자궁적출술 환자의 통증자가조절 교육과 내관지압이 수술 후 통증, 오심 및 구토에 미치는 영향
(The) Effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient
자궁적출술환자 통증조절 통증자가조절 내관지압;
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The purpose of this study was to find out the effect on releasing hysterectomy patient's pain, nausea and vomiting after operation by PCA education and P6 Acupressure. The research design was a nonequivalent control group nonsynchronized design. A term of study was from september 15th in 2003 to march 30th in 2004, the subjects participating in this study were drawn from the patients who had been operated hysterectomy at the university hospital located in J city and were divided into two groups : 20 patients in experimental group and 21 patients in control group. In this study, we carried out PCA education based, on the booklet for PCA before on operation and P6 Acupressure to both sides of P6 for 5 minutes separately before, during and after operation. The level of Pain and nausea and vomiting times before operation were measured in pretest. And the degree of pain, nausea, and vomiting times after operation were measured in post-test after 2 hours, after 8 hours, after 24 hours, after 48 hours, after 72 hours of operation. The 10cm ruler of Visual Analogue scale was used for measuring the of pain and nausea. The collected data analyzed with frequency, X^(2)- test, t-test, and repeated measure ANOVA using Spss/win 10.0. The results were summarized as follows: 1. There was a significant difference in the level of pain between the experimental and control group(F=51.25, p=.001). 2. There was a significant difference in the level of nausea between the experimental and control group(F=44.39, p=.001). 3. There was a significant difference in vomiting times between the experimental and control group(F=7.20, p=.011). In conclusion, PCA education and P6 Acupressure before operation effectively decreased the level of pain and nausea and vomiting times. Therefore to validate the effect of PCA education and P6 Acupressure on the post operative pain, nausea and vomiting, further research have to be repeated to the various sample.