Impact of patient - controlled analgesia on patient's satisfaction after cardiac surgery in Shahid Rajaei Heart center in 2011.
- Conditions
- pain control after heart surgery.Other post procedural disorders of circulatory system, not elsewhere classified
- Registration Number
- IRCT201103195665N2
- Lead Sponsor
- Tabriz Medical Science University, Vice chancellor for research, Dr. Mohamreza Rashidi
- Brief Summary
Introduction: Pain has been pointed out as one of the concerns of cardiac surgery patients. Studies have shown that nurses often underestimate patient's pain and patients generally receive inadequate analgesia. Acute pain management has been a challenge for health professionals and several regiments have been described. We designed this study to evaluate the effectiveness of pain control with IV patient-controlled analgesia (PCA) versus conventional nurse-controlled analgesia (NCA) after coronary artery bypass graft (CABG) surgery on patient's satisfaction during the postoperative period in the intensive care unit (ICU).<br /> Methods: In this randomized clinical trail, 80 patients undergone first-time elective CABG enrolled by convenience sampling and were randomly allocated in two groups. PCA with continuous morphine infusion was started immediately after transferring to the ICU. NCA was based on intravenous injections of morphine on demand (PRN). Pain assessment (with verbal rating scale [VRS]), sedation level, morphine consumption and side effects were evaluated from extubation until 48 hours after surgery also patient's satisfaction and nurses opinion of PCA method were obtained. Data were analyzed using SPSS 17.<br /> Results: VRS scores were higher in the NCA group 3.27±1.17 compared with 0.75±0.66 in the PCA group (p
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- Not specified
age 30-60 years old; admission in cardiac surgery ICU for bypass surgery; consent for participation in research
Exclusion criteria: to have addiction; sensitivity for Morphine; not to be able for working with patient control anesthesia; renal diseases with creatine more than2; liver disease; to have re surgery for bleeding; psychological disease; unstable hemodynamic status with blood presser less than 90 mmHg, and receiving inotrope medications; low consciousness; ejection fraction less than %30;entrance to operating room by emergency; intubation more than 6 hours.
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Patient satisfaction of pain control. Timepoint: every 12 hours after heart surgery until 2 days after surgery. Method of measurement: Pain Treatment Satisfaction Scale.
- Secondary Outcome Measures
Name Time Method urses opinions about pain control method. Timepoint: every 12 hours after heart surgery until 2 days postsurgery. Method of measurement: by 6 questions about nurses opinions.;Pain Severity. Timepoint: Every 4 hours for 2 days after surgery. Method of measurement: Visual Analog Scale.;Sedation level. Timepoint: Every 4 hours for 2 days after surgery. Method of measurement: Sedation Scale.