The Relationships between Selected Factors and Postoperative Pain among Patients Undergone General Anesthesia in Recovery Room

Main Article Content

Patcharee Prommala
Patcharee Prommala
Tipa Toskulkao
Sakul Changmai

Abstract

This retrospective descriptive correlational study aimed to investigate the relationships between selected factors and postoperative pain among patients undergoing general anesthesia in recovery room. Retrospective data were collected from the review of medical records between January 2019 to December 2021. The proportion of the sample was determined based on the total number of patients per year. Stratified simple random sampling was performed on an eligible sample of 112 patients who met the criteria. The research instruments included personal data record forms, a surgical record and post anesthesia record. The data were analyzed using descriptive statistics and Chi-square tests. The results showed that most of the samples received pain management (79.5%), had pain experience (50.9%), had undergone general surgery (49.1%), and had no complications (83.0%). Pain management and the number of complications were correlated with postoperative pain at the statistically significant level of p<.05 (χ2=77.554, p= .000, χ2=14.445, p=.000, respectively). However, experience of pain and type of surgery were not correlated with postoperative pain. Healthcare providers should pay more attention to postoperative pain management to improve the quality of care provided to patients in the recovery room after surgery.

Article Details

How to Cite
1.
Prommala P, Prommala P, Toskulkao T, Changmai S. The Relationships between Selected Factors and Postoperative Pain among Patients Undergone General Anesthesia in Recovery Room. NJPH (วารสาร พ.ส.) [Internet]. 2023 Apr. 29 [cited 2024 Nov. 23];33(1):118-30. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/262722
Section
บทความวิจัย

References

International association for the study of pain. IASP announces revised definition of pain [home page on internet]. 2020 [cited 2021 Nov 1]. Available from https://www.iasp-pain.org/publications/iasp-news/iasp-announces-revised- definition-of-pain/

Thienthong S, Niruthisard S, Ittichaikulthon W, Tontisirin N, Tungwiwat S, Nimmaanrat S. et al. Clinical guidance for acute postoperative pain management 2019 The Royal College of Anesthesiologists of Thailand (RCAT) and The Thai ssociation for the Study of Pain (TASP) Second Edition, Thai journal of anesthesiology.2020;46(1):47-80.(in Thai)

The Royal College of Anesthesiologists of Thailand & Thai Association for the Study of Pain. Clinical guidance for acute postoperative pain management [Internet].2019[cited 2020 Jan 16]. Available from http://www.anesthai.org/public/rcat/Documents/ document/1559269929.(in Thai)

Sawangchai J, Ngamkham S. Postoperative pain in patients after abdominal surgery at Sawanpracharak Hospital. Journal of health science research.2017;11Suppl:1-11.(in Thai)

Sawangsri K. Pain management in patients undergoing open heart surgery. Thai journal of cardio thoracic nursing.2017;28(1):2-15.(in Thai)

Meissner W, Coluzzi F, Fletcher D, Huygen F, Morlion B, Neugebauer E, et al. Improving the management of postoperative acute pain priorities for change. Current medical research&Opinion.2015;31(11):2131-43.

Kunwee A, Pakdevong N, Binhosen V. Pain management situation in recovery room for person received general anesthesia. Journal of bamrasnaradura infectious diseases institute.2012;6(3):1-8.(in Thai)

Gan TJ. Poorly controlled postoperative pain prevalence consequences and prevention. Journal of pain research.2017;10:2287-98.

Mazda Y, Jadin S, Khan JS. Postoperative pain management. Canadian Journal of General Internal Medicine.2021;16(1):5-17.

American society of anesthesiologists. Standards for post anesthesia care committee of origin standards and practice parameters [Internet]. 2019 [cited 2021 Nov 30]; Available from https://www.asahq.org/standards-and-guidelines/standards-for-postanesthesia-care

Janphete N. Study of pain management and satisfaction in postoperative patients receiving general anesthesia in the recovery room, Nopparat Rajathanee Hospital. Journal of Bamrasnaradura Infectious diseases in stitute.2019;13(1):13-22.(in Thai)

Acar K, Acar H, Demir F, Aslan FE. Determining the incidence of postsurgical pain and analgesic use postsurgical pain and analgesic. Acibadem university health sciences journal.2016;7:85-91.

Nimthasanasiri A, Chayaput P, Thosingha O. Correlation between management of acute pain, Severity of injury, Type of surgery and post-operative pain outcome in injured patients. Thai journal of nursing council.2013;28(1):111-23.(in Thai)

Kumnak J, Pudpethkeaw P, Keawaun Y, Jindasuraruk D. Anesthesiology complications during recovery period of patients receiving surgery under general anesthesia Phrae Hospital. Journal of the Phrae Hospital. 2013;21(1):48-58.(in Thai)

Chunam N, Sangjun S, Uraiwattana P. Incidence of anesthesia complications at Thammasat University Hospital. Thammasat University hospital research project for performance development [Internet]. 2012 [cited 2021 Dec 26]; Available from https://www.hospital. tu.ac.th/ndtuh/upload/addsome/files.(in Thai)

Kukuruza. K, Aboeed A. Subcutaneous Emphysema [Internet]. 2022 [cited 2022 Jul 30]; Available from https://www.ncbi.nlm.nih.gov/books/NBK542192/

Dodd M, Janson S, Faucett J, Froelicher E, Humphreys J, et al. Advancing the science of symptom management. Journal of Advanced Nursing.2001;33(5):668-76.

Maneewong J, Panthu K, Phorang R. The Correlation between pain perception and pain management in elderly patients undergoing surgery at a Tertiary Level Hospital. Journal of nursing Siam University. 2020;21(41):29-40.(in Thai)

Rosen H, Bergh I, Oden A, Martensson L. Patients experiences of pain following day surgery at 48 hours seven day and three months. The open nursing journal.2011;5:52-9.

Talari K, Goyal M. Retrospective studies [Internet]. 2020 [cited 2021 Jan 31]; Available from https:// pubmed.ncbi.nlm.nih.gov/33469615/

Polit DF, Beck TC. Nursing Research. Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer Health Philadelphia;2017.

Kasahun HG, Agizew TB, Temesgen MM, Ashagrie, HE. Assessment of acute postoperative pain management and associated factors after elective surgery among adult surgical patients: a prospective cross-sectional study. International journal of surgery short report, 2022;7(37):1-6.

Fatma A, Serife K. Experience of pain in patients undergoing abdominal surgery and nursing approaches to pain control. International Journal of Caring Sciences. 2017; 10(3): 1456-64.

Nasir M, Ahmed A. Knowledge about postoperative pain and Its management in surgical patients. Cureus,2020;12(1):1-6.