Pain management after lung surgery

Pain management is an integral challenge in nursing and includes the responsibility of managing patients’ pain, evaluating pain therapy and ensuring the quality of care. The aims of this study were to explore patients’ experiences of pain after lung surgery and evaluate their satisfaction with the postoperative pain management. A descriptive design was used which studied 51 participants undergoing lung surgery. The incidence of moderate postoperative pain varied from 36- 58% among the participants and severe pain from 11-26%, during their hospital stay. Thirty-nine percent had more pain than expected. After three months, 20% experienced moderate pain and 4% experienced severe pain, while after six months, 16% experienced moderate pain. The desired quality of care goal was not fully achieved. We conclude that a large number of patients experienced moderate and severe postoperative pain and more than one third had more pain than expected. However, 88% were satisfied with the pain management. The findings confirm the severity of pain experienced after lung surgery and facilitate the apparent need for the continued improvement of postoperative pain management following this procedure.

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Assessment of quality of care in acute postoperative pain management

Vojnosanitetski pregled ◽

10.2298/vsp0902156m ◽

2009 ◽

Vol 66 (2) ◽

pp. 156-162 ◽

Cited By ~ 8

Author(s):

Dragana Milutinovic ◽

Verica Milovanovic ◽

Miroslava Pjevic ◽

Mirjana Martinov-Cvejin ◽

Tomislav Cigic

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Nursing Care ◽

Severe Pain ◽

Postoperative Pain Management ◽

Care Quality ◽

Acute Postoperative Pain ◽

Nursing Care Quality ◽

The Difference

Background/Aim. Managing of acute postoperative pain should be of great interest for all hospital institutions, as one of the key components of patients satisfaction, which indicates quality, as well as the outcome of treatment. The aim of this study was to assess the quality of nursing care in managing acute postoperative pain and to establish factors which influence patients assessment of the same. Method. The investigation was conducted on the sample of 135 patients hospitalized in surgical clinics of the Clinical Centre of Vojvodina in Novi Sad in the form of cross-sectional study, by interviewing patients during the second postoperative day and collecting sociodemographic variables, type of surgical procedure and applied analgesic therapy which were taken from their medical documentation. The modified questionnaire of the Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP) was used as the instrument of the investigation. The data were processed with suitable mathematical statistics methods such as multivariate analyses of variance (MANOVA), discriminative and other parametric procedures and methods. Roy's test, Pearson's coefficient contingency (?), multiple correlation coefficient (R) were conducted amongst other invariant procedures. Results. The mean score for the individual items of SCQIPP questionnaire was between 2.0 and 4.7 (scale range 1-5) and the percentage of patients answers 'strongly agree' ranged from 4.4 to 77%. The smallest number of positive answers were given by the patients for the item 'In order to assess pain intensity, some of the staff asked me at least once in the morning, in the afternoon and in the evening to show the number from 0-10'. Most of the patients (57%) evaluated severe pain during the previous 24 hours, as moderate pain, which represents significantly greater number of patients which complain of severe pain and mild pain (p < 0.001). The analysis of patients evaluation (MANOVA p < 0.05 and discriminative p < 0.05) indicates the existence of significant difference between the assessment of nursing care quality in managing acute postoperative pain as regards to clinics as the place for pain management, patient's sex and his expectations. Evaluation from 'communication' subscale gives the greatest contribution (24.9%) to the difference between the observed clinics, and the greatest contribution (25.7%) to the difference in evaluation of nursing care quality as regards to patients' sex has the evaluations from 'procedure' subscale. Conclusion. The results of this study show a useful evidence and identify aspects of nursing care in postoperative management of acute pain which are still to be improved. According to the patients' answers the priority should be given to a regular assessment of the intensity of postoperative pain and evaluation of the effects of analgesic therapy.

