Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

Apiribu

et al. 2022

Preprint

BackgroundNon-pharmacological therapies are the non-medicinal methods used in postoperative pain (POP) management by health care practitioners such as massage, positioning, breathing exercise, music therapy, and distraction. It has been discovered that therapies that are non-pharmacological for the relief of pain are effective with minimal side effects. Studies have also revealed that non-pharmacological interventions in the management of pain lessen or alter pain perception by decreasing intensity and intensifying the tolerance of pain. This study, therefore, seeks to determine how frequently non-pharmacological methods (NPMs) are used in the management of POP and the influence of these NPMs on patient satisfactionMethodsThis study was a descriptive cross-sectional design. A quantitative approach was utilized with a structured questionnaire to obtain responses from patients from October to December 2019. The study was conducted in the female and male surgical wards of Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. 138 patients within the first 72 hours post-operative period who consented and fulfilled the inclusion criteria were enrolled in the study. A convenience sampling method was used to collect the data. Inferential and descriptive statistics were used in analyzing the data.ResultsThe majority of the patients, 52.2% responded to using some form of (NPMs) for pain relief. The most widely used non-pharmacological method of pain relief was walking representing 79.2%, followed by relaxation 5 (6.8%), distraction 4 (5.6%), listening to music 3 (4.2%), deep breathing 2 (2.8%), and meditation 1 (1.4%). The male participants were observed to use more NPMs of pain relief as compared to the females. Most of the patients (51.4%) who used NPMs for their pain relief reported having their pain not relieved. A majority (90.6%) of the participants desired for more pain treatment. The type of surgery the patients underwent had a statistically significant negative correlation with the use of NPMs of pain relief (Spearman Correlation Coefficient = -0.233, p-value <0.05). A higher percentage (71%) of participants were highly satisfied with the overall pain treatment received.ConclusionNon-pharmacological management of POP have been proven to be efficient, inexpensive, and have little or no side effect on patients. There should be continuous education on non-pharmacological management of POP to nurses and other healthcare professionals to help promote the efficiency of intervening in postoperative pain with these methods.

Section: Discussionmentioning

confidence: 99%

“…The difference in the findings of this current study could be due to adequate training by nurses and other healthcare professionals on the effects of using NPMs for pain relief as has been reported by other studies. [6,34].…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction in the use of non-pharmacological therapies in the management of postoperative pain: a study in a tertiary hospital, Ghana

Apiribu

et al. 2022

Preprint

“…Part ΙV: NPPM practice questionnaires. It was adapted from the validated tools after the literature review ( Gumus et al, 2020 ; Khalil, 2018 ; Kia et al, 2021 ; Zeleke et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

“…Multiple institutional-related factors invariably affect NPPM practice of nurses. Cross-sectional studies in Turkey ( Gumus et al, 2020 ), Cameroon ( Kimbi et al, 2016 ), Sudan ( Elhusein et al, 2020 ), and Debre Tabor, Ethiopia ( Zeleke et al, 2021 ) pointed out that in-service training was significant factor associated with NPPM practice. Lack of NPPM equipment's (e.g., special mattress, pillow) was also one of the significant factors with NPPM practice ( Abimbola, 2021 ; Khalil, 2018 ; Nwaneri et al, 2018 ).…”

Section: Review Of Literaturementioning

confidence: 99%

Non-Pharmacological Pain Management Practice and Associated Factors Among Nurses Working at Comprehensive Specialized Hospitals

et al. 2023

Introduction Non-pharmacological pain management practices are very important for the successful treatment of pain. It has an impact on the patient’s quality of life and the family’s financial situation owing to missed workdays, direct medical expenses, and incapacity from pain. Objective Therefore, this study is intended to assess non-pharmacological pain management practice and associated factors among nurses working at comprehensive specialized hospitals in northwest, Ethiopia. Methods Institution-based cross-sectional study design was employed from May 30 to June 30, 2022. A stratified random sampling technique was used to select 322 study participants. A binary logistic regression model was used to identify factors associated with non-pharmacological pain management practice. Variables with a P-value less than .25 in the bi-variable analysis were entered into the multivariable logistic regression analysis and a P-value of less than .05 was considered as having a statistically significant association. Results A total of 322 nurses participated, with a response rate of 98.8%. It was found that 48.1% (95% CI: 42.65, 53.62) of nurses had good practice in non-pharmacological pain management. Pain assessment tool availability (AOR = 1.68 [95% CI: 1.02, 2.75]) ( P = .04), good pain assessment practice (AOR = 1.74 [95% CI: 1.03, 2.84]) ( P = .03), favorable attitude (AOR = 1.71 [95% CI: 1.03, 2.95]) ( P = .03), and age (26–35) (AOR = 4.46 [95% CI: 1.24, 16.18]) ( P = .02) were factors significantly related to non-pharmacological pain management practice. Conclusion According to this work, the prevalence of non-pharmacological pain management practices was found to be low. Good pain assessment practices, availability of pain assessment tools, favorable attitude, and age (26–35) years were significant factors of non-pharmacological pain management practice. Hospitals are better give training on non-pharmacological pain management methods for nurses as they are important to treat pain holistically, increase patient satisfaction, and are cost-effective.

“…Further lack of recognition of pain can result in lower quality of life, negatively impact function, impair sleep, and increase the psychological symptoms associated with dementia including depression, agitation, aggression, and resistiveness to care (Erdal et al, 2017; Flo et al, 2017). If pain is not identified there may be missed opportunities to utilize behavioral approaches such as positioning and physical activity or pharmacologic approaches (Gumus et al, 2020; Neishabouri et al, 2020).…”

mentioning

confidence: 99%

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

2021

The purpose of this study was to describe differences in pain, behavioral symptoms, quality of staff-resident interactions, participation in function focused care and physical activity among residents with and without cognitive impairment in assisted living. This was a secondary data analysis using baseline data from an ongoing trial testing Function Focused Care for Assisted Living using the Evidence Integration Triangle (FFC-AL-EIT). A total of 550 residents were recruited from 59 communities. The average age of participants was 89.30 ( SD = 7.63), the majority were white (98%), female (69%), had evidence of cognitive impairment (75%), and 5.16 ( SD = 1.86) comorbidities. Those with cognitive impairment had more pain, were more sedentary and less likely to engage in function focused care activities. Addressing pain and implementing interventions for those with cognitive impairment to participate in function focused care may help optimize function and physical activity in assisted living residents.