Volume 27, Issue 6 (1-2020)                   Avicenna J Nurs Midwifery Care 2020, 27(6): 405-414 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Azizi A, Khatibian M, Mohamadian A, Soltanian A, Salehzadeh Glonduz F. Effect of Patient Education About Patient-controlled Analgesia Pump Preoperative on Severity of Pain, Nausea and Vomiting After Spinal Culumn Surgery. Avicenna J Nurs Midwifery Care 2020; 27 (6) :405-414
URL: http://nmj.umsha.ac.ir/article-1-1996-en.html
1- Assistant Professor, Department of Medical Surgical, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
2- Associate Professor, Department of Medical Surgical, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3- Professor, Ardabil University of Medical Sciences, Ardebil, Iran.
4- Professor, Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
5- MSc., Student Research Committee, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , F.salehzadeh95@gmail.com
Abstract:   (4904 Views)

Introduction: Patients undergoing spinal column surgery, experience severe postoperative pain. One of the special methods of pain control is use of a patient-controlled analgesia (PCA) pump. Studies show that despite this pump, patients suffer from moderate to severe pain. Therefore, the teaching patients how to use the pump by nurses is essential. Therefore, the present study was conducted to determine the effect of patient education about patient-controlled analgesia pump preoperative on severity of pain, nausea and vomiting after spinal column surgery.
Methods: The present study was a randomized controlled trial during which 60 candidate patients of Spinal column surgery hospitalized in Shahid Fatemi hospital in Ardebil, were selected by accessible method and randomly assigned into two groups of 30 individuals, intervention and control group. Both groups received routine training in the use of the pump in the recovery department, but the intervention group received a 15-minute face-to-face intervention session using a sample of the PCA pump. Postoperative pain intensity, nausea, and vomiting in three times, 2, 4, 24 hours after surgery were assessed and compared. SPSS 16 was used to analyze the data.
Results: The findings showed that there was a significant difference between the control and intervention groups regarding the severity of pain in times of 2, 4, and 24 hours postoperative (P<0.001). Pain severity in intervention group was decreased compared to control group. However, there was no significant difference in nausea and vomiting frequency between the two groups (P>0.05).
Conclusion: Training the use of patient-controlled analgesia pump before operation, without changing the severity of nausea and vomiting, reduces pain after spinal column surgery. Therefore, it is recommended that the way of using the pump, be taught before operation.

Persian Full-Text [PDF 522 kb]   (1393 Downloads) |   |   Extended Abstract (HTML)  (1157 Views)  

Training the use of patient-controlled analgesia pump before operation, without changing the severity of nausea and vomiting, reduces pain after spinal column surgery. Therefore, it is recommended that the way of using the pump, be taught before operation.

Type of Study: Original Research | Subject: Nursing
Received: 2019/01/20 | Accepted: 2019/03/31 | Published: 2019/03/31

