Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method

Acute pain service (APS) offer several techniques to the post-operative patient in controlling and relieving the pain such as intravenous infusion, patient-controlled analgesia, epidural infusion, subcutaneous or intramuscular injection and intrathecal administration. The effectiveness of and satisf...

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Main Authors:	Ramli, Siti Norsyuhada, Mazlan, Muhammad Alif, Mat Yusof, Afzan, Md Isa, Muhammad Lokman
Format:	Article
Language:	English English
Published:	Malaysian Public Health Physicians Association 2019
Subjects:	H Social Sciences (General) RT Nursing
Online Access:	http://irep.iium.edu.my/75286/ http://irep.iium.edu.my/75286/ http://irep.iium.edu.my/75286/1/PCA.pdf http://irep.iium.edu.my/75286/7/75286_Patient%20satisfaction%20and%20cost%20analysis_scopus.pdf

id	iium-75286
recordtype	eprints
spelling	iium-752862019-11-20T12:09:50Z http://irep.iium.edu.my/75286/ Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method Ramli, Siti Norsyuhada Mazlan, Muhammad Alif Mat Yusof, Afzan Md Isa, Muhammad Lokman H Social Sciences (General) RT Nursing Acute pain service (APS) offer several techniques to the post-operative patient in controlling and relieving the pain such as intravenous infusion, patient-controlled analgesia, epidural infusion, subcutaneous or intramuscular injection and intrathecal administration. The effectiveness of and satisfaction towards APS is not clearly defined. Therefore, the aim of this study is to conduct the cost analysis and comparison between these techniques and patient satisfaction. The study design for cost analysis was retrospective study. The means of the data were calculated based on Integration Store of Hospital Tengku Ampuan Afzan records. In addition, the evaluation of patient’s satisfaction was conducted by using a crosssectional study design. The mean of the data was calculated and analysed by using Chi-square test. The total cost required to prepare PCA for post-operative patient was the highest with RM 8810.98. Meanwhile, the cost for subcutaneous morphine injection, epidural infusion and peripheral block injection were RM 2.11, RM 5323.95 and RM 4.95 respectively. However, when taking into the aspect of patient’s satisfaction, PCA has the highest level of excellent performance with 54.6% compare to EDA (33%) and BLOCK (12.4%) with the p-value is less than 0.05. In conclusion, every drug has its own side effects. As the healthcare provider, it is a need to ensure drugs that were given to the patients are at the very minimum risk of having the side effects. Based on the findings of this study, it could be said that both drugs have lower percentage of people experienced the side effect after treated with the drugs. Therefore, the future study should be more focusing on the side effect of the drugs used. In terms of cost spent for the methods, the PCA regimen is more likely expensive compared to the conventional methods. However, based on survey among the patients, PCA-treated patients expressed higher satisfaction compared to the conventional regimen of pain management. Malaysian Public Health Physicians Association 2019 Article PeerReviewed application/pdf en http://irep.iium.edu.my/75286/1/PCA.pdf application/pdf en http://irep.iium.edu.my/75286/7/75286_Patient%20satisfaction%20and%20cost%20analysis_scopus.pdf Ramli, Siti Norsyuhada and Mazlan, Muhammad Alif and Mat Yusof, Afzan and Md Isa, Muhammad Lokman (2019) Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method. Malaysian Journal of Public Health Medicine, 19 (2). pp. 78-95. ISSN 2590-3829 E-ISSN 1675-0306 http://mjphm.org/index.php/mjphm/article/view/174
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	H Social Sciences (General) RT Nursing
spellingShingle	H Social Sciences (General) RT Nursing Ramli, Siti Norsyuhada Mazlan, Muhammad Alif Mat Yusof, Afzan Md Isa, Muhammad Lokman Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method
description	Acute pain service (APS) offer several techniques to the post-operative patient in controlling and relieving the pain such as intravenous infusion, patient-controlled analgesia, epidural infusion, subcutaneous or intramuscular injection and intrathecal administration. The effectiveness of and satisfaction towards APS is not clearly defined. Therefore, the aim of this study is to conduct the cost analysis and comparison between these techniques and patient satisfaction. The study design for cost analysis was retrospective study. The means of the data were calculated based on Integration Store of Hospital Tengku Ampuan Afzan records. In addition, the evaluation of patient’s satisfaction was conducted by using a crosssectional study design. The mean of the data was calculated and analysed by using Chi-square test. The total cost required to prepare PCA for post-operative patient was the highest with RM 8810.98. Meanwhile, the cost for subcutaneous morphine injection, epidural infusion and peripheral block injection were RM 2.11, RM 5323.95 and RM 4.95 respectively. However, when taking into the aspect of patient’s satisfaction, PCA has the highest level of excellent performance with 54.6% compare to EDA (33%) and BLOCK (12.4%) with the p-value is less than 0.05. In conclusion, every drug has its own side effects. As the healthcare provider, it is a need to ensure drugs that were given to the patients are at the very minimum risk of having the side effects. Based on the findings of this study, it could be said that both drugs have lower percentage of people experienced the side effect after treated with the drugs. Therefore, the future study should be more focusing on the side effect of the drugs used. In terms of cost spent for the methods, the PCA regimen is more likely expensive compared to the conventional methods. However, based on survey among the patients, PCA-treated patients expressed higher satisfaction compared to the conventional regimen of pain management.
format	Article
author	Ramli, Siti Norsyuhada Mazlan, Muhammad Alif Mat Yusof, Afzan Md Isa, Muhammad Lokman
author_facet	Ramli, Siti Norsyuhada Mazlan, Muhammad Alif Mat Yusof, Afzan Md Isa, Muhammad Lokman
author_sort	Ramli, Siti Norsyuhada
title	Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method
title_short	Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method
title_full	Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method
title_fullStr	Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method
title_full_unstemmed	Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method
title_sort	patient satisfaction and cost analysis of analgesia management for post-operative procedures in htaa : pca vs. conventional method
publisher	Malaysian Public Health Physicians Association
publishDate	2019
url	http://irep.iium.edu.my/75286/ http://irep.iium.edu.my/75286/ http://irep.iium.edu.my/75286/1/PCA.pdf http://irep.iium.edu.my/75286/7/75286_Patient%20satisfaction%20and%20cost%20analysis_scopus.pdf
first_indexed	2023-09-18T21:46:31Z
last_indexed	2023-09-18T21:46:31Z
_version_	1777413486594228224

Patient satisfaction and cost analysis of analgesia management for post-operative procedures in HTAA : PCA vs. conventional method

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