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Abstract
Purpose
This study was to investigate the effects of the provision of concrete information about patient-controlled analgesia (PCA) in hysterectomy patients.
Methods
Study design was a nonequivalent control group non-synchronized pre- and post-test design. Sixty subjects participated were assigned to experimental group (30 patients) or control group (30 patients) at one university hospital. Concrete information about PCA was composed of three sections: explanation with a leaflet, practice of using PCA, and question and answer session.
Results
The experimental group who received concrete information about PCA before surgery had statistically higher knowledge level about PCA, more positive attitude toward pain control analgesia, a lower pain score, and a higher satisfaction level of the use of PCA post-surgery compared to the control group who received general information before surgery.
Conclusion
Provision of concrete information about PCA was an effective nursing intervention that reduced post-operative pain for patients and increased their satisfaction with using PCA. It is recommended that concrete information about PCA be provided by nurses to promote the use of PCA and consequently reduce patient's pain post-surgery.
Figures and Tables
Table 2
Homogeneity Test for Patient Knowledge about PCA and Attitude about Pain Control Medication at Pretest (N=60)
Summary Statement
▪ What is already known about this topic?
Most research with gynecological patients has focused on effects of knowledge, discomfort and anxiety rather than on pain control when providing education on PCA. Furthermore, the effects of PCA education for patients were not consistent.
▪ What this paper adds?
PCA education was provided the day before surgery and the contents focused on firm safety assurance from abuse and addiction risks, as well as more detailed technical explanations. This research confirmed pain reduction and an increased satisfaction among gynecological surgical patients regarding post-surgical pain control.
▪ Implications for practice, education and/or policy
It is recommended that concrete information about PCA be provided by nurses to promote the use of PCA and consequently reduce patient's pain post-surgery.
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