Assessment of pain during rest and during activities in the postoperative period of cardiac surgery

Abstract

Objective to assess the intensity and site of pain after Cardiac Surgery through sternotomy during rest and while performing five activities. Method descriptive study with a prospective cohort design. A total of 48 individuals participated in the study. A Multidimensional Scale for Pain Assessment was used. Results postoperative pain from cardiac surgery was moderate during rest and decreased over time. Pain was also moderate during activities performed on the 1st and 2nd postoperative days and decreased from the 3rd postoperative day, with the exception of coughing, which diminished only on the 6th postoperative day. Coughing, turning over, deep breathing and rest are presented in decreased order of intensity. The region of the sternum was the most frequently reported site of pain. Conclusion the assessment of pain in the individuals who underwent cardiac surgery during rest and during activities is extremely important to adapt management and avoid postoperative complications and delayed surgical recovery.

Patient Satisfaction on Pain Management Post Open Cardiac Surgery at the First 24 Hours after Extubation in Hasan Sadikin Hospital Bandung, Indonesia

“…Data in this study showed that the most aggravating factor for pain was cough/deep breathing, followed by moving, changing positions, and back pain. This result was in line with several other studies in Pakistan, Brazil, and Canada (Akhtar et al, 2015;Mello et al, 2014;Gelinas, 2007). A research conducted in Turkey showed that the most aggravating factor for pain was moving (Karabulut et al, 2015).…”

“…This result was in line with several studies in Pakistan, Turkey and Bangkok that showed high levels of satisfaction in patients after open heart surgery. This may occur due to the quality of service that is already good, in accordance with pain management procedures (Akhtar et al, 2015;Karabulut et al, 2015;Al-Abri, & Al-Balushi, 2014;Mello, Rosatti, & Hortense, 2014). In this study, the type of medication used in most subjects was a combination of morphine and paracetamol (Table 1).…”

A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

“…This observation is also endorsed by Mello et al who described coughing and deep breathing as the aggravating factors for pain in most of the cardiac surgical patients [18]. Celine et al identified a significant association with increased pain and deep breathing in intubated patients.…”

Three Enemies of Circadian Rhythm: Anxiety, Sleeplessness and Pain in Patients Following Open-Heart Surgery

“…One study (n=371) found that 85% of patients experienced moderate-to-severe pain from (numerical pain score ≥4/10) within the first four days, with 70% of the patients experiencing pain from sternotomy wounds (18). Other studies have shown that patients generally experienced the most pain from coughing and deep breathing (19,20). While pain score was found 5.3, after coughing it was found to be 6.6 as measured by Numeric Pain Scale (0-10).…”