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NTIS 바로가기Journal of Korean biological nursing science, v.16 no.4, 2014년, pp.318 - 325
심주희 (서울대학교병원) , 최스미 (서울대학교 간호대학)
Purpose: The purpose of this study was to investigate the effects of preoperative patient controlled analgesia (PCA) education on total knee replacement arthroplasty (TKRA) patients' PCA usage, level of pain, the frequency of pro re nata (prn) administrations, number of ambulations/day and continuou...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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효과적인 통증관리의 이점은 무엇인가? | 수술 후 부적절한 통증관리는 내분비계, 호흡기계, 위장관계, 면역학적 반응, 응고체계, 인지기능에 영향을 주어 합병증 발생 빈도를 증가시키고 환자의 기동력을 제한할 수 있다(Lee, 2002). 그러나, 효과적인 통증관리는 관절 섬유증 발생과 관절운동 범위의 제한을 줄여주고, 정상 보행으로 빠르게 회복하도록 도와주는 것으로나타났다(Choi, Kim, Gwak, Kim, & Min, 2010). | |
수술 후 부적절한 통증관리는 무엇에 영향을 주나? | 그러나 환자들은 수술 후 통증관리 및 진통제에 대한 지식부족으로 통증관리가 적절히 이루어지지 못하고 있다 (Ko, 2002). 수술 후 부적절한 통증관리는 내분비계, 호흡기계, 위장관계, 면역학적 반응, 응고체계, 인지기능에 영향을 주어 합병증 발생 빈도를 증가시키고 환자의 기동력을 제한할 수 있다(Lee, 2002). 그러나, 효과적인 통증관리는 관절 섬유증 발생과 관절운동 범위의 제한을 줄여주고, 정상 보행으로 빠르게 회복하도록 도와주는 것으로나타났다(Choi, Kim, Gwak, Kim, & Min, 2010). | |
노인 환자의 경우 통증자가조절기가 효과적이지 않은 이유는 무엇인가? | 그러나 통증자가조절기로 투여하는 마약성 진통제에 대해서 환자 본인뿐 아니라 주변 사람들, 심지어는 의료계에 종사 하는 사람들 중에서도 부정적인 인식을 가지고 있는 경우가 많이 있다(Park, 2006). 특히노인환자의경우진통제부작용에대한지나친 우려로 통증자가조절 시에 과소 용량이 투여되어 통증 조절이 효과적이지 않은 것으로 나타났다(Hwang et al., 2004). |
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