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Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients

Patient-controlled analgesia (PCA) via an infusion pump enables patient to administer their own analgesia. The aim of this study was to evaluate the effect of an educational programme in managing post-operative pain and satisfaction on PCA following orthopedic surgery. A pre-test and post-test inter...

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Main Authors: Ho, Siew Eng, Ho, Christopher Chee Kong, Zainah Mohamed,, Indra,, Jaafar Md Zain,, Choy, Yin Choy, Ismail Mohd Saiboon,
Format: Article
Language:English
Published: Fakulti Perubatan, UKM 2016
Online Access:http://journalarticle.ukm.my/9789/1/9._Ho_et_al.pdf
http://journalarticle.ukm.my/9789/
http://www.medicineandhealthukm.com/toc/11/1
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spelling my-ukm.journal.97892016-12-14T06:50:51Z http://journalarticle.ukm.my/9789/ Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients Ho, Siew Eng Ho, Christopher Chee Kong Zainah Mohamed, Indra, Jaafar Md Zain, Choy, Yin Choy Ismail Mohd Saiboon, Patient-controlled analgesia (PCA) via an infusion pump enables patient to administer their own analgesia. The aim of this study was to evaluate the effect of an educational programme in managing post-operative pain and satisfaction on PCA following orthopedic surgery. A pre-test and post-test interventional study design with implementation of patient education programme on PCA was provided to 54 respondents. The control group received conventional PCA briefing from the Acute Pain Service protocol. Pain intensity was measured at 2 hrs, 6 hrs and 24 hrs following surgery and pre-test and post-test of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) was administered. There was difference in respondents’ level of pain score among the study respondents’ medians for control group at 2 hrs, 6 hrs and 24 hrs following surgery and they were 7.00 (IQR=3.00), 5.00 (IQR=2.00) and 3.00 (IQR=2.00); intervention group at 2 hrs, 6 hrs and 24 hrs following surgery were 6.00 (IQR=2.00), 3.00 (IQR=1.00) and 1.00 (IQR=1.00) respectively. There were significant differences in median of pain score between intervention and control group at 2 (U=142.0, p<0.05), 6 (U=150.50, p<0.05) and 24 (U=120.00, p<0.05) hrs following surgery. There were statistically significant differences (p<0.05) in the median of patient’s pain severity at all pain levels i.e. least pain, worst pain, and severe pain between intervention and control group (least pain, U=219.50, p<0.05; worst pain, U=117.0, p<0.05; severe pain, U=49.0, p<0.05). In conclusion, patients who received pre-operative structured education programme showed improvement in managing post-operative pain and satisfaction on PCA after orthopedic surgery. Fakulti Perubatan, UKM 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9789/1/9._Ho_et_al.pdf Ho, Siew Eng and Ho, Christopher Chee Kong and Zainah Mohamed, and Indra, and Jaafar Md Zain, and Choy, Yin Choy and Ismail Mohd Saiboon, (2016) Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients. Medicine & Health, 11 (1). pp. 62-71. ISSN 1823-2140 http://www.medicineandhealthukm.com/toc/11/1
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Patient-controlled analgesia (PCA) via an infusion pump enables patient to administer their own analgesia. The aim of this study was to evaluate the effect of an educational programme in managing post-operative pain and satisfaction on PCA following orthopedic surgery. A pre-test and post-test interventional study design with implementation of patient education programme on PCA was provided to 54 respondents. The control group received conventional PCA briefing from the Acute Pain Service protocol. Pain intensity was measured at 2 hrs, 6 hrs and 24 hrs following surgery and pre-test and post-test of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) was administered. There was difference in respondents’ level of pain score among the study respondents’ medians for control group at 2 hrs, 6 hrs and 24 hrs following surgery and they were 7.00 (IQR=3.00), 5.00 (IQR=2.00) and 3.00 (IQR=2.00); intervention group at 2 hrs, 6 hrs and 24 hrs following surgery were 6.00 (IQR=2.00), 3.00 (IQR=1.00) and 1.00 (IQR=1.00) respectively. There were significant differences in median of pain score between intervention and control group at 2 (U=142.0, p<0.05), 6 (U=150.50, p<0.05) and 24 (U=120.00, p<0.05) hrs following surgery. There were statistically significant differences (p<0.05) in the median of patient’s pain severity at all pain levels i.e. least pain, worst pain, and severe pain between intervention and control group (least pain, U=219.50, p<0.05; worst pain, U=117.0, p<0.05; severe pain, U=49.0, p<0.05). In conclusion, patients who received pre-operative structured education programme showed improvement in managing post-operative pain and satisfaction on PCA after orthopedic surgery.
format Article
author Ho, Siew Eng
Ho, Christopher Chee Kong
Zainah Mohamed,
Indra,
Jaafar Md Zain,
Choy, Yin Choy
Ismail Mohd Saiboon,
spellingShingle Ho, Siew Eng
Ho, Christopher Chee Kong
Zainah Mohamed,
Indra,
Jaafar Md Zain,
Choy, Yin Choy
Ismail Mohd Saiboon,
Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients
author_facet Ho, Siew Eng
Ho, Christopher Chee Kong
Zainah Mohamed,
Indra,
Jaafar Md Zain,
Choy, Yin Choy
Ismail Mohd Saiboon,
author_sort Ho, Siew Eng
title Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients
title_short Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients
title_full Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients
title_fullStr Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients
title_full_unstemmed Structured education programme on Patient Controlled Analgesia (PCA) for orthopaedic patients
title_sort structured education programme on patient controlled analgesia (pca) for orthopaedic patients
publisher Fakulti Perubatan, UKM
publishDate 2016
url http://journalarticle.ukm.my/9789/1/9._Ho_et_al.pdf
http://journalarticle.ukm.my/9789/
http://www.medicineandhealthukm.com/toc/11/1
_version_ 1643737906915835904
score 13.211869

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