1. Mousavi SJ, van Dieën JH, Anderson DE. Low back pain: Moving toward mechanism-based management. Clinical Biomechanics. 2019 Jan 1;61:190-1. [DOI:10.1016/j.clinbiomech.2018.12.010] [PMID]
2. Haj A, Weisman A, Masharawi Y. Lumbar axial rotation kinematics in men with non-specific chronic low back pain. Clinical Biomechanics. 2019 Jan 1;61:192-8. [DOI:10.1016/j.clinbiomech.2018.12.022] [PMID]
3. Dooste M, Saboor M. Surgical Tecnology nervous system.special experts operating room12010.
4. Gattozzi DA, Friis LA, Arnold PM. Surgery for traumatic fractures of the upper thoracic spine (T1-T6). Surgical neurology international. 2018;9. [DOI:10.4103/sni.sni_273_18] [PMID] [PMCID]
5. Robert K. Basics of Anasthesia: Stoelting Ronald D, Meller; 2000. 232 p.
6. Rafie MR, Ghergherechi M, Naderi AR. The effect of degzamtazvn on willow dismissed in the post-laminectomy and inside thoracic epidural injection method before surgery after surgery. Jurnal of Military Medical University. 2010;5(3):59-63.
7. Thurm BE, Matoso A, Diaz AC, Paschoalini C, Neves E, Tuunelis R, Kiyomoto HD, Gama EF. Chronic pain effect on body schema and neuropsychological performance in athletes: A pilot study. Perceptual and motor skills. 2013 Apr;116(2):544-53. [DOI:10.2466/15.27.PMS.116.2.544-553] [PMID]
8. Zakerimoghadam M, Shariat E, Asadi Noughabi AA, Mehran A, Soghrati V. Relationship between nurses' knowledge about pain and satisfaction of pain relieving procedures among postoperative CABG patients. Journal of hayat. 2011 Sep 15;17(3):49-58.
9. Moriarty O, McGuire BE, Finn DP. The effect of pain on cognitive function: a review of clinical and preclinical research. Progress in neurobiology. 2011 Mar 1;93(3):385-404. [DOI:10.1016/j.pneurobio.2011.01.002] [PMID]
10. Westhorpe RN, Ball C. Patient-controlled analgesia syringe pumps. Anaesthesia and intensive care. 2011 Sep;39(5):789-. [DOI:10.1177/0310057X1103900501] [PMID]
11. Viscusi ER. Patient-controlled drug delivery for acute postoperative pain management: a review of current and emerging technologies. Regional Anesthesia & Pain Medicine. 2008 Feb 1;33(2):146-58. [DOI:10.1097/00115550-200803000-00010] [PMID]
12. Shovel L, Max B, Correll DJ. Increasing patient knowledge on the proper usage of a PCA machine with the use of a post-operative instructional card. Hospital Practice. 2016 Mar 14;44(2):71-5. [DOI:10.1080/21548331.2016.1149015] [PMID]
13. Hankin CS, Schein J, Clark JA, Panchal S. Adverse events involving intravenous patient-controlled analgesia. American journal of health-system pharmacy. 2007;64(14):1492-9. [DOI:10.2146/ajhp060220] [PMID]
14. Hong SJ, Lee E. Effects of a structured educational programme on patient‐controlled analgesia (PCA) for gynaecological patients in South Korea. Journal of clinical nursing. 2012 Dec;21(23-24):3546-55. [DOI:10.1111/j.1365-2702.2011.04032.x] [PMID]
15. Levy BF, Scott MJ, Fawcett W, Fry C, Rockall TA. Randomized clinical trial of epidural, spinal or patient‐controlled analgesia for patients undergoing laparoscopic colorectal surgery. British Journal of Surgery. 2011 Aug;98(8):1068-78. [DOI:10.1002/bjs.7545] [PMID]
16. Pettersson P, Anjou Lindskog E, Öwall A. Patient‐controlled versus nurse‐controlled pain treatment after coronary artery bypass surgery. Acta anaesthesiologica scandinavica. 2000 Jan;44(1):43-7. [DOI:10.1034/j.1399-6576.2000.440108.x] [PMID]
17. Lam KK, Chan MT, Chen PP, Kee WD. Structured preoperative patient education for patient-controlled analgesia. Journal of clinical anesthesia. 2001 Sep 1;13(6):465-9. [DOI:10.1016/S0952-8180(01)00304-X]
18. Timmons ME, Bower FL. The effect of structured preoperative teaching on patients' use of patient-controlled analgesia (PCA) and their management of pain. Orthopedic nursing. 1993;12(1):23-31. [DOI:10.1097/00006416-199301000-00007] [PMID]
