CAJ | 학술논문

目的：通过术后健康教育提高患者对术后静脉自控镇痛泵（PCIA）镇痛效果的满意度。方法选取2013年2~10月该院下肢骨折全身麻醉插管术后使用PCIA的患者100例，分为对照组50例，由麻醉医师常规术前访视时介绍自控镇痛泵的使用方法；观察组50例，除麻醉医师常规术前教育外，术后返回病房后由麻醉护士再次对患者及家属进行PCIA的使用宣教，自设访谈问卷，使用访谈法48 h后停止使用镇痛泵时收集两组患者术后PCIA使用情况、镇痛效果及镇痛满意度的临床资料。结果观察组镇痛泵的使用情况、镇痛效果及镇痛满意度明显优于对照组，组间比较差异有统计学意义（P<0.05）。结论通过术后再次宣教，患者PCIA的术后使用情况、镇痛效果及满意度均得到改善与提高。
목적：통과술후건강교육제고환자대술후정맥자공진통빙（PCIA）진통효과적만의도。방법선취2013년2~10월해원하지골절전신마취삽관술후사용PCIA적환자100례，분위대조조50례，유마취의사상규술전방시시개소자공진통빙적사용방법；관찰조50례，제마취의사상규술전교육외，술후반회병방후유마취호사재차대환자급가속진행PCIA적사용선교，자설방담문권，사용방담법48 h후정지사용진통빙시수집량조환자술후PCIA사용정황、진통효과급진통만의도적림상자료。결과관찰조진통빙적사용정황、진통효과급진통만의도명현우우대조조，조간비교차이유통계학의의（P<0.05）。결론통과술후재차선교，환자PCIA적술후사용정황、진통효과급만의도균득도개선여제고。
Objective To improve the satisfactory of analgesic effect of patient-controlled intravenous analgesia(PCIA) after operation by postoperative health education. Methods A hundred patients with fracture of lower limb ,who were employed PCIA after general anesthesia intubation from February to October 2013 ,were selected and randomized into two groups:the con-trol group(n=50) was only with the application introduction of PCIA by anesthetists on routine preoperative visit ,and the observa-tion group(n=50),except the routine preoperative education from anesthetists,were with application propaganda of PCIA from nurse anesthetist after operation. Self-designed questionnaires were used to collect the clinical data including usage condition of PCIA and analgesia satisfaction 48 h after interviewing method when pulling the PCIA. Results The usage condition of PCIA,anal-gesic effect and satisfactory degree in the observation group were all better than those in the control group ,and the difference had statistical significance(P<0.05). Conclusion By reeducation after operation,the usage condition of PCIA after operation,anal-gesic effect and satisfactory are all improved.