{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:16:31Z","timestamp":1740107791698,"version":"3.37.3"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011852","name":"Paracelsus Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011852","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die patientenkontrollierte Analgesie (kurz: PCA) stellt ein etabliertes Mittel zur postoperativen Schmerztherapie dar. Eine der m\u00f6glichen Applikationsformen ist dabei die PCRA (patientenkontrollierte Regionalan\u00e4sthesie), die Verabreichung eines Lokalan\u00e4sthetikums mittels Regionalkatheter. Voraussetzung ist dabei, dass die Patienten eine entsprechende Einweisung in deren Einsatz erhalten. Zahlreiche Quellen empfehlen, diese vor der Op. durchzuf\u00fchren, da pr\u00e4operative Schulungsma\u00dfnahmen zum Schmerzmanagement die postoperativen Schmerzen und das Wohlbefinden signifikant verbessern k\u00f6nnen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Ziel dieser Studie war die Untersuchung des Effekts leitliniengest\u00fctzter pr\u00e4operativer Schulungen zu PCRA auf postoperative Schmerzen bei orthop\u00e4dischen Eingriffen verglichen mit unstrukturierten postoperativen Einweisungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Es wurde eine kontrollierte Interventionsstudie mit zwei randomisierten Gruppen durchgef\u00fchrt. Insgesamt wurden 73\u00a0Patienten mit PCRA-Kathetern bei orthop\u00e4dischen Eingriffen eingeschlossen. Die 37\u00a0Teilnehmer der Interventionsgruppe (IG) bekamen unmittelbar vor ihrem Eingriff eine leitfadengest\u00fctzte, strukturierte Einschulung zum PCRA-Gebrauch sowie ein entsprechendes Handout. Die 36\u00a0Probanden der Kontrollgruppe (KG) erhielten eine unstrukturierte postoperative Einweisung im Aufwachraum. Schmerzen wurden anhand der numerischen Rangskala (NRS) 2 (t1), 6 (t2) und 24\u202fh (t3) nach dem Eingriff erhoben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Zwar wies die IG zu t1 und t3 geringere durchschnittliche Schmerzen auf, jedoch konnten keine statistisch signifikanten Unterschiede zwischen den beiden Gruppen nachgewiesen werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Anhand der Outcomes sind weiterf\u00fchrende Erhebungen mit adaptierten Stichprobengr\u00f6\u00dfen und Erhebungszeitpunkten zu empfehlen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00482-023-00698-6","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T15:39:06Z","timestamp":1675784346000},"page":"328-334","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Klinische Studie PEPCA","Clinical study PEPCA"],"prefix":"10.1007","volume":"38","author":[{"given":"Tobias","family":"Bacher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Ewers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"698_CR1","series-title":"Schriftenreihe des Deutschen Netzwerks f\u00fcr Qualit\u00e4tsentwicklung in der Pflege","volume-title":"Expertenstandard Schmerzmanagement in der Pflege","author":"P Blumenberg","year":"2020","unstructured":"Blumenberg\u00a0P, Krebs\u00a0M, Moers\u00a0M, Stehling\u00a0H, Stomberg\u00a0D (2020) Expertenstandard Schmerzmanagement in der Pflege. 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Zudem wurde die schriftliche Einverst\u00e4ndniserkl\u00e4rung aller TN vor jeglicher studienbezogenen Intervention eingeholt. Eine Verblindung war nicht m\u00f6glich, da die f\u00fcr das Einverst\u00e4ndnis notwendige Studienbeschreibung R\u00fcckschl\u00fcsse auf die Gruppen zulie\u00df. Jede Form der medikament\u00f6sen Pr\u00e4medikation war bis zum Abschluss studienspezifischer Interventionen untersagt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}