The Effect of Multimedia Education of PCA on Patients' Cognition, Interference of Life, and Satisfaction

Saturday, 26 July 2014

Chiu-Hua Li, BS
Nursing, Yuan's General Hospital, Kaohsiung City, Taiwan
Chou-Ping Chiou, PhD, RN
School of Nursing, I-Shou University, Kaohsiung County, Taiwan


To examine the effect of interactive multimedia education program (MEP) of patient-controlled analgesia (PCA) on cognition, interference of life, and satisfaction of patients who was going to receive osteological surgery.


A quasi-experimental design was used with intervention and control groups. Eligible subjects recruited from one teaching hospital in Kaohsiung. Inclusion criteria were the patients aged 20 and above who was going to receive osteological surgery and agreed to use PCA. Totally, 60 subjects were non-randomly assigned into either the intervention groupn=30or the control groupn=30. Before surgery the intervention group received MEP, and the control group only received regular routine care (pamphlet education). The research instruments included pain cognition questionnaire, life interference scale, and satisfaction scale. SPSS 18.0 version software was used for coding and data analysis. Statistical methods included t-test and pair t-test.


  1. Participants in the MEP group have higher cognition (p< .001) and satisfaction (p<.001) with PCA than the pamphlet group.

  2. There is significant difference (p<.001) in life interference before and after surgery for each group, but there is no significant difference between these two group.


This research shows that using MEP in per-operative education for patients who was going to receive osteological surgery can increase their cognition, and satisfaction for PCA. Results demonstrate the potential benefits of using MEP for surgery patients with PCA.