Role of patient education in postoperative pain management

Ingadóttir, Brynja; Zoëga, Sigríður

doi:10.7748/ns.2017.e10939

Cited by 14 publications

(7 citation statements)

References 25 publications

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“…It is disappointing to note that up to 6 months after surgery a quarter (25%) of patients still claimed that they would have liked more information about pain management, indicating that they may not have been sufficiently prepared for managing their pain at home. This lack of knowledge on pain management after discharge is in line with previous studies (Ingadóttir & Zoëga, 2017 ) and may suggest that even if nurses are aware of the importance of including pain management in their teaching, it does not result in an optimal self‐care outcome. To be effective, patient teaching about pain management requires thorough preparation and competence by nurses (Ingadóttir & Zoëga, 2017 ).…”

Section: Discussionsupporting

confidence: 86%

“…This lack of knowledge on pain management after discharge is in line with previous studies (Ingadóttir & Zoëga, 2017 ) and may suggest that even if nurses are aware of the importance of including pain management in their teaching, it does not result in an optimal self‐care outcome. To be effective, patient teaching about pain management requires thorough preparation and competence by nurses (Ingadóttir & Zoëga, 2017 ).…”

Section: Discussionsupporting

confidence: 86%

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Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

2022

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Aims The aim of this study was to explore the educational expectations and experiences of surgical patients. Design Prospective, longitudinal, descriptive and two‐centre study. Data were collected with questionnaires at the hospital and 6 weeks and 6 months postsurgery. Methods Patients undergoing elective surgery and hospitalized overnight from January to July 2016 answered questions about the content of received pre‐operative and pre‐discharge education, topics they wanted more information on, sources of information, satisfaction with and usefulness of the information and if their recovery was as expected. Results Patients ( N = 697, 49% male, mean age 64.1 [ SD 12.6] years) perceived the provided education as useful and satisfactory but less so after discharge. Most common topics which they expected more education about were postoperative complications, pain management, fatigue, lack of stamina and expected recovery time. Most patients received information through face‐to‐face teaching (79.7%) and in writing (78.4%). Expectations on recovery were related to patients' satisfaction with the education and how useful they evaluated it.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 86%

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

2022

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“…Effective communication between clinician and patient is thought to enhance compliance with treatment recommendations [50], satisfaction with care [51], overall treatment outcomes [52,53] and psychological well-being [51]. In addition, encouraging shared decisions may empower patients to become active participants in their own post-operative recovery and help to manage expectations of postoperative pain [54].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Preoperative Education on Psychological, Clinical and Economic Outcomes in Elective Spinal Surgery: A Systematic Review

2019

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Psychosocial factors related to different degrees of clinical impairment and quality of life in the preoperative period may influence outcomes from elective spine surgery. Patients have expressed a need for individualized information given in sufficient quantities and at the appropriate time. Therefore, this review article aims to determine whether a preoperative education session improves clinical, psychological and economic outcomes in elective spinal surgery. PubMed, Cochrane Library, CINAHL Complete, Medline Complete and PsychINFO were searched in July 2018 for randomized clinical trials to evaluate the effects of a preoperative education intervention on psychological, clinical and economic outcomes in spinal surgery. The search yielded 78 results, of which eleven papers (seven studies) were relevant for inclusion. From these results, there is limited, fair-quality evidence that supports the inclusion of a preoperative education session for improving clinical (pain, function and disability), economic (quality-adjusted life years, healthcare expenditure, direct and indirect costs) and psychological outcomes (anxiety, depression and fear-avoidance beliefs) from spinal surgery. Other benefits are reported to be improved patient knowledge, feelings of better preparation, reduced negative thinking and increased levels of physical activity after the intervention. No differences in quality of life, return to work, physical indicators or postoperative complications were reported. From the limited evidence, it is not possible to conclusively recommend that preoperative education should be delivered as a standalone intervention before elective spine surgery; however, given the low risk profile and promising benefits, future research in this area is warranted.

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“…Parents may also benefit from other styles of novel intervention, such as YouTube videos, web pages, and smartphone applications. For example, studies have demonstrated the effectiveness of YouTube videos as a method of knowledge translation targeting parental pain management strategies, 35 explored the utility of web pages as a means of patient pain education, 36 and demonstrated the effectiveness of a smartphone application (Pain Squad+) in engaging adolescents in their own pain management processes. 37 There are several limitations to this study.…”

Section: Discussionmentioning

confidence: 99%

Parents’ management of adolescent patients’ postoperative pain after discharge: A qualitative study

Dagg

Forgeron

Macartney

et al. 2020

Canadian Journal of Pain

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Background: Short hospital admission periods following pediatric inpatient surgery leave parents responsible for managing their child's postoperative pain in the community following discharge. Little is known about the experiences of parents caring for their child's postoperative pain after discharge home following inpatient surgery. Research examining parental postoperative pain management following their child's day surgery has found that parents are challenged in their pain management knowledge and practices. Aims: This interpretative phenomenological analysis study sought to understand parents' experiences caring for their child's postoperative pain at home. Methods: Semistructured telephone interviews were conducted with seven parents between 2 weeks and 6 months after their child's discharge from hospital. Results: Identified themes were coming home without support, managing significant pain at home, and changes in the parent-child relationship. Conclusions: Parents could potentially benefit from nurses optimizing educational interventions, from receiving ongoing support of transitional pain teams, and from assistance with return to school planning. RÉSUMÉ Contexte: Les courtes périodes d'hospitalisation après une chirurgie pédiatrique en milieu hospitalier laissent les parents responsables de la prise en charge de la douleur postopératoire de leur enfant dans la communauté après son congé. On sait peu de choses sur les expériences des parents qui s'occupent de la douleur postopératoire de leur enfant après leur retour à la maison suite à une chirurgie en milieu hospitalier. La recherche portant sur la prise en charge de la douleur postopératoire par les parents suite à la chirurgie d'un jour de leur enfant a révélé que les parents font face à des difficultés en ce qui concerne leurs connaissances et leurs pratiques en matière de prise en charge de la douleur. Objectifs: Cette étude d'analyse phénoménologique interprétative visait à comprendre l'expérience des parents qui s'occupent de la douleur postopératoire de leur enfant à la maison. Méthode: Des entretiens téléphoniques semi-structurés ont été menés avec sept parents entre deux semaines et six mois après la sortie de l'hôpital de leur enfant. Résultats: Les thèmes recensés ont été le retour à la maison sans soutien, la prise en charge d'une douleur importante à la maison et les changements dans la relation parent-enfant. Conclusions: Les parents pourraient potentiellement bénéficier de l'optimisation des interventions éducatives par des infirmières, d'un soutien continu de la part des équipes de la douleur transitoire et d'une aide à la planification du retour à l'école.

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Role of patient education in postoperative pain management

Cited by 14 publications

References 25 publications

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

The Effect of Preoperative Education on Psychological, Clinical and Economic Outcomes in Elective Spinal Surgery: A Systematic Review

Parents’ management of adolescent patients’ postoperative pain after discharge: A qualitative study

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