수술 후 자가통증조절요법 중단 관련요인

• 영문명: Factors Associated with Discontinuation of Postoperative Intravenous Patient Controlled Analgesia
• 발행기관: 한국기초간호학회
• 저자명: 이경란(Lee Kyung-ran ) 김윤미(Kim Yun-mi)
• 간행물 정보: 『Journal of Korean Biological Nursing Science』제20권 제4호, 236~243쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2018.11.30

영문 초록

Purpose: The purpose of this study was to identify the factors associated with the discontinuation of patient controlled analgesia (PCA) after surgery. Methods: The data of 1,092 adult patients that were over 20 years of age and underwent PCA after surgery in the Gachon University Hospital from May 1 to June 30, 2017, were collected through the patients’ Electronic Medical Record (EMR). The collected data was analyzed via the use of the Chi-test, t-test and multivariate logistic regression analysis using SPSS 18.0 program. Results: The postoperative PCA discontinuation rate was 26.1%. It was associated with various symptoms, such as those of nausea, dizziness, and headache. The PCA discontinuation was also related with female (odds ratio, OR=1.75; confidence interval, CI=1.09-2.82), nausea (OR=105.27; CI=61.03-181.58), total intravenous anesthesia (TIVA) of the thyroidectomy (OR=10.43; CI=5.01-21.70). Conclusion: It is necessary to provide additional medication and nursing interventions to reduce nausea, which is the symptom associated with PCA discontinuation, especially in the operation of female subjects and thyroidectomy under TIVA. That is, those who are at a high risk for PCA discontinuation should be able to administer additional antiemetics or reduce non medication nursing interventions.

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Patient-controlled analgesia Postoperative nausea and vomiting 자가통증조절요법 수술 후 오심 구토