Pain management after lung surgery

Abstract

Pain management is an integral challenge in nursing and includes the responsibility of managing patients’ pain, evaluating pain therapy and ensuring the quality of care. The aims of this study were to explore patients’ experiences of pain after lung surgery and evaluate their satisfaction with the postoperative pain management. A descriptive design was used which studied 51 participants undergoing lung surgery. The incidence of moderate postoperative pain varied from 36- 58% among the participants and severe pain from 11-26%, during their hospital stay. Thirty-nine percent had more pain than expected. After three months, 20% experienced moderate pain and 4% experienced severe pain, while after six months, 16% experienced moderate pain. The desired quality of care goal was not fully achieved. We conclude that a large number of patients experienced moderate and severe postoperative pain and more than one third had more pain than expected. However, 88% were satisfied with the pain management. The findings confirm the severity of pain experienced after lung surgery and facilitate the apparent need for the continued improvement of postoperative pain management following this procedure.

Assessment of post‐operative pain management among acutely and electively admitted patients – a Swedish ward perspective

“…However, there are several corresponding findings from previous national publications using SCQIPP. Approximately one‐third of the patients experience more pain than was expected and nearly 90% were moderately to very satisfied with the post‐operative analgesic regime [15,16]. Compared with Idvall et al .…”

“…In post-operative pain management, the Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP), a binary questionnaire, has been developed and validated in Sweden [10,11]. Previous research in Sweden with SCQIPP has specified participating inpatients in orthopaedic, thoracic, lung, vascular and abdominal surgical care as well as less specified 'general surgery' [12][13][14][15][16]. In addition, Vatansever and Akansel [17] validated SCQIPP for the Turkish context with the inclusion of 113 patients, and Milutinović et al [18] assessed the quality of health care in managing acute postoperative pain by a modified and translated Serbian version including 135 patients; both studies included a vast variety of surgical areas.…”

The Assessment of Pain and the Quality of Postoperative Pain Management in Surgical Patients

“…can cause fatigue; thus, the assessment of postoperative pain and management of the pain is the most important nursing intervention (Frodin & Stomberg, 2014). The score the participants gave for the quality of care given for pain relief during the postoperative period was higher than the average (Table 3).…”

The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study

“…One study found that among 51 patients who underwent lung surgery, moderate postoperative pain occurred in 36-58% of cases and severe pain occurred in 11-26% of cases; furthermore, 39% of patients experienced more pain than expected. 4 Pain is not only an extremely uncomfortable experience but can also lead to a variety of physical and psychological complications such as increased oxygen consumption and pulmonary complications, 5 as well as depression, anxiety, sleep disorders, and social disorders. 6 Pain also is one of the main factors that affects early ambulation in patients after surgery, which can hinder their rapid recovery.…”

“…One study found that among 51 patients who underwent lung surgery, moderate postoperative pain occurred in 36–58% of cases and severe pain occurred in 11–26% of cases; furthermore, 39% of patients experienced more pain than expected. 4 …”