The Effects of Different Pain Control for Patients After Surgery：The example of Patients in a Southern Regional Teaching Hospital
碩士 === 國立中山大學 === 醫務管理研究所 === 94 === Abstracts: The purpose of the study was to compare the efficacy and cost between intravenous patient-controlled analgesia (PCA) with intramuscular (IM) analgesics for women in the first two days after surgery. The study included 200 patients who were assigned to...
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| Format: | Others |
| Language: | zh-TW |
| Published: |
2006
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| Online Access: | http://ndltd.ncl.edu.tw/handle/84119570405427775010 |
| Summary: | 碩士 === 國立中山大學 === 醫務管理研究所 === 94 === Abstracts:
The purpose of the study was to compare the efficacy and cost between intravenous patient-controlled analgesia (PCA) with intramuscular (IM) analgesics for women in the first two days after surgery.
The study included 200 patients who were assigned to receive PCA or intramuscular injections opioid during a period of 2 days after surgery. The PCA group included 124 patients and IM group had 76 patients. The data were collected using a structured questionnaires, patient chart review and hospital charge data.
The several findings were observed in this study. 1. The pain level in the PCA group was significantly lower than in the IM group (P< 0.01). The PCA group had significantly greater satisfaction with pain control than those in IM group (p< 0.01). The influence of activity by pain in the IM group had significantly greater than those in PCA group (p< 0.05). 2. The incidence of skin itching in PCA group was significantly higher than in the IM group （P< 0.01）.3. Cost per patient was higher for PCA group（NT$ 420.9±22.6）than IM group（NT$228.4±60.1）.
In conclusion, PCA produced better pain relief, get better patient’s satisfaction than conventional on-demand IM opioid injections but it was more expensive.
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