Factors Associated with Discontinuation of Postoperative Intravenous Patient Controlled Analgesia
Journal of Korean Biological Nursing Science
;
: 236-243, 2018.
Artigo
em Coreano
| WPRIM
| ID: wpr-740797
ABSTRACT
PURPOSE:
The purpose of this study was to identify the factors associated with the discontinuation of patient controlled analgesia (PCA) after surgery.METHODS:
The data of 1,092 adult patients that were over 20 years of age and underwent PCA after surgery in the Gachon University Hospital from May 1 to June 30, 2017, were collected through the patients' Electronic Medical Record (EMR). The collected data was analyzed via the use of the Chi-test, t-test and multivariate logistic regression analysis using SPSS 18.0 program.RESULTS:
The postoperative PCA discontinuation rate was 26.1%. It was associated with various symptoms, such as those of nausea, dizziness, and headache. The PCA discontinuation was also related with female (odds ratio, OR=1.75; confidence interval, CI=1.09–2.82), nausea (OR=105.27; CI=61.03–181.58), total intravenous anesthesia (TIVA) of the thyroidectomy (OR=10.43; CI=5.01–21.70).CONCLUSION:
It is necessary to provide additional medication and nursing interventions to reduce nausea, which is the symptom associated with PCA discontinuation, especially in the operation of female subjects and thyroidectomy under TIVA. That is, those who are at a high risk for PCA discontinuation should be able to administer additional antiemetics or reduce non medication nursing interventions.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tireoidectomia
/
Anafilaxia Cutânea Passiva
/
Modelos Logísticos
/
Analgesia Controlada pelo Paciente
/
Enfermagem
/
Náusea e Vômito Pós-Operatórios
/
Tontura
/
Registros Eletrônicos de Saúde
/
Cefaleia
/
Anestesia Intravenosa
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Biological Nursing Science
Ano de publicação:
2018
Tipo de documento:
Artigo
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