Effects of Patient-Controlled Analgesia (PCA) Education and Nei-Guan Acupressure on Post-operative Discomfort in Elders with Total Knee Replacement

Lee, Eun Yeon; Shon, Kyung Hee

doi:2014.16.1.77

J Korean Gerontol Nurs > Volume 16(1):2014 > Article

Original Article


J Korean Gerontol Nurs. 2014 Apr;16(1):77-84. Korean. Published online Apr 30, 2014. http://dx.doi.org/10.17079/jkgn.2014.16.1.77
© 2014 Korean Gerontological Nursing Society


Effects of Patient-Controlled Analgesia (PCA) Education and Nei-Guan Acupressure on Post-operative Discomfort in Elders with Total Knee Replacement
Eun Yeon Lee,^*¹and Kyung Hee Shon²
¹Department of Nursing, Tongmyong University, Busan, Korea.
²Department of Nursing, Dongeui University, Busan, Korea.
^*Corresponding author: Lee, Eun Yeon. Department of Nursing, Tongmyong University, 428 Sinseon-ro, Nam-gu, Busan 608-711, Korea. Tel: +82-51-629-2677, Fax: +82-51-629-2679, Email: eylee@tu.ac.kr

Received November 08, 2013; Revised December 11, 2013; Accepted April 10, 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 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 χ²-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.

Keywords: PCA education, Acupressure, Pain, Nausea, Vomiting.

Tables


	Table 1 General Characteristics


	Table 2 Pre Operative Pain and Analgesic Use after Operation


	Table 3 Differences in Degree of Pain between the Two Groups


	Table 4 Differences in Level of Nausea between the Two Groups


	Table 5 Differences in Level of Vomiting between the Two Groups

Notes

This study was a condensed from of the first author's master' thesis.

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