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Original Article

J Korean Gerontol Nurs. 2014 Aug;16(2):141-150. Korean.
Published online Aug 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.2.141
© 2014 Korean Gerontological Nursing Society
Effects on Post Operative Pain Management in Elderly Women following Laparoscopically assisted Vaginal Hysterectomy
Sung-Jung Hong,1Hwa Sun Kim,*2and Eun Hee Kim3
1Department of Nursing, Semyung University, Jecheon, Korea.
2Department of Medical Information Technology, Daegu Haany University, Gyeongsan, Korea.
3Department of Nursing, Suseong University, Daegu, Korea.

*Corresponding author: Kim, Hwa Sun. Department of Medical Information Technology, Daegu Haany University, 1 Hanui-daero, Gyeongsan 712-715, Korea. Tel: +82-53-819-1591, Fax: +82-53-819-1271, Email: pulala@paran.com
Received January 29, 2014; Revised April 08, 2014; Accepted May 30, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

This study was done to compare the effects of intermittent intravenous injection and intravenous patient controlled analgesia on the pain level, side effects, cost and satisfaction with pain management in elderly women who had laparoscopically assisted vaginal hysterectomy (LAVH).

Methods

The participants were 160 patients at K hospital in D city. Data were collected during January and December, 2012. The main outcomes were level of pain, side effects, satisfaction, and cost for the two types of pain management. Data were analyzed using frequencies, percentages, means, χ2-test and t-test.

Results

The mean postoperative pain levels at 2, 24, and 48 hours were significantly lower in patients who used patient controlled analgesia compared with those who received intravenous injection, although the former reported more side effects, such as nausea, vomiting, and dizziness. The cost of pain management was considerably higher for patients who used patient controlled analgesia. Nevertheless, the overall satisfaction with pain management did not differ significantly between the two methods, except in terms of nursing care and nurses' explanation of pain management.

Conclusion

Patient controlled analgesia was more expensive and was associated with more complications, such as vomiting, nausea, and dizziness, than was intermittent intravenous opioid injection.

Keywords: Elderly, Postoperative pain, Patient-controlled analgesia, Vaginal hysterectomy.

Tables


Table 1
Differences in Sample Characteristics between Patients Receiving IV or receiving PCA Pain Management (N=160)


Table 2
Comparisons of VAS Score and Postoperative Side Effect between Patients receiving IV or receiving PCA Pain Management (N=160)


Table 3
Comparisons of Medical Cost between Patients receiving IV or receiving PCA Pain Management (N=160)


Table 4
Comparisons of Patient Satisfaction between Patients receiving IV or receiving PCA Pain Management (N=160)

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