PCA 교육과 내관지압이 노인 슬관절 전치환술 환자의 수술 후 불편감에 미치는 효과

이은연; 손경희

서지반출

국문초록

현대의학의 발달과 생활수준의 향상으로 오늘날 우리나라 의노인인구수는급속한증가를나타내고있다. 이미2011년 에 65세 이상 노인인구가 전체인구의 11%를 넘어섰으며, 2017년에는 14%로 예상되어 본격적인 고령사회에 진입할 것 으로 전망되고 있다(Ministry of Health and Welfare [MHW], 2012). 고령화에 따라 노인의 만성질환 유병률은 증가하고 있는 추세이며, 특히 근골격계질환인 만성퇴행성관절염의 유병률이 증가하는 것으로 조사되었다(Syed & Davis, 2000). 퇴행성 관절염의 관리방법으로는 약물요법, 물리요법, 운 동, 체중조절 등이 있는데 이러한 방법에서 증상조절 효과가 적고 일상생활에 지장이 많은 경우에는 슬관절 전치환술이 가 장 효과적이며 이는 관절 가동성 증진, 기형교정, 환자 삶의 질향상등의 장점을지닌다(Lee, Suh, & Lee, 2004). 그러나 슬관절 전치환술은 수술 자체가 중간 이상의 통증을 유발하여 진통제사용량이 많고, 수술 후 통증이 매우 극심하다고 알려 져 있다(Hwang et al., 2004).

영문초록

Purpose: The purpose of this study was to examine the effects of Patient-Controlled Analgesia (PCA) education and Nei-Guan Acupressure on post-operative discomfort such as pain, nausea and vomiting in elders following total knee replacement. Methods: PCA education was provided to the experimental group at 7 pm the day before the operation. Routine post-operative PCA education was given to the control group in the recovery room or general ward. Confirmation of the effects of PCA education on level of pain was measured using the Numerical Rating Scale (NRS), and nausea and vomiting using the Index of Nausea, Vomiting and Retching (INVR). Collected data were analyzed using x2-test, t-test, Fisher's exact test and repeated measures ANCOVA. Results: The experimental group who participated in the PCA education and Nei-Guan Acupressure showed lower levels of pain and nausea than the control group. However, the results did not show a significantly lower level of vomiting compared to the control group. Conclusion: The results of this study indicate that PCA education and Nei-Guan Acupressure as developed in this study are an effective nursing intervention for post-operative discomfort in elders following total knee replacement.

키워드

PCA education Acupressure Pain Nausea Vomiting

참고문헌 (30건)

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