The Impact of a Patient Education Package on Outcomes of Pain Management Following Orthopaedic Surgery in a Tertiary Hospital in Malaysia
Patient Education Package for Pain
Vol. 10 No. 1 : 2015 (58-65)
Abstract
Patient’s belief towards pain management may affect pain management outcomes and quality of life. The main aim of the present study was to determine the impact of a pre-operative pain education package towards pain belief among patients undergoing orthopaedic surgery in a tertiary hospital. A one-group pre-test post-test design study was conducted on orthopaedic surgery patients. Thirty respondents were recruited and pre-operative pain education was administered individually before surgery. Pre-operative and post-operative pain belief, management scores and side effects were measured using the Barrier Questionnaire (BQ-13). The results reported significant differences between pre-test scores (Mean = 41.87, Standard Deviation = 11.467) and post-test scores (Mean=34.80, Standard Deviation=13.026) of pain belief (t = 2.84, p = 0.004). There were also significant differences between pre-test scores (Mean = 37.10, Standard Deviation = 10.610) and post-test scores (Mean=30.80, Standard Deviation = 11.424) of pain management (t = 3.856, p = 0.0005). Respondent’s gender (t = -2.403, p = 0.023) and ethnicity (F = 5.038, p=0.014) reported significant differences with p value < 0.05, respectively. However, there were no significant differences between educational level, ethnicity, prior surgical history with pain belief (p> 0.05). There was positive impact of the pain education package towards pain belief and painmanagement among respondents who underwent orthopaedics surgery in a tertiary hospital. Reinforcement of pain educational program is pivotal in order to achieve optimal post-operative pain management.
Keywords :
education,
Orthopaedics,
pain,
patient,
surgery,
Correspondance Address
Ho Siew Eng, Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91456250 Fax: +603-91738254 Email: ho@ppukm.ukm.edu.my
References
Al Samaraee, A., Rhind, G., Saleh, U., Bhattacharya, V. 2010. Factors contributing to poor post-operative abdominal pain management in adult patients: a review. Surgeon 8(3): 151–8.
Boyd-Seale, D., Wilkie, D.J., Kim, Y.O., Suarez, M.L., Lee, H., Molokie, R., Zhao, Z., Zong, S. 2010. Pain barriers: psychometrics of a 13-Item questionnaire. Nurs Res 59(2): 93–101.
Bozimowski, G. 2012. Patient perceptions of pain management therapy: a comparison of real-time assessment of patient education and satisfaction and registered nurse perceptions. Pain Manag Nurs 13(4): 186–93.
Brown, C., Constance, K., Bédard, D., Purden, M. 2013. Colorectal surgery patients’ pain status, activities, satisfaction, and beliefs about pain and pain management. Pain Manag Nurs 14(4): 184-92.
Costello, M., Thompson, S. 2014. Preventing opioid misuse and potential abuse: the nurse’s role in patient education. Pain Manag Nurs pii: S1524-9042(14)00155-6, in press.
Caumo, W., Schmidt, A.P., Schneider, C.N., Bergmann, J., Iwamoto, C.W., Bandeira, D., Ferreira, M.B. 2001. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand 45(3): 298–307.
Dihle, A., Bjølseth, G., Helseth, S. 2006. The gap between saying and doing in postoperative pain management. J Clin Nurs 15(4): 469–79.
Ho, S.E., Choy, Y.C., Rozainiee, A. 2009. Survey of nurses’ knowledge and attitude regarding post operative pain management at a teaching hospital in Malaysia. Medicine & Health 4(1): 47-52.
Ho, S.E., Ho, C.C., Pang Yuen, H., Lexshimi, R., Choy, Y.C., Jaffar, M.Z., Cardosa, M., Das, S. 2013. A study of knowledge and attitudes of registered nurses towards pain managment in an urban hsopital. Clin Ter 164(3): 215-9.
Kapoor, S., Thorn, B.E. 2014. Healthcare use and prescription of opioids in rural residents with pain. Rural Remote Health 14(3): 2879.
Lim, R. 2008. Improving cancer pain management in Malaysia. Oncology 74(Suppl 1): 24-34.
Lin, L.Y., Wang, R.H. 2005. Abdominal surgery, pain and anxiety: preoperative nursing intervention. J Adv Nurs 51(3): 252–60.
McCaffrey, M., Ferrell, B.R. 1997. Nurses’ knowledge of pain assessment and management: How much progress have we made? J Pain Symptom Manage 14(3): 175–88.
Ortiz, J., Wang, S., Elayda, M.A., Tolpin, D.A. 2015. Preoperative patient education: can we improve satisfaction and reduce anxiety? Rev Bras Anestesiol 65(1): 7-13.
Patel, R., Biros, M.H., Moore, J., Miner, J.R. 2014. Gender differences in patient described pain, stress, and anxiety among patients undergoing treatment for painful conditions in the emergency department. Acad Emerg Med 21(12): 1478-84.
Polomano, R.C., Dunwoody, C.J., Krenzischek, D.A., Rathmell, J.P. 2008. Perspective on pain management in the 21st century. Pain Manage Nurs 9(1 Suppl): S3-10.
Taylor, A., Stanbury, L. 2009. A review of postoperative pain management and the challenges. Curr Anaesth Crit Care 20: 188–94.