19. Kurtović B, Rotim K, Mladić Batinica I, Milošević M, Božić B, Kalauz S. Analgesic Effect-Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study. Acta clinica Croatica. 2017 Jun 1;56(2.):236-43. [DOI:10.20471/acc.2017.56.02.06] [PMID]
20. Seo HS, Park KS. The effect of education on preoperative PCA upon postoperative pain. J Korean Acad Adult Nurs. 2002 Sep 1;14(3):449.
21. Ortiz J, Wang S, Elayda MA, Tolpin DA. Preoperative patient education: can we improve satisfaction and reduce anxiety?. Revista brasileira de anestesiologia. 2015 Feb;65(1):7-13. [DOI:10.1016/j.bjane.2013.07.009]
22. Louw A, Diener I, Butler DS, Puentedura EJ. Preoperative education addressing postoperative pain in total joint arthroplasty: review of content and educational delivery methods. Physiotherapy theory and practice. 2013 Apr 1;29(3):175-94. [DOI:10.3109/09593985.2012.727527] [PMID]
23. Papanastassiou I, Anderson R, Barber N, Conover C, Castellvi AE. Effects of preoperative education on spinal surgery patients. SAS journal. 2011 Dec 1;5(4):120-4. [DOI:10.1016/j.esas.2011.06.003] [PMID] [PMCID]
24. Aydin D, Klit J, Jacobsen S, Troelsen A, Husted H. No major effects of preoperative education in patients undergoing hip or knee replacement-a systematic review. Dan Med J. 2015 Jul 1;62(7):A5106.
25. Khalili Z, Khatiban M, Fardmal J, Abbace M, Zerate F, Kazaye A. Cardamom effect on nausea and vomiting caused by chemotherapy cancer patients. Scientific Journal of Hamadan Nursing & Midwifery. 2015;22(3):46-73.
26. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Academic emergency medicine. 2001 Dec;8(12):1153-7. [DOI:10.1111/j.1553-2712.2001.tb01132.x] [PMID]
27. Lo LH, Hayman LL. Parents associated with children in measuring acute and delayed nausea and vomiting. Nursing & health sciences. 1999 Sep;1(3):155-61. [DOI:10.1046/j.1442-2018.1999.00020.x] [PMID]
28. Melzack R, Rosberger Z, Hollingsworth ML, Thirlwell M. New approaches to measuring nausea. CMAJ: Canadian Medical Association Journal. 1985 Oct 15;133(8):755.
29. Khodaveisi Z, Borzou SR, Mohammadi Y, Azizi A. The Effect of Inhalation of Ginger Extract on Postoperative Nausea, Retching and Vomiting after Laparoscopic Cholecystectomy: A Randomized Clinical Trial. Journal of Health and Care. 2019 Jun 10;21(2):126-34. [DOI:10.29252/jhc.21.2.126]
30. Rhodes VA, McDaniel RW. Nausea, vomiting, and retching: complex problems in palliative care. CA: A cancer journal for clinicians. 2001 Jul;51(4):232-48. [DOI:10.3322/canjclin.51.4.232] [PMID]
31. Boogaerts JG, Vanacker E, Seidel L, Albert A, Bardiau FM. Assessment of postoperative nausea using a visual analogue scale. Acta anaesthesiologica scandinavica. 2000 Apr;44(4):470-4. [DOI:10.1034/j.1399-6576.2000.440420.x] [PMID]
32. Gatchel RJ. Clinical essentials of pain management. American Psychological Association; 2005. [DOI:10.1037/10856-000]
33. Se H, HO CC, Zainah M, Jaafar MZ, Choy YC, Ismail MS. Structured Education Programme on Patient Controlled Analgesia (PCA) for Orthopaedic Patients. Medicine and Health. 2016 Jan 1;11(1):62-71. [DOI:10.17845/MH.2016.1101.09]
34. Dinges HC, Otto S, Stay DK, Bäumlein S, Waldmann S, Kranke P, Wulf HF, Eberhart LH. Side effect rates of opioids in equianalgesic doses via intravenous patient-controlled analgesia: a systematic review and network meta-analysis. Anesthesia & Analgesia. 2019 Oct 1;129(4):1153-62. [DOI:10.1213/ANE.0000000000003887] [PMID]
35. Crisp CC, Bandi S, Kleeman SD, Oakley SH, Vaccaro CM, Estanol MV, Fellner AN, Pauls RN. Patient-controlled versus scheduled, nurse-administered analgesia following vaginal reconstructive surgery: a randomized trial. American journal of obstetrics and gynecology. 2012 Nov 1;207(5):433-e1. [DOI:10.1016/j.ajog.2012.06.040] [PMID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb