The Effectiveness of Using a Nurse-Led Pain Relief Model for Pain Management among Abdominal Surgical Patients: A Single-Center, Controlled before-after Study in China

Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals

“…For instance, Lee et al (Lee et al 2010 ) found that the level of pain in rest was lower among patients, cared for by APS, while according to Gould et al (Gould et al 1992 ) pain scores measured with the visual analog scale decreased remarkably after the introduction of APS at general surgery wards. More recently published studies also confirmed that the intensity of postoperative pain among surgical patients decreased after the introduction of any type of APS (Miaskowski et al 1999 ; Mitra et al 2020 ; Fang et al 2021 ). Regarding the impact of pain on physical mobility, Mitra et al (Mitra et al 2020 ) found that pain limited the everyday activities significantly more of patients who were treated by an APS.…”

“…Furthermore, our findings show that side effects were more common among patients who received regular care, which again confirms the previously published evidence. According to the international literature, the frequency of nausea and vomiting decreased, when patients were cared for by APS (Miaskowski et al 1999 ; Mitra et al 2020 ; Fang et al 2021 ). Itching, drowsiness, and urinary retention were also found less typical among patients handled by an APS (Miaskowski et al 1999 ; Werner et al 2002 ; Mitra et al 2020 ).…”

“…The quality of postoperative pain treatment may improve in those hospitals, where, along with the deployment of up-to-date anesthesiology techniques and drugs, pain management is organized and operated by a multidisciplinary team of health professionals, the so-called Acute Pain Service (APS) (Stamer et al 2002 ; van Boekel et al 2015 , Webb & Kim 2018 ). Better patient outcomes (Kersting et al 2020 ), including reduced pain intensity (Lee et al 2010 ; Fang et al 2021 ), decreased anxiety about pain (Jepegnanam et al 2021 ), and declining opioid consumption (Edwards et al 2020 ; Stamer et al 2020 ), have been reported. The uptake of the technology seems to be associated with the more frequent use of up-to-date pain relief procedures, such as patient-controlled analgesia (PCA) (Tawfic et al 2021 ).…”

“…Pain teams could be operated by an anesthesiologist (Miaskowski et al 1999 ; Said et al 2018 ), but there are also nurse-based and anesthesiologist-supervised teams (Goldberg et al 2017 ; Edwards et al 2020 ). Anesthesiologist residents (Borracci et al 2016 ), and certified registered nurse anesthetists could also be involved (Edwards et al 2020 ; Fang et al 2021 ). As the technology evolved, the involvement of other health professionals, such as pharmacists, surgeons, physiotherapists, psychiatrists, and psychologists, has also been recommended by various guidelines (Sinatra 2010 ; Upp et al 2013 ; Rockett et al 2017 ).…”