 2009 at one university hospital in Daegu, Korea. There were 60 participants, 30 in both the experimental and control group. The experimental group was given preoperative pain education using videos, leaflets, and a PCA model. Postoperative pain intensity, frequency of the PCA button being pressed, and doses of additional analgesics were observed through 24 hours postoperative and knowledge of pain and attitude about the use of the pain medicine were measured at 3 days postoperative. Collected data were analyzed using t-test, chi2 test, repeat measured ANOVA, and Bonferroni methods.
RESULTS
There were no significant differences in the postoperative pain level between the experimental and control group. Postoperative frequency of the PCA button pressed, doses of additional analgesics, pain knowledge and attitude about the use of the pain medicine of the experimental group were significantly higher than those of the control group.
CONCLUSION
Pain management education is an effective nursing intervention for pain control after surgery.

Keyword

Analgesia; Patient-controlled; Pain; Knowledge; Attitude

MeSH Terms

Analgesia
Analgesics
Humans
Korea
Pain Management
Pain, Postoperative
Passive Cutaneous Anaphylaxis
Analgesics

Reference

1. Lee JJ. Clinical comparisons of abdominal hysterectomy, laparoscopically assisted vaginal hysterectomy, and vaginal hysterectomy. 2007. Busan: Inje Univ..

2. Lee MH. The effect of a pain education program for surgical patient [dissertation]. 2005. Seoul: Dankook Univ..

3. Ribeiro SC, Ribeiro RM, Santos NC, Pinotti JA. A randomized study of total abdominal, vaginal and laparoscopic hysterectomy. Int J Gynaecol Obstet. 2003. 83:37–43.

4. Kang HS, Park HJ. Comparison of postoperative pain after abdominal and laparoscopic assisted vaginal hysterectomy by using IV-PCA. Korean J Anesthesiol. 2007. 52:301–305.

5. Robinson ME, Riley JL, Myers CD, Papas RK, Wise EA, Waxenberg LB, et al. Gender role expectations of pain: relationship to sex differences in pain. J Pain. 2001. 2:251–257.

6. Jang YJ. Post operative pain of spinal surgery patients' and satisfaction about intervention of pain control [dissertation]. 2004. Jeonju: Chonbuk National Univ..

7. Shin CH. The effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient [dissertation]. 2004. Jinju: Gyeong National Univ..

8. Anwari JS, Ahmed F. An audit of acute pain service in Central. Saudi Arabia. Saudi Med J. 2005. 26:298–305.

9. Ketovuori H. Nurses' and patients' conception of wound pain and the administration of analgesics. J Pain Symptom Manage. 1987. 2:213–218.

10. Knoerl DV, Fault-Callahan M, Paice J, Shott S. Preoperative PCA teaching program to manage postoperative pain. Medsurg Nurs. 1999. 8:25–33.

11. Chen HH, Yeh ML, Yang HJ. Testing the impact of a multimedia video CD of patient-controlled analgesia on pain knowledge and pain relief in patients receiving surgery. Int J Med Inform. 2005. 74:437–445.

12. Lee JH. The effect of a structured PCA education on the knowledge and attitudes regarding PCA usage, pain score, and the consumption of analgesics after operation - Focused on the Colorectal surgery patients - [dissertation]. 2008. Gachon: Gachon Univ..

13. Seo HS, Park KS. The effect of education on preoperative PCA upon postoperative pain. J Korean Acad Adult Nurs. 2002. 14:449–458.

14. Hwang YJ, Park YH, Park IS, Kim NY, Kim JM, Kim JK. The effects of nursing education using CD ROM on the anxiety and knowledge of patients having minor surgery. J Korean Acad Adult Nurs. 2004. 16:82–89.

15. McCaffery M, Ferrell BR. Nurses knowledge about cancer pain: a survey of five countries. J Pain Symptom Manage. 1995. 10:356–369.

16. Park YS, Shin YH. Nurses' Knowledge on Pain Management. J Korean Acad Adult Nurs. 1994. 6:299–307.

17. Lee YY. Patient-controlled analgesia (PCA) for post-operative patients a study on differences according to who controls the analgesic. J Korean Acad Fundam Nurs. 2007. 14:315–322.

18. Park JS, Lee HS. Actual condition, knowledge and attitude of patient controlled analgesics (PCA) in postoperative patients. J Korean Acad Fundam Nurs. 2007. 14:18–28.

19. Vander AJ, Shermar JH, Luciano DS. Human physiology: The mechanism of body function. 2004. 8th ed.New York St Louis San Francisco Auckland Bogota Caracas Lisbon London Madrid Mexico city Milan Montral New Delhi San Juan Singapore Sydney Tokyo Toronto: McGraw-Hill Inc.

20. Choi JE. The study on the development and the effect of PCA education program including preoperatory sensory information for gynecologic surgery patients [dissertation]. 2009. Seoul: Korea Univ..

21. Park JH. The effects of the preoperative education about IV-PCA on the consumption of analgesics. 2005. Asan: Soonchunhyang Univ..

22. Chumbley GM, Ward L, Hall GM, Salmon P. Pre-operative information and patient-controlled analgesia. Anaesthesia. 2004. 59:354–358.