J Korean Clin Nurs Res.
2020 Dec;26(3):296-304. 10.22650/JKCNR.2020.26.3.296.
Postoperative Pain Management Status led by Nurse of Acute Pain Service
- Affiliations
-
- 1Advanced Practice Nurse, Department of Nursing, Asan Medical Center, korea
- 2Unit Manager, Department of Nursing, Asan Medical Center, korea
- 3Team Manager, Department of Nursing, Asan Medical Center, korea
- KMID: 2510576
- DOI: http://doi.org/10.22650/JKCNR.2020.26.3.296
Abstract
- Purpose
This study was conducted to demonstrate objective stability of postoperative pain management status managed by nurse-based, anesthesiologist-supervised Acute Pain Service (APS).
Methods
A retrospective descriptive review was conducted with 5,748 patients who had used intravenous Patient Controlled Analgesia (PCA) from January to December 2017. Data were analyzed using descriptive statics, Frequency analysis, ANOVA, Cross tabulation with X2 test, and Correlation coefficient.
Results
As the APS nurse's education date increased, the period of using PCA was statistically significantly longer, and the period of stopping PCA while using it became shorter (p<.001). Statistically significant, the most painful operations were extremities, spine, upper abdomen, and thorax, while the least painful surgery was lower abdomen (p<.001). Lower abdominal surgery used the highest amount of PCA (p<.001), and extremities and spinal surgery, the lowest amount of PCA and frequently stop using it (p<.001). The most common side effects were nausea and vomiting after surgery, with an incidence of 16.0% within 24 hours and 9.8% within 48 hours. The overall error caused by PCA was 1.5%, with 84.3% being caused by human errors.
Conclusion
With the pain management effect of APS nurses, patients used PCA more effectively. There were also fewer side effects and error rates compared to prior studies. Therefore, it is suggested that this system is safe and effective for pain management.
