]>
IRCT201103195665N2 IRCT 2011-07-20 Tabriz Medical Science University, Vice chancellor for research, Dr. Mohamreza Rashidi Impact of patient - controlled analgesia on patient's satisfaction after cardiac surgery in Shahid Rajaei Heart center in 2011. Impact of patient - controlled analgesia on patient's satisfaction after coronary artery bypass surgery in Shahid Rajaei Heart center in 2011. 2011-08-20 anticipated Complete https://irct.ir/trial/6178 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research. 3 pain control after heart surgery. Intervention 1: The interventional group, to be trained using Patient Control Analgesia (PCA=Patient Control Analgesia pump).In this method during two days post surgery, the physician determines the type and parameters of analgesia doses and the patient receives the base doses of analgesia by intravenous infusion, and he just have control on injection pump and when he needs to analgesia, pushes the PCA pump so the set adjusted based on physician order and patient demand, so he cannot receive more than ordered parameters ). So he can take analgesia before worsen his pain and when he needs more doses of analgesia. Intervention 2: In control group the pain will control by the nurse (Nurse Control Analgesia) as usual and routine of unit, based on physician orders, during two days postoperatively. During two days the satisfaction of patients in two groups with the pain control will be completed by a blinded nurse, and she will fill in the Pain Control Satisfaction Questionnaire. At the end, the satisfaction with the pain control in two groups and pain severity scale will compare statistically by SPSS. http://journals.tbzmed.ac.ir/JCS/Archive/1/4 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
public Atoosa Hosseinzade
5138947977, Nursing and Midwifery Faculty, Shariati Jnoobi Ave, Tabriz
Tabriz Iran (Islamic Republic of) 5138947977 +98 41 1477 0648 Atoosa.Hosseinzaeh@yahoo.com Tabriz Medical Science University scientific Sima Lakdizaji
5138947977, Tabriz Nursing and Midwifery Faculty, Shariati Jnoobi Ave.
Tabriz Iran (Islamic Republic of) 5138947977 +98 41 1477 0648 laks@tbzmed.ac.ir; lak1369@yahoo.com Vice chancellor for research, Tabriz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: 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. 30 years 60 years Both 197.8 Other post procedural disorders of circulatory system, not elsewhere classified Treatment - Devices Treatment - Drugs The interventional group, to be trained using Patient Control Analgesia (PCA=Patient Control Analgesia pump).In this method during two days post surgery, the physician determines the type and parameters of analgesia doses and the patient receives the base doses of analgesia by intravenous infusion, and he just have control on injection pump and when he needs to analgesia, pushes the PCA pump so the set adjusted based on physician order and patient demand, so he cannot receive more than ordered parameters ). So he can take analgesia before worsen his pain and when he needs more doses of analgesia. In control group the pain will control by the nurse (Nurse Control Analgesia) as usual and routine of unit, based on physician orders, during two days postoperatively. During two days the satisfaction of patients in two groups with the pain control will be completed by a blinded nurse, and she will fill in the Pain Control Satisfaction Questionnaire. At the end, the satisfaction with the pain control in two groups and pain severity scale will compare statistically by SPSS. Patient satisfaction of pain control. Timepoint: every 12 hours after heart surgery until 2 days after surgery. Method of measurement: Pain Treatment Satisfaction Scale. Nurses 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. Tabriz Medical Science University, Vice chancellor for research, Dr. Mohamreza Rashidi Approved 2011-04-25 Tabriz Medical Science University, Vice chancellor for research, Ethics committee Vice chancellor for research, Amoozesh Building, Tabriz Medical Science University, Daneshgah Ave, Tabriz Tabriz Iran (Islamic Republic of)