Structured Education Programme on Patient Controlled Analgesia (PCA) for Orthopaedic Patients
- Author:
Ho Se
;
Christopher Ck HO
;
Zainah M
;
Indra
;
Jaafar MZ
;
Choy YC
;
Ismail MS
- Publication Type:Journal Article
- Keywords:
patient-controlled analgesia (PCA);
orthopedi;
patients;
education programme
- MeSH:
Analgesia, Patient-Controlled
- From:Medicine and Health
2016;11(1):62-71
- CountryMalaysia
- Language:English
-
Abstract:
Patient-controlled analgesia (PCA) via an infusion pump enables patient to
administer their own analgesia. The aim of this study was to evaluate the effect
of an educational programme in managing post-operative pain and satisfaction
on PCA following orthopedic surgery. A pre-test and post-test interventional study
design with implementation of patient education programme on PCA was provided
to 54 respondents. The control group received conventional PCA briefing from
the Acute Pain Service protocol. Pain intensity was measured at 2 hrs, 6 hrs and
24 hrs following surgery and pre-test and post-test of the Revised American Pain
Society Patient Outcome Questionnaire (APS-POQ-R) was administered. There
was difference in respondents’ level of pain score among the study respondents’
medians for control group at 2 hrs, 6 hrs and 24 hrs following surgery and they were
7.00 (IQR=3.00), 5.00 (IQR=2.00) and 3.00 (IQR=2.00); intervention group at 2 hrs,
6 hrs and 24 hrs following surgery were 6.00 (IQR=2.00), 3.00 (IQR=1.00) and
1.00 (IQR=1.00) respectively. There were significant differences in median of pain
score between intervention and control group at 2 (U=142.0, p<0.05), 6 (U=150.50,
p<0.05) and 24 (U=120.00, p<0.05) hrs following surgery. There were statistically
significant differences (p<0.05) in the median of patient’s pain severity at all pain
levels i.e. least pain, worst pain, and severe pain between intervention and control
group (least pain, U=219.50, p<0.05; worst pain, U=117.0, p<0.05; severe pain,
U=49.0, p<0.05). In conclusion, patients who received pre-operative structured
education programme showed improvement in managing post-operative pain and
satisfaction on PCA after orthopedic surgery.
- Full text:P020160606396249584172.pdf
