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.
Structured Education Programme on Patient Controlled Analgesia (PCA) for Orthopaedic Patients
Abstrak
Analgesia kawalan pesakit (PCA) melalui pam infusi membolehkan pesakit untuk mengawal analgesia mereka sendiri. Tujuan kajian ini adalah untuk menilai kesan program pendidikan analgesia kawalan pesakit (PCA) dari segi kesakitan pos pembedahan dan kepuasan pesakit dengan PCA selepas pembedahan ortopedik. Kajian bentuk kuasi-eksperimen pra dan pos rekaintervensi dengan pelaksanaan program pendidikan pesakit di PCA yang diberikan kepada 54 responden. Kumpulan kawalan diberi taklimat PCA konvensional dari protokol Acute Pain Service. Tahap kesakitan diukur pada 2 jam, 6 jam dan 24 jam selepas pembedahan dengan menggunakan ujian pra dan pos dari pada pra dan ujian pos dengan penggunaan “Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R)”. Hasil kajian menunjukkan perbezaan median respon tahap skor kesakitan oleh responden kawalan pada 2 jam, 6 jam dan 24 jam selepas pembedahan, ialah 7.00 (IQR = 3.00), 5.00 (IQR = 2.00) dan 3.00 (IQR = 2.00); kumpulan interventasi pada 2 jam, 6 jam dan 24 jam selepas pembedahan adalah 6.00 (IQR = 2.00), 3.00 (IQR = 1.00) dan 1.00 (IQR = 1.00). Terdapat perbezaan yang signifikan dalam median skor kesakitan antara kumpulan interventasi dan kumpulan kawalan bagi 2 (U = 142.0, p < 0.05) , 6 (U = 150.50 , p < 0.05) dan 24 (U = 120.00, p < 0.05) jam selepas pembedahan. Terdapat perbezaan statistik yang signifikan (p <0.05) dalam median tahap sakit pesakit di semua peringkat kesakitan biasa, kesakitan teruk, dan kesakitan yang amat teruk antara kumpulan interventasi dan kumpulan kawalan (kesakitan biasa, U = 219.50, p < 0.05, kesakitan teruk , U = 117.0, p < 0.05; kesakitan yang amat teruk, U = 49.0, p < 0.05). Kesimpulannya, pesakit yang menerima program pendidikan berstruktur pra-pembedahan menunjukkan peningkatan dalam menguruskan kesakitan selepas pembedahan dan kepuasan pada PCA selepas pembedahan ortopedik.
Kata kunci
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