A Study of Perceived Discomfort of The Patients Under Local Anesthesia - Centering Around the Development of Measures -

Lee, Gyeong Sug; Kim, Mi Ja; Park, Sun Mi; Paek, Sun Young; Lee, Yang Sug; Bae, Sang Do; Choi, Jung Hoon

Journal of Korean Society Quality Assurance Health Care 2000;7(1): 6.
Published online May 30, 2000.

국소마취 수술환자의 불편감에 관한 연구 - 도구개발을 중심으로 -

김경숙¹, 김미자¹, 박순미¹, 백순영¹, 이양숙¹, 배상도², 최정훈²

¹마산삼성병원 수술실
²성균관대학교 의과대학

A Study of Perceived Discomfort of The Patients Under Local Anesthesia - Centering Around the Development of Measures -

Gyeong Sug Lee¹, Mi Ja Kim¹, Sun Mi Park¹, Sun Young Paek¹, Yang Sug Lee¹, Sang Do Bae², Jung Hoon Choi²

¹Operation Room, Masan Samsung General Hospital
²College of Medicine, Sungkyunkwan University

Abstract

Background
This study was attempted to provide a basic information necessary for the development of measures evaluating perceived discomfort of the patients under local anesthesia and the developments of nursing intervention and nursing standard. Method : The study subjects were a convenience sample of 100 surgical patients under local anesthesia. The researcher visited the patients directly and explained the purpose of the study to them. Then they were asked to fill out questionnaires which were developed and structured by the researcher, under their prior permission. Out patient's data were collected at recovery room after operation.
Results
Factor analysis on measures evaluating the patients under local anesthesia showed that the measures consisted of eight factors including "explanation", "humane treatment", "motion limitation", "pain", "no togetherness", "waiting", "the environment of operating room", and "unkindness". When analyzing each of the factors regarding their degree of contribution to perceived discomfort, it was found that "waiting" was highest in terms of the degree. According to general chara-cteristics of the sampled patients, the factor of "explanation" contributed to perceived discomfort more in male patients than female ones. Regarding parts of medical examination, the patients of otorhinolaryngology felt perceived discomfort most because of the factor of "pain".
Conclusion
To relieve perceived discomfort the patients under local anesthesia require providing individually systematized nursing services which can reduce perceived discomfort according to each of the factors. In doing so, an unlimited attention and much effort should be given to realize CQI reaching the dimension of increase in comfort as well as decrease perceived discomfort.

Key words The patients under local anesthesia;Perceived discomfort;