Analgesic Satisfaction and Related Factors of Surgical Patients with Patient-Controlled Analgesia

Tuesday, 13 July 2010

Yu-Chu Chung, MS, RN
Doctoral Student, School of Nursing, National Taipei College of Nursing, and Lecturer, School of Nursing, Yuanpei University, Hsinchu, Taiwan
Mei-Ling Yeh, PhD, RN
School of Nursing, National Taipei College of Nursing, Taipei, Taiwan
Hsing-Hsia Chen, PhD
Applied Mathematics, Chung-Yuan Christian University, Taoyuan, Taiwan

Learning Objective 1: The learner will be able to understand the side effects of patient-controlled analgesia.

Learning Objective 2: The learner will be able to understand the related factors of the analgesic satisfaction.

Purpose: The purpose of this study was examined the effect of analgesic satisfaction and related factors of surgical patients with patient-controlled analgesia.

Methods: This study is a cross-sectional descriptive correlation design. A convenience sampling consisted of 100 patients from the northern medical center in Taiwan. Results: Patients generally had negative recognition. Post surgery from one to three days most pain mean score were 3.8 ± 2.7, 3.1 ± 2.4, and 2.6 ± 2.0, the post surgery one day has 29% patients endure moderate above the pain (VAS > 5). The mean analgesic satisfaction was 7.1 ± 2.1. There were no significant differences among recognition, pain intensity, and analgesic satisfaction. There was negative relative between symptoms distress of the PCA side effects and analgesic satisfaction.

Conclusion: PCA side-effects, and medical instruction and interaction with medical staff are the important factors that influence analgesic satisfaction on PCA use. This study also founds that patients’ cognition of PCA is still insufficient. Therefore, realization of instruction in the use of PCA, increase of patients’ understanding of PCA, and elimination of distress caused by analgesic side-effects, can help patients away from pain and increase the effectiveness and analgesic satisfaction with PCA.