Effect of patient education about patient-controlled analgesia pump before Spinal culumn surgery on their pain management after surgery

The purpose of this study is evaluating the effect of patient education about patient-controlled analgesia pump before surgery on their pain management after Spinal culumn surgery.

In this study, 60 patients candidate for elective spinal culumn surgery, that have inclusion criteria for study, will be hospitalized to Fatemi Hospital in Ardabil, will be selected by accessible sampling, then divided into two groups of intervention and control by simple randomization.Blinding will not be done.

The researcher will be present at the Neurosurgery Department of Dr. Fatemi Hospital in Ardebil at 19:00 hour. She will identify the eligible patients by studying the patient records. Participants will be entered into the study after goal and method of the research explanation, and written consent. The Neurosurgeon ward includes 30 beds in both women and men. According to the routine, patients after surgery come back to the same bed at the admission time. The same night (before surgery), for all participants will be completed demographic forms, pre-intervention evaluations, and training about using of analgesic pump. Surgical procedures, anesthetist, surgeon, general anesthetic procedures will be similar for all subjects. Analgesic pump is improvised in recovery ward, then routine training is done. The dominant protocol is the use of an analgesic pump consisting of 30 cc fentanyl in 70 cc normal saline (the total contents of the pump is 100 cc). According to the routine, the drugs in the pump are continuously injected with 4CC/h speed. Also, patient can inject 15 micrograms drug every 15 minutes as blousy. The pump is used for 48 hours, and if necessary, it can be recharged. How to use of PCA pump, causes of postoperative pain, how to manage and control pain, the side effects of PCA and the excessive use of analgesia will be taught to the intervention group by the researcher.

Inclusion criteria: patients who have been elective spinal culumn surgery; hospitalized at least one night before surgery; have reading and writing skills; ability to communicate verbally; Age range between 18 to 60 years old; received general anesthesia for surgery. Exclusion criteria: allergic reactions to any components of analgesia pump; history of coagulation disorders; Transfer to other wards; Patient death; reasons; receiving another analgesic agents concurrent with PCA pump; History of addiction; history of using analgesic pump.

Patients in intervention group in addition to routine education in recovery ward, will be received a 15-minutes individual education session using a sample PCA pump. After the training, we will ask the patient to explain how to use the pump. Also, patients will be received a brochure that containing of duplicate and additional information about set of pump. Before the start of training, patients' knowledge about the PCA pump is evaluate using the "Patient Knowledge about the PCA Pump" questionnaire. The control group does not receive any preoperative training. They only will be received the post-surgical routine training by anesthesia nurses at the recovery unit. The patient's knowledge of the PCA pump is measured using the "Patient Knowledge on the PCA Pump" questionnaire.

Pain severity based on NRS

First, they are available to qualified patients and then randomly assigned to two groups of test and control. Based on the lottery, patients admitted to the control group and the days of the intervention in the intervention group.

Proposal, anonymous written consent, data file, research tools

Six months after the result publication

All the individual's who are requesting.

There is no specific condition for receiving unrecognizable data.

Fatemeh Salehzadeh Tel: +989370459271 e-mail: f.salehzadeh95@gmail.com

The applicant must send his/her written request via e-mail. After control and confirmation by the research's supervisor, information will be sent to the requestor.