A prospective analysis of pain experience, beliefs and attitudes, and pain management of a cohort of Danish surgical patients

Vibeke Lorentzen, Inge Lise Hermansen, Mari Botti

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract

Abstract: ABSTRACT
Background: Adequacy of pain management is a process indicator of health care quality with consequences for patient outcomes and satisfaction. The reported incidence of moderate to severe postoperative pain worldwide is between 20 to 80%.
Objectives: The purpose was to assess the quality of pain management in a cohort of Danish postoperative patients by examining their pain experience, beliefs about pain and pain treatment, and
relationships between pain intensity, its effect on function, and pharmacological pain management.
Methods: The American Pain Society's Patient Outcome Questionnaire was used in a consecutive cohort of Danish patients who had undergone gastrointestinal, gynaecological, orthopaedic or urological surgery in the previous 48 hours.
Results: Findings indicated uncontrolled pain in 45.5% of patients, who experienced moderate to severe intensity average pain in the previous 24 hours although 88.4% of the cohort overall stated they were satisfied or very satisfied with pain treatment. Patients who experienced severe pain were found
to have received only 50% of available strong opioids, 73.3% of available weak opioids, 100% of available NSAIDS and 100% of available paracetamol. Further, analgesics prescribed to be administered at fixed intervals were administered 99% of the time; in contrast, all PRN orders irrespective of analgesic categories, were administered only 25% of the time.
Conclusions: Findings reinforce the multifactorial influences on effective pain management. Analgesic administration practices did not consistently reflect management that was responsive to patient needs. Improvement processes are required to ensure patients' role in pain management is clearly articulated.

Analgesics, Pain, Pain Assessment, Pain Management, Patient Satisfaction.
OriginalsprogEngelsk
TidsskriftEuropean Journal of Pain
Vol/bind16
Udgave nummer2
Sider (fra-til)278-88
Antal sider11
ISSN1090-3801
StatusUdgivet - 2012

Emneord

  • sygepleje
  • patienter

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