Patients' satisfaction with post-operative pain management in Ayder Comprehensive Specialized Hospital, Ethiopia: a cross-sectional study
- PMID: 37692982
- PMCID: PMC10491717
- DOI: 10.11604/pamj.2023.45.94.22563
Patients' satisfaction with post-operative pain management in Ayder Comprehensive Specialized Hospital, Ethiopia: a cross-sectional study
Abstract
Introduction: surgical patients often suffer from inadequate treatment of post-operative pain which potentially results in numerous adverse medical consequences and is a recurring source of patients' dissatisfaction. Thus, this study aimed to investigate patient's satisfaction with their post-operative pain management and its determinants among surgically treated patients in a specialized hospital within Ethiopia.
Methods: an institutional-based prospective cross-sectional study was conducted in the surgical ward of Ayder Comprehensive Specialized Hospital. Data were collected using a semi-structured questionnaire, which was an adoption of the 2010 version of the American Pain Society Patient Outcome Questionnaire, and by reviewing the medical charts of the patients. A stepwise linear regression model was used to analyze the data.
Results: among the 144 patients approached in this study, 112 (77.8%) of them categorized their postoperative pain as moderate to severe. The mean patient satisfaction with their pain management was 7±2.3 on 0-10 numerical rating scale. Despite high levels of pain, the majority of patients (90.3%, n=131) were moderately or completely satisfied with their pain management. Stepwise linear regression analysis found that the determinants of patients' satisfaction were prior chronic pain, prior surgical history, and substance use (F (3,140) = 5.364, adjusted R2= 0.084, P=0.02).
Conclusion: the patients were moderately and completely satisfied with their pain management in spite of expressing moderate and severe level of pain intensity. Pain still remains a concern among surgical patients, and effective pain management strategies should be practiced to manage pain and its functional interferences more effectively.
Keywords: Ethiopia; Patient satisfaction; pain management; post-operative pain; surgical patients.
Copyright: Niguse Meles Alema et al.
Conflict of interest statement
The authors declare no competing interests.
Figures
References
-
- Pan PH, Coghill R, Houle TT, Seid MH, Lindel WM, Parker RL, et al. Multifactorial preoperative predictors for postcesarean section pain and analgesic requirement. Anesthesiology. 2006;104:417–25. - PubMed
-
- Schoenwald A, Clark CR. Acute pain in surgical patients. Contemp Nurse. 2006 Jul;22(1):97–108. - PubMed
-
- Coll AM, Ameen JR, Mead D. Postoperative pain assessment tools in day surgery: literature review. J Adv Nurs. 2004 Apr;46(2):124–33. - PubMed
-
- Carr EC, Nicky Thomas V, Wilson-Barnet J. Patient experiences of anxiety, depression and acute pain after surgery: a longitudinal perspective. Int J Nurs Stud. 2005 Jul;42(5):521–30. - PubMed
-
- Tocher J, Rodgers S, Smith MAC, Watt D, Dickson L. Pain management and satisfaction in postsurgical patients. J Clin Nurs. 2012;25:1365–72. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources