Pain and satisfaction in hospitalized trauma patients

Abstract

Results suggest that orthopedic trauma patients have a significant pain burden but are satisfied with pain treatment during the hospital stay. Efforts are needed to improve pain assessment and management and findings imply that addressing self-efficacy and depressive symptoms may decrease pain and increase satisfaction at hospital discharge. Brief educational interventions that incorporate pain coping skills and self-management techniques may be a feasible approach to improving self-efficacy in the acute care setting. Additional recommendations include routine hospital screening for depression and increased communication between surgeons and mental health providers to identify patients at high risk for unmanaged pain and facilitate provision of early mental health services.

Pain experience, pain management strategies and satisfaction of hospitalized trauma patients in Indonesia

“…[6] Several previous studies showed that trauma patients reported high satisfaction with pain management. [3,19] The orthopedic injury patients were satisfied with all dimensions in pain medication including time of medication to work, amount of pain relief provided, duration of pain relief provided, a form of medication, the frequency of medication and the amount of medication. [3] This finding is consistent with a study that found that burn injury patients rated high satisfaction with pain medication.…”

“…[11,12] The pain intensity interfered with patients' daily life activities including general activity, walking, and sleeping. [3,7,[10][11][12][13][14] Previous studies showed that healthcare providers used pharmacological and/or non-pharmacological interventions to reduce acute pain. For instance, pharmacological management included the use of Fentanyl and Diclofenac.…”

“…The patients in these studies reported moderate to severe pain intensity as assessed by the brief pain inventory during their hospital stay and before discharge. [3,10] Also, patients with burn injuries reported moderate to high pain levels, especially during a routine procedure such as wound care. [11,12] The pain intensity interfered with patients' daily life activities including general activity, walking, and sleeping.…”

“…Trauma patients often deal with greater pain intensity, [3] therefore, appropriate pain management is needed to reduce the negative effects on a patient's physical and psychological health. [4] However, trauma patients have reported concerns in pain management such as healthcare providers' lack of patients' pain assessment and their limited knowledge regarding pain management.…”

“…[5][6][7] Patients' satisfaction with healthcare providers' pain management showed controversial findings. [3,8] The differences of sociocultural contexts among countries have been recognized as one of the influencing factors on how a person perceives pain experience, pain management, and pain outcomes. [9] Research on pain, pain management, and satisfaction in hospitalized trauma patients in Indonesia is limited.…”