Table 2 Knowledge on PCA of surgical ward nurses
Items | Correct N (%) | Incorrect N (%) |
|---|---|---|
Basic configuration of PCA equipment | ||
1. PCA is used only for intravenous injection. (No) | 93 (79.5) | 24 (20.5) |
2. PCA always has on automatically infused dose. (No) | 78 (66.7) | 39 (33.3) |
3. Bolus is used when the pain is unbearably severe. (No) | 82 (70.1) | 35 (29.9) |
4. The PCA lockout interval is the time interval from one use of the bolus to the next available use, all of which are 15 min. (No) | 90 (76.9) | 27 (23.1) |
86 (73.3) a | 31 (26.7) a | |
Opioid analgesics | ||
5. PCA includes all opioid analgesics. (No) | 47 (40.2) | 70 (59.8) |
6. PCA is more effective for postoperative pain control than PRN opioid analgesics. (Yes) | 65 (55.6) | 52 (44.4) |
7. Fentanyl citrate is suitable as a PCA drug for patients with impaired renal function. (Yes) | 62 (53.0) | 55 (47.0) |
8. The most common side effect of PCA use is nausea and vomiting. (Yes) | 114 (97.4) | 3 (2.6) |
9. Postoperative wound healing is delayed due to the use of PCA. (No) | 117 (100.0) | 0 (0.0) |
10. The incidence of addiction due to the use of PCA is very rare. (Yes) | 100 (85.5) | 17 (14.5) |
11. The incidence of respiratory depression due to the use of PCA is very rare. (Yes) | 86 (73.5) | 31 (26.5) |
12. Urinary retention is common with PCA use. (No) | 88 (75.2) | 29 (24.8) |
13. If delirium occurs, PCA use should be stopped. (No) | 39 (33.3) | 78 (66.7) |
79 (68.2)b | 38 (31.8)b | |
Confirmation and management while using PCA | ||
14. Consciousness and respiratory depression may occur during PCA use; therefore, the level of consciousness and vital signs should be checked regularly. (Yes) | 112 (95.7) | 5 (4.3) |
15. There is a risk of respiratory depression when using PCA in patients with sleep apnea, obesity, liver, kidney, cardiopulmonary dysfunction, and taking sedatives. (Yes) | 110 (94.0) | 7 (6.0) |
16. Patients using PCA should be assessed for pain regularly. (Yes) | 117 (100.0) | 0 (0.0) |
17. Nurse should check regularly for side effects while using PCA. (Yes) | 117 (100.0) | 0 (0.0) |
18. The normal operation of the PCA, the amount of injection, and the injection site should be checked regularly. (Yes) | 117 (100.0) | 0 (0.0) |
19. The catheter of epidural PCA can be removed at any time, even if bemiparin sodium or enoxaparin sodium is administered. (No) | 88 (75.2) | 29 (24.8) |
20. Education on how to use PCA is effective after surgery in the recovery room or hospital room. (No) | 32 (27.4) | 84 (71.8) |
99 (84.6)c | 18 (15.4) c |