کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2645536 1138582 2014 5 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Factors Affecting Unused Remaining Volume of Intravenous Patient-controlled Analgesia in Patients Following Laparoscopic Gynecologic Surgery
ترجمه فارسی عنوان
عوامل موثر بر حجم باقی مانده استفاده نشده از تخفیف درد داخل وریدی تحت کنترل بیمار در بیماران تحت جراحی زنان و زایمان لاپاروسکوپی
کلمات کلیدی
بی دردی؛ کنترل بیمار؛ کنترل دارو و مواد مخدر؛ مدل های خطی؛ زباله های پزشکی؛ تهوع و استفراغ بعد از عمل
analgesia; patient-controlled; drug and narcotic control; linear models; medical waste; postoperative nausea and vomiting
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

SummaryPurposeThis study was undertaken to evaluate the factors affecting the unused remaining volume of intravenous patient-controlled analgesia (IV PCA) in patients who had undergone laparoscopic gynecologic surgery.MethodsWe retrospectively collected patient records from pre-existing PCA log sheets from 98 patients. Surgical factors and IV PCA-related data including remaining volume, administration duration, early discontinuation (yes or no), and adverse reactions were recorded. Chi-square test, one-way analysis of variance, and multiple linear regression were applied for data analysis.ResultsThe average age of the 98 patients was 40.0 ± 8.24 years. The incidence of postoperative nausea and vomiting (PONV) and early discontinuation were not statistically significant among the different surgical groups (p = .540 and p = .338, respectively). Twenty-eight patients wanted discontinuation of IV PCA and the remaining volume was 33.6 ± 7.8 mL (range 20–55 mL). The significant determinants of remaining volume were whether IV PCA was discontinued due to PONV and duration of surgery (p < .001). The surgical duration was inversely correlated with the remaining volume.ConclusionEarly discontinuation of IV PCA due to PONV is a major contributing factor to wastage of medicine. Prevention and treatment of PONV is needed to encourage patients to maintain PCA use for pain control.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Nursing Research - Volume 8, Issue 4, December 2014, Pages 300–304
نویسندگان
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