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Patient and nurse assessment of quality of care in postoperative pain management

BMJ Quality & Safety ◽

10.1136/qhc.11.4.327 ◽

2002 ◽

Vol 11 (4) ◽

pp. 327-334 ◽

Cited By ~ 40

Author(s):

E Idvall

Keyword(s):

Quality Of Care ◽

Pain Management ◽

Postoperative Pain ◽

Postoperative Pain Management ◽

Nurse Assessment

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Nurses' influence on quality of care in postoperative pain management: A phenomenological study

International Journal of Nursing Practice ◽

10.1046/j.1440-172x.2003.00399.x ◽

2003 ◽

Vol 9 (1) ◽

pp. 26-32 ◽

Cited By ~ 18

Author(s):

Olle Soderhamn ◽

Ewa Idvall

Keyword(s):

Quality Of Care ◽

Pain Management ◽

Postoperative Pain ◽

Phenomenological Study ◽

Postoperative Pain Management

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Quality of care in postoperative pain management: what is realistic in clinical practice?

Journal of Nursing Management ◽

10.1111/j.1365-2834.2004.00468.x ◽

2004 ◽

Vol 12 (3) ◽

pp. 162-166 ◽

Cited By ~ 7

Author(s):

Ewa Idvall

Keyword(s):

Quality Of Care ◽

Clinical Practice ◽

Pain Management ◽

Postoperative Pain ◽

Postoperative Pain Management

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Efficacy and safety of sufentanil sublingual tablet system in postoperative pain management: a systematic review and meta-analysis

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2020-002693 ◽

2021 ◽

pp. bmjspcare-2020-002693

Author(s):

Pugazhenthan Thangaraju ◽

Shoban Babu Varthya ◽

Sajitha Venkatesan ◽

Thangaraju Tamilselvan ◽

Surjit Singh

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Pain Intensity ◽

Meta Analysis ◽

Postoperative Pain Management ◽

Intensity Difference ◽

Sublingual Tablet ◽

Pain Intensity Difference ◽

Severe Postoperative Pain

BackgroundSufentanil sublingual tablet system (SSTS) is a recently approved formulation for postoperative pain management that has become popular due to its pharmacokinetic properties such as good bioavailability, rapid attainment of equilibrium and elimination without any metabolites, along with its pharmacodynamic properties such as rapid onset and effective pain reduction. It is also relatively well tolerated by patients.ObjectiveThis is a quantitative analysis of the efficacy and safety of SSTS in patients with moderate to severe postoperative pain.DesignThis is a systematic review and meta-analysis. Databases such as Cochrane Library, MEDLINE and EMBASE were searched for eligible articles.SettingsRandomised controlled trials published after 2000 in English language and which assessed at least one of the outcome measures of interest with pain intensity difference between 12 hours and a maximum of 96 hours.ParticipantsAdults with moderate to severe postoperative pain and taking SSTS for pain management.MethodsData were analysed using Review Manager (RevMan) V.5.3. Risk of bias (RoB) assessment was done using RoB-2 scale, and overall grading of evidence of each outcome was done using GRADEpro Guideline Development Tool.ResultsAnalysis of SSTS versus control indicates a statistically significant reduction in summed pain intensity difference at 12 hours (mean difference (MD)=−12.33 (95% CI −15.5 to −9.17), p<0.00001), summed pain intensity difference at 48 hours (MD=−43.57 (95% CI −58.65 to −28.48), p<0.00001), time-weighted total pain relief over 12 hours (MD=−4.77 (95% CI −6.28 to −3.27), p<0.00001) and pain intensity difference (MD=–0.73 (95% CI −1.00 to −0.46), p<0.00001) with SSTS, alongside high quality of evidence. Success of treatment as assessed by Patient Global Assessment (OR=4.01 (95% CI 2.74 to 5.89), p<0.00001) and Healthcare Professional Global Assessment (OR=4.46 (95% CI 3.03 to 6.56), p<0.00001) scoring at 72 hours was observed in a significantly high number of individuals using SSTS, with high quality of evidence. There was no difference in adverse events except for dizziness (RR=1.90, 95% CI 1.02 to 3.52). There was a significantly higher number of total adverse events in orthopaedic surgery in the SSTS group than in the comparator.ConclusionSSTS is effective in postoperative pain management in patients with moderate to severe pain. It also has good tolerability and high patient satisfaction.PROSPERO registration numberCRD42018115458.

