Effects of a pain management program on postoperative pain outcomes and barriers to pain management in Chinese adult patients undergoing major thoracotomy

Admission to hospital for surgery is a significant and potentially traumatic event. Fear of separation, an unknown environment, anticipation of pain, painful procedures, or adverse effects are all prominent causes of anxiety and stress that can increase the perception of pain and impact on the quality of perioperative care. Postoperative pain management begins prior to surgery using a biopsychosocial approach that includes the prevention and pharmacological treatment of pain alongside a holistic and well-coordinated strategy that allays fears and anxieties, and allows children and their carers to participate in the selection and implementation of safe and suitable analgesia. A successful postoperative pain management program will include ongoing training of hospital staff, adequate preparation of children and families that provides timely verbal and written information, and the development and implementation of audited institutional analgesic protocols that ensure the safety and efficacy of pain-management strategies in a child-friendly and secure environment.

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Effectiveness of hypnosis interventions within an interdisciplinary chronic pain management program

PsycEXTRA Dataset ◽

10.1037/e552062014-001 ◽

2014 ◽

Author(s):

Courtney R. Cornick

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Management Program ◽

Chronic Pain Management ◽

Pain Management Program

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The Importance of Perceived Relevance: A Qualitative Evaluation of Patient’s Perceptions of Value and Impact Following a Low-Intensity Group-Based Pain Management Program

Medicina ◽

10.3390/medicina57010046 ◽

2021 ◽

Vol 57 (1) ◽

pp. 46

Author(s):

Joshua W. Pate ◽

Elizabeth Tran ◽

Seema Radhakrishnan ◽

Andrew M. Leaver

Keyword(s):

Pain Management ◽

Qualitative Evaluation ◽

Management Program ◽

Structured Interviews ◽

Patient Beliefs ◽

Pain Management Program ◽

Westmead Hospital ◽

Group A ◽

Perceived Relevance ◽

Beliefs And Attitudes

Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) “The program overall was positive, but…”; (2) “I valued my improved knowledge and understanding of pain, but…”; (3) “I valued the stretching/relaxation/pacing/activity monitoring”; and (4) “I valued being part of a supportive and understanding group”. Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that “missed the mark”, and hypotheses to guide the implementation of service delivery and program redesign.

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Improvement in pain interference and function by an allied health pain management program: results of a randomised trial

European Journal of Pain ◽

10.1002/ejp.1836 ◽

2021 ◽

Author(s):

M Vandermost ◽

K S Bagraith ◽

H Kennedy ◽

D Doherty ◽

S Kilner ◽

...

Keyword(s):

Pain Management ◽

Allied Health ◽

Randomised Trial ◽

Management Program ◽

Pain Interference ◽

Pain Management Program ◽

And Function

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Satisfaction of Postoperative Patients on Pain Management Program its Relationship to the Knowledge and Attitudes of Chinese Nurses: A Cross-Sectional Survey

Tobacco Regulatory Science ◽

10.18001/trs.7.6.134 ◽

2021 ◽

Vol 7 (6) ◽

pp. 6609-6626

Author(s):

Shuyuan Li

Keyword(s):

Pain Management ◽

Optimal Level ◽

Management Program ◽

Chinese Patients ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Pain Management Program ◽

Before And After ◽

Knowledge And Attitude

This study is a cross-sectional survey of the satisfaction of postoperative patients its relationship to the knowledge and attitudes of Chinese nurses on pain management. Data were sourced out from two groups of respondents participated in the study, 75 post-operative patients and 97 in-service nurses from the health institutions China. The study was conducted for five-months. Ethics protocols were observed before and after the conduct of the study. Findings showed that post-operative pain management program among the participating medical institutions in China were assessed to have moderate level of satiation by the patients. All the components namely pain relief experience, care provided by the nurses, education provided as to pain management, and therapeutic dialogue provided by the nurses were all assessed by postoperative Chinese patients at a fair level. Meanwhile, gender and education of post-operative patients can be considered as factors in the planning and implementation of pain management program. Consequently, similar to studies conducted worldwide, Chinese nurses do not establish yet an optimal level of knowledge and attitude towards pain management. Meanwhile age, experience, education are factors on the knowledge and attitude on pain management among nurses. Finally, positive moderate relationship is established between patient satisfaction and knowledge and attitudes of nursing staff towards pain management. The findings of these study call for action and reform in the implementation of pain management program focusing on the major role and development of 21st century nurses. Practical implications of the study are discussed.

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