The Quality of Postoperative Pain Management in Patients undergoing Spine Surgery at Chiang Mai Neurological Hospital

Authors

  • Jatupong Panwilai Nursing Cluster, Chiang Mai Neurological Hospital
  • Nattha Ninkaew Nursing Cluster, Chiang Mai Neurological Hospital
  • Nida Phatthayaruk Nursing Cluster, Chiang Mai Neurological Hospital
  • Chuthaporn Turaporka Nursing Cluster, Chiang Mai Neurological Hospital
  • Jiraporn Pakdee Nursing Cluster, Chiang Mai Neurological Hospital
  • Nuchnawarat Sinprasoed Nursing Cluster, Chiang Mai Neurological Hospital

Keywords:

Quality of postoperative pain management, Patients undergoing spine surgery

Abstract

Background: Postoperative pain is a common problem worldwide, and most patients undergoing surgery are treated with inappropriate assessment and management. Objective: This study aimed to explore the incidence and the quality of postoperative pain management in patients undergoing spine surgery at Chiang Mai Neurological Hospital. Method: In this descriptive research, 135 spine surgery patients who met the inclusion criteria were included in this study from January to December 2022. The research questionnaire comprised of 1) demographic, 2) quality of postoperative pain management, and 3) numerical pain rating scale. Data were analyzed using descriptive statistic. Results: Pain intensity levels at 24 hours, 48 hours, and 72 hours were at severe pain (64.44%, mean 7.13, SD 1.99), moderate pain (45.19%, mean 5.96, SD 1.84), and moderate pain (56.30%, mean 4.89, SD 1.92) respectively. Moreover, the qualities of postoperative pain management including 4 components; communication, action, trust, and environment, were at a low level. Conclusion: The effective management of postoperative pain is an indicator for nursing quality. To enhance the nursing quality, the quality of postoperative pain management guideline comprising components; communication, action, trust and environment should be developed.

References

American Pain Society. Principles of analgesic use in the treatment of acute pain and cancer pain. Chicago: American Pain Society; 1999.

Meissner W, Huygen F, Neugebauer EAM, Osterbrink J, Benhamou D, Betteridge N, et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Curr Med Res Opin 2018;34(1):187-96.

Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin 2014;30(1):149-60.

Buvanendran A, Fiala J, Patel KA, Golden AD, Moric M, Kroin JS. The Incidence and severity of postoperative pain following inpatient surgery. Pain Med 2015;16(12):2277-83.

Meissner W, Coluzzi F, Fletcher D, Huygen F, Morlion B, Neugebauer E, et al. Improving the management of postoperative acute pain: priorities for change. Curr Med Res Opin 2015;31(11):2131-43

Bajwa SJ, Haldar R. Pain management following spinal surgeries: An appraisal of the available options. J Craniovertebr Junction Spine 2015;6(3):105-10.

Sirikunsathean P, Kaewkam W. Development of perioperative nursing guidleine for prevention of ratained surgical items, Rajavithi hospital. JHS 2017;26(1):129-37.

Chumpung K, Manit A. Development of pain management model for patients undergoing lumbar surgery at King Narai Hospital. Thai J. Cardio-Thorac Nurs 2017;29(1):42-57.

Im-erb P, Kongchoom W, Rimsueb K. The effects of music therapy on post-operative pain. NJPH 2013;23(3):53-62.

Pogatzki-Zahn EM, Segelcke D, Schug SA. Postoperative painfrom mechanisms to treatment. Pain Rep 2017;2(2):e588.

Devlin NJ, Appleby J. Getting the most out of PROMS. Putting health outcomes at the heart of NHS decision-making. London: The King’s Fund; 2010.

Idvall E, Hamrin E, Unosson M. Development of an instrument to measure strategic and clinical quality indicators in postoperative pain management. J Adv Nurs 2002;37(6):532-40.

Tiansawad S. Instrument Development for Nursing Research. Chiang Mai: Siampimnana; 2019.

Idvall E, Hamrin E, Sjöström B, Unosson M. Patient and nurse assessment of quality of care in postoperative pain management. Qual Saf Health Care 2002;11(4):327-34.

Murray AA, Retief FW. Acute postoperative pain in 1231 patients at a developing country referral hospital: incidence and risk factors. South Afr J Anaesth Analg 2016;22(1):19–24.

Ndebea AS, van den Heuvel SAS, Temu R, Kaino MM, van Boekel RLM, Steegers MAH. Prevalence and risk factors for acute postoperative pain after elective orthopedic and general surgery at a tertiary referral hospital in Tanzania. J Pain Res 2020;13:3005-3011.

Mwaka G, Thikra S, Mung’ayi V. The prevalence of postoperative pain in the first 48 hours following day surgery at a tertiary hospital in Nairobi. Afr Health Sci 2013;13(3):768-76.

Mwashambwa MY, Yongolo IM, Kapalata SN, Meremo AJ. Post-operative pain prevalence, predictors, management practices and satisfaction among operated cases at a Regional Referral Hospital in Dar es Salaam, Tanzania. Tanzan J Health Res 2018;20(2):1-8.

Dej-arkom S, Piriyapatsom A, Chinachote T, Hengsawad K. Incidence of Moderate to Severe Postoperative Pain in Orthopedic Patients Undergoing Spine Surgery.Thai J Anesthesiol 2013;39(1):15-24.

Sommer M, de Rijke JM, van Kleef M, Kessels AG, Peters ML, Geurts JW, et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur J Anaesthesiol 2008;25(4):267-74.

Tamer LK, Dağ GS. The assessment of pain and the quality of postoperative pain management in surgical patients. Sage Open 2020;10(2):2158244020924377.

Sınmaz T, Akansel N. Experience of pain and satisfaction with pain management in patients after a lumbar disc herniation surgery. J Perianesth Nurs 2021;36(6):647-55.

Idvall E, Berg A. Patient assessment of postoperative pain management–orthopaedic patients compared to other surgical patients. J. Orthop. Nurs. 2008;12(1):35-40.

Piotrkowska R, Jarzynkowski P, Mędrzycka-Dąbrowska W, Terech-Skóra S, Kobylarz A, Książek J. Assessment of the quality of nursing care of postoperative pain in patients undergoing vascular procedures. J Perianesth Nurs 2020;35(5):484-90.

Magidy M, Warrén-Stomberg M, Bjerså K. Assessment of postoperative pain management among acutely and electively admitted patients - a Swedish ward perspective. J Eval Clin Pract 2016;22(2):283-9.

Downloads

Published

15-09-2023

How to Cite

1.
Panwilai J, Ninkaew N, Phatthayaruk N, Turaporka C, Pakdee J, Sinprasoed N. The Quality of Postoperative Pain Management in Patients undergoing Spine Surgery at Chiang Mai Neurological Hospital. J DMS [Internet]. 2023 Sep. 15 [cited 2024 May 17];48(3):83-91. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/260944

Issue

Section

Original Article