手術後病人使用自控式止痛之效果與護理人員照護之認知

本研究旨在了解病人使用「自控式止痛」之自覺止痛效果及滿意度，並評量護理人員之照護知識。採描述調查性研究，共訪談腹部手術病人及照顧該病人的護理人員各40名。結果顯示：(1)病人術後第三天疼痛已顯著緩解，過去手術時曾使用過此設備的病人滿意度較高(p<.05)；(2)使用「自控式止痛」所出現的不適症狀包括皮膚癢、頭暈、嗜睡、噁心等，令人最困擾的是皮膚癢，其次是頭暈；(3)護理人員對「自控式止痛」的照護認知平均得分為19.53分(SD=1.40)，屬中上程度，臨床工作年資在6-10年者其得分較高。藉由此研究結果，可針對護理人員知識得分較低的項目與內容及照護中常發生之問題，制定適當且標準化之臨床照護標準，以提升病人使用「自控式止痛」的滿意度及手術後護理照護的品質。

The purpose of this study was to explore the pain intensity and satisfaction in abdominal surgery patients with PCA and to investigate nurses' knowledge. Forty patients were interviewed by using a structured questionnaire and a Visual Analog Scale (VAS). The patients perceived pain relief after the third day of post-operation. The score of satisfaction with pain management was 3.76. Whether using PCA experience or not, the patient satisfaction achieved a significant difference (p<.05). There were several major uncomfortable symptoms such as itch, dizziness, drowsiness and nausea. The nurses' average knowledge score was 19.53(SD=1.40), and nurses with longer clinical experience received a higher score. According to the results we have established an adequate standardized procedure for pain management with PCA, patient satisfaction, quality of care and improved patient safety.