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Adherence Level Of Medical Personnel In Implementing 2019 Postoperative Pain Management Guidelines

Journal of Health Sciences ◽

10.33086/jhs.v14i02.1744 ◽

2021 ◽

Vol 14 (02) ◽

pp. 117-127

Author(s):

Nasrulloh Nasrulloh ◽

Hamzah Hamzah ◽

Arie Utariani ◽

Dedi Susila

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Severe Pain ◽

Postoperative Pain Management ◽

Medical Personnel ◽

Multimodal Analgesia ◽

Systematic Evaluation ◽

Moderate Pain ◽

Management Guidelines ◽

Mild Pain

Introduction: Inadequate pain management may increase the risk of complications and postoperative chronic pain. Postoperative Pain Management Guidelines of The Anesthesiology and Reanimation Department, Faculty of Medicine Universitas Airlangga/ Dr. Soetomo Hospital Surabaya were arranged in 2019. Purposes: This study aim is to analyze the medical personnel’s adherence in implementing postoperative pain management guidelines. Methods: This is descriptive observational study with retrospective design. Total sampling was carried out on the medical records of patients who underwent elective surgery and received postoperative acute pain management during March-May 2020. Results: A total of 349 patients, most of the pain intensity was moderate (62.8%). The medical personnel adherence with postoperative pain management guidelines was 88.0%. The overall use of multimodal analgesia was 61.0%. Adherence to guidelines on pain category was mostly good adherence: 99.1% in mild pain, 82.6% in moderate pain, and 81.2% in severe pain. The use of multimodal analgesia was found in 12.3% mild pain; 83.6% moderate pain, and 100% severe pain patients. Conclusion: Most of the medical personnel have adhered to the postoperative pain management guideline, and widely-used multimodal analgesia. Systematic evaluation of guidelines implementation, patient satisfaction, and outcomes are needed.

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The Quality Test for Postoperative Pain Management using the American Pain Society Patient Outcome Questionnaire Revisied (APS-POQ-R) version Indonesia at Mohammad Hoesin Hospital in Palembang (A study of the quality level of postoperative pain management

Jurnal RSMH Palembang ◽

10.37275/jrp.v1i2.6 ◽

2020 ◽

Vol 1 (2) ◽

pp. 41-45

Author(s):

Malina Resta Maria Panjaitan ◽

Dewi Arsinta ◽

Rose Mafiana

Keyword(s):

Patient Outcome ◽

Pain Management ◽

Postoperative Pain ◽

Emotional Experience ◽

Postoperative Pain Management ◽

Education Level ◽

Quality Level ◽

Outcome Questionnaire ◽

Post Operative Pain

A B S T R A C TPain is an unpleasant sensory and emotional experience associated with actual orpotential tissue damage, or described in terms of such damage. APS-POQ-R (RevisedAmerican Pain Society Patient Outcome Questionnaire) is a measuring tool for assessingthe quality of postoperative pain management by exploring patient experiences andoutcomes. This research aims to assess the quality of postoperative pain managementat Mohammad Hoesin Hospital Palembang and to determine the factors that influenceit. The Cross-sectional observational analytic study was conducted toward 51respondents. Data was collected primarily by using questionnares and interview. Datawas analyzed by using chi-square. The study showed that the quality of postoperativepain management at RSUP Mohammad Hoesin General Hospital Palembang has goodquality with a total of 27 patients (52.9%). From statistical analysis there wassignificant relationship between the quality of post-operative pain management withage (p=0,037), gender (p=0,027), ethnicity (p=0,039), education level (p=0,039), andeconomic level (p=0,005). So it can be concluded that was a significant relationshipbetween the quality of post-operative pain management with age, gender, ethnicity,education level, and economic level.

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