Postoperative patient-controlled analgesia (PCA): How much control and How much analgesia?
Autor: | Gil Zukerman, Yael Benyamini, Israel Z. Yardeni, Anna Deutch, Shoshana Shiloh, Benzion Beilin, Berta Butin |
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Rok vydání: | 2003 |
Předmět: |
Patient-controlled analgesia
business.industry Pain tolerance medicine.medical_treatment Public Health Environmental and Occupational Health General Medicine General Chemistry Postoperative management Anesthesia medicine Morphine Trait anxiety Perceived control business Applied Psychology medicine.drug |
Zdroj: | Psychology & Health. 18:753-770 |
ISSN: | 1476-8321 0887-0446 |
DOI: | 10.1080/0877044031000148255 |
Popis: | Postoperative patients received one of the three, alternative pain-management treatments: patient-controlled analgesia (PCA); perceived PCA (PPCA without actual control) and continuous intravenous infusion of analgesics (CII). Pain reports, morphine consumption and satisfaction of the groups were compared, and influences of individual differences in preferences for control and trait anxiety were tested. The main findings were: (1) PCA patients consumed less morphine and reported more pain and somewhat higher satisfaction; (2) PPCA patients were intermediate between the other two groups in pain reports and morphine consumption and lowest in satisfaction and (3) individual differences did not moderate the effects of PCA. The findings were interpreted as indicating that the main effect of PCA is increased pain tolerance, and that a bio-psycho-social framework is most appropriate to explain these effects. |
Databáze: | OpenAIRE |
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