Knoerl D V, Faut-Callahan M, Paice J, Shott S
Naval Regional Medical Center, San Diego, CA, USA.
Medsurg Nurs. 1999 Feb;8(1):25-33, 36.
Patient-controlled analgesia (PCA) therapy was designed to provide patients with greater control in managing their pain. However, many patients continue to suffer from moderate to severe pain due to lack of knowledge about how to use PCA therapy. The results of this quasi-experimental study demonstrated that patients who received structured preoperative teaching had statistically significant higher knowledge regarding the use of PCA therapy and more positive attitudes toward using pain medicine. Patients who received the video teaching reported better pain control and satisfaction with pain management 4 and 8 hours following their surgical procedures.
患者自控镇痛(PCA)疗法旨在让患者在疼痛管理方面拥有更大的控制权。然而,由于缺乏如何使用PCA疗法的知识,许多患者仍遭受中度至重度疼痛。这项准实验研究的结果表明,接受结构化术前教育的患者在PCA疗法使用方面的知识在统计学上显著更高,并且对使用止痛药的态度更积极。接受视频教学的患者在手术后4小时和8小时报告了更好的疼痛控制和对疼痛管理的满意度。