Postoperative Pain Experience: Results from a National Survey Suggest Postoperative Pain Continues to Be Undermanaged

Apfelbaum, Jeffrey L.; Chen, Connie; Mehta, Seema; Gan, Tong J.

doi:10.1213/01.ane.0000068822.10113.9e

Cited by 1,805 publications

(1,320 citation statements)

References 15 publications

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“…Pasien umumnya mengalami nyeri 2-24 jam pertama pascabedah, yaitu ketika pengaruh anastesi sudah hilang, dan pasien sudah keluar dari ruang pemulihan (Apfelbaum, Chen, Mehta, & Gan, 2003& McGrath, 2004.…”

Section: Pendahuluanunclassified

Terapi Murottal Efektif Menurunkan Tingkat Nyeri Dibanding Terapi Musik pada Pasien Pascabedah

Rilla

Ropi²,

Sriati³

2014

JKI

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AbstrakTindakan pembedahan dapat menimbulkan nyeri dan perubahan tanda-tanda vital. Penelitian ini bertujuan untuk mengidentifikasi perbandingan efektivitas terapi musik dan terapi murottal terhadap penururunan tingkat nyeri dan kestabilan tanda-tanda vital pada pasien pascabedah. Penelitian kuasi eksperimen dengan pendekatan Pretest-Posttest Control Group ini melibatkan 36 responden. Pengukuran tingkat nyeri menggunakan Numerik Rating Scale. Hasil penelitian menunjukkan terdapat perbedaan antara terapi murottal dan terapi musik pada penurunan tingkat nyeri. Rerata penurunan nyeri pada kelompok terapi murottal lebih besar dibandingkan dengan penurunan nyeri dengan pada kelompok terapi musik. Akan tetapi, penelitian ini tidak menemukan perbedaan pada kestabilan tanda-tanda vital antara kelompok yang diberikan terapi murottal dan terapi musik. Terapi murottal dapat menjadi pertimbangan sebagai terapi non farmakologis untuk menurunkan tingkat nyeri pada pasien muslim setelah tindakan pembedahan.

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Section: Pendahuluanunclassified

Terapi Murottal Efektif Menurunkan Tingkat Nyeri Dibanding Terapi Musik pada Pasien Pascabedah

Rilla

Ropi²,

Sriati³

2014

JKI

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“…Despite progress in pain management, some studies show that postoperative pain is still undertreated (Apfelbaum, Chen, Mehta, & Gan, 2003;Karanikolas & Swarm, 2000). Research findings also demonstrated a high prevalence of unrelieved pain in Chinese patients undergoing surgery (Chung & Lui, 2003;Shen, Sherwood, McNeill, & Li, 2008).…”

Section: Background and Significance Of The Studymentioning

confidence: 99%

Psychometric properties of pain intensity scales comparing among postoperative adult patients, elderly patients without and with mild cognitive impairment in China

Zhou

Petpichetchian

Kitrungrote

2011

International Journal of Nursing Studies

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In China, there is a lack of studies to generate pain intensity scales to the patients with CI and compare the pain scales in various age groups. Therefore, this study would compare the psychometric properties of the evidence-supported pain intensity scales consisting of the Verbal Descriptor Scale (VDS), the Numeric Rating Scale (NRS), the Faces Pain Scale (FPS), the Numeric Box-21 Scale (BS-21), and the Colored Analogue Scale (CAS) in Chinese postoperative adults varying in ages including the elderly with mild CI. This was a descriptive comparative study and 200 surgical patients were recruited purposively from a university-affiliated hospital with 50 for each group: young adults (age 20 -44 years), middle-aged adults (age 45 -59 years), elderly (age ≥ 60 years) without CI, and elderly (age ≥ 60 years) with mild CI.Participants rated the vividly remembered, current, worst, least, and average pain, and indicated scale preference and simplicity. Scale face validity, concurrent validity, convergent validity, and test-retest reliability at a 3-day interval were assessed. Fisher's exact tests were used to investigate whether face validity was related to different age iv groups and the levels of CI. One-way ANOVA and Kruskal-Wallis test were used to test the differences of concurrent validity, convergent validity, and test-retest reliability of each pain scale among the four groups. Regarding face validity, the FPS was ranked best across the subjects as nearly half of the patients selected it as both the most preferred and simplest and it had low errors; the VDS and the NRS were similar and ranked following the FPS; however, the BS-21 and the CAS were ranked last. The concurrent validity, convergent validity, and test-retest reliability of all five pain scales were supported in use with the four groups. The differences in psychometric properties among the four groups were only found in face validity. The findings support the psychometric properties of all five pain scales for pain assessment in Chinese adults including the elderly with mild CI. However, the FPS appears to be the best scale followed by the VDS and the NRS. ACKNOWLEDGEMENTSIt is impossible to finish this work without the continuous help and love from the people around me. I take this opportunity to give thanks to them for their willing to teach, guidance, help, and care during my master degree study.

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“…Despite the designation of pain as "the fifth vital sign" (International Pain Summit, 2011), acute pain remains variably and often sub-optimally managed (Apfelbaum, Chen, Mehta, & Gan, 2003;Duncan et al, 2014). Poor acute pain management can lead to adverse consequences including post-surgical complications and prolonged hospital stays, increasing healthcare costs (Mackintosh, 2007;Sinatra, 2010) and patient suffering (IASP, 2010;Kehlet, Jensen, & Woolf, 2006).…”

Section: Introductionmentioning

confidence: 99%

Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods

Drake

Williams

2017

Pain Management Nursing

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Objectives: To examine the effects of nursing education interventions on clinical outcomes for acute pain management in hospital settings, relating interventions to healthcare behavior-change theory. Methods Results:The twelve eligible studies used varied didactic and interactive teaching methods.Several studies had weaknesses attributable to selection biases, uncontrolled confounders, and lack of blinding of outcome assessors. Studies did not explicitly reference theory underlying design of their interventions. No studies made reference to behavior change theory in their design. Eight of the twelve studies investigated nursing documentation of pain assessment as the main outcome, with the majority reporting positive effects of education interventions on nursing pain assessment. Of the remaining studies, two reported mixed findings on patient self-report of pain scores as the key measure, one reported improvements in patient satisfaction with pain management after a nursing intervention, and one study found an increase in nurses' delivery of a relaxation treatment following an intervention.Discussion: Improvements in design and evaluation of nursing education interventions are suggested, drawing on behavior change theory and emphasizing the relational, contextual and emotionally demanding nature of nursing pain management in hospital settings.

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Postoperative Pain Experience: Results from a National Survey Suggest Postoperative Pain Continues to Be Undermanaged

Cited by 1,805 publications

References 15 publications

Terapi Murottal Efektif Menurunkan Tingkat Nyeri Dibanding Terapi Musik pada Pasien Pascabedah

Terapi Murottal Efektif Menurunkan Tingkat Nyeri Dibanding Terapi Musik pada Pasien Pascabedah

Psychometric properties of pain intensity scales comparing among postoperative adult patients, elderly patients without and with mild cognitive impairment in China

Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods

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