Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA / 기본간호학회지
Journal of Korean Academy of Fundamental Nursing
; : 137-146, 2013.
Article
de Ko
| WPRIM
| ID: wpr-654257
Bibliothèque responsable:
WPRO
ABSTRACT
PURPOSE: The purposes of this study were to identify and compare various types of post operative pain management and the costs for pain management following 4 different types of surgery. METHODS: Data were collected from 325 medical charts which were extracted from the billing databases of a tertiary hospital and analyzed using numbers, percentages, one way ANOVA, and Scheffe test. RESULTS: For pain management, 10.5% of patients used PCA only, but the other patients combined other methods with PCA. The average length of PCA use was significantly different by operation. Almost one third (32.9%) of patients experienced at least one of side effects due to analgesics used for pain management, with highest incidence being for nausea and vomiting. For patients who underwent a total abdominal hysterectomy, 34.7% used PCA less than 2 days due to side effects of the analgesics and the ratio of analgesia cost to total hospital cost and total pharmacy cost were highest compared to other operations. CONCLUSION: The results of this study indicate a need to develop new strategies to more effectively manage postoperative pain to decrease incidences of side effects without increasing medical costs.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Douleur postopératoire
/
Pharmacie
/
Vomissement
/
Anaphylaxie cutanée passive
/
Incidence
/
Analgésie autocontrôlée
/
Coûts hospitaliers
/
Coûts et analyse des coûts
/
Gestion de la douleur
/
Centres de soins tertiaires
Type d'étude:
Health_economic_evaluation
/
Incidence_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Journal of Korean Academy of Fundamental Nursing
Année:
2013
Type:
Article