A prospective analysis of pain experience, beliefs and attitudes, and pain management in a cohort of Danish surgical patients.

Lorentzen, Vibeke, Hermansen, Inge Lisa and Botti, Mari 2012, A prospective analysis of pain experience, beliefs and attitudes, and pain management in a cohort of Danish surgical patients., European journal of pain, vol. 16, no. 2, pp. 278-288.

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Title A prospective analysis of pain experience, beliefs and attitudes, and pain management in a cohort of Danish surgical patients.
Author(s) Lorentzen, Vibeke
Hermansen, Inge Lisa
Botti, Mari
Journal name European journal of pain
Volume number 16
Issue number 2
Start page 278
End page 288
Total pages 11
Publisher Wiley-Blackwell
Place of publication Chichester, England
Publication date 2012-02
ISSN 1532-2149
1090-3801
Keyword(s) analgesic agent
health care quality
postoperative pain
pharmacological pain management
Summary Background
Adequacy of pain management is a process indicator of health care quality with consequences for patient outcomes and satisfaction. The reported incidence of moderate to severe postoperative pain worldwide is between 20% and 80%.

Objectives:
The purpose was to assess the quality of pain management in a cohort of Danish postoperative patients by examining their pain experience, beliefs about pain and pain treatment, and relationships between pain intensity, its effect on function, and pharmacological pain management.

Methods:
The American Pain Society’s Patient Outcome Questionnaire was administered to a consecutive cohort of Danish patients who had undergone gastrointestinal, gynaecological, orthopaedic or urological surgery within 24 and 72 h of surgery. 

Results:
Findings indicated uncontrolled pain in 45.5% of patients. These patients reported moderate to severe intensity average pain in the previous 24 h, however, 88.4% of the cohort overall stated they were satisfied or very satisfied with pain treatment. Patients who experienced severe pain only received 50% of available strong opioids, 73.3% of available weak opioids, 100% of available non-steroidal antiinflammatory drugs (NSAIDS) and paracetamol. Further, analgesics prescribed to be administered at fixed intervals were administered 99% of the time; in contrast, all Pro Re Nata (PRN) orders irrespective of analgesic categories, were administered only 25% of the time. 

Conclusions:
A number of patients experienced significant pain postoperatively. Although multi-modal analgesics were available, analgesic administration practices did not consistently reflect management responsive to patient needs. Despite this, patients were largely satisfied with the care received suggesting the need for further research to understand how patients perceive the efficacy of pain management.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2012, Wiley-Blackwell Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30062279

Document type: Journal Article
Collection: Centre for Quality and Patient Safety
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Created: Mon, 31 Mar 2014, 15:06:23 EST by Mari Botti

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