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박형숙 ( Park Hyoung-Sook ) - 부산대학교 간호대학
강인숙 ( Kang In-Soon ) - 부산대학교 간호대학
김경훈 ( Kim Kyung-Hoon ) - 부산대학교 의과대학
백승완 ( Baik Seong-Wan ) - 부산대학교 의과대학
박경연 ( Park Kyung-Yeon ) - 부산대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to explore the effects of Patient Controlled Analgesia (PCA) on the postoperative patient’’s pain management and recovery of bowel movement with gastrointestinal cancer.
Materials and Methods: The participants were 249 patients diagnosed with gastrointestinal disease and scheduled for elective surgery, who were recruited to either the postoperative patient-controlled analgesia group or epidural analgesia group. Participants aged 20 and above were recruited from P, K, D, and I university hospitals in B city. Pain visual analogue scale, and recovery of bowel movement according to PCA-related characteristics were measured using structured questionnaires from April 2005 through December 2005. Descriptive statistics t-test and F-test were used to analyze the data. SPSS WIN 10.0 program was used.
Results: Mean score for pain was 62.31. Scores for pain on the visual analogue scale were significantly lower in the epidural-PCA than in the intravenous PCA, and also significantly lower in the absence of side effect of PCA than in the presence of side effect. Recovery time for bowel movement was significantly faster in the absence of side effect of PCA than in the presence of side effect.
Conclusion: Based on the findings, there is a significant difference in pain and no difference in first passage of flatus according to PCA infusion route in patients who are post-operative for gastrointestinal cancer.
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KeyWords
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자가조절, 통증, 장운동, 악성종양, 수술
Patient-controlled, Pain, Gastrointestinal motility, Cancer, Operation
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원문 및 링크아웃 정보
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등재저널 정보
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