The Impact of Evidence-Based Practices on Postoperative Pain in Patients undergoing Gastrointestinal Surgery in Amiralmomenin Hospital in Zabol During 2014-2015

Haghighi, Maryam; Shahnazi, Hossein; Moghadam, Mahdieh Poodineh; Balouchi, Abbas

doi:10.7860/jcdr/2016/20961.8119

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…The PMP in this study is an evidence-based pain management (EBPM) programme that significantly decreased the pain intensity and side effects of the treatment (nausea and drowsiness). This is similar to the findings from other studies where EBPMs were implemented for post-operative pain management in different populations such as patients undergoing abdominal surgery (Joshi et al 2013), gastrointestinal surgery (Haghighi et al 2016), cardiac surgery (Rafiq et al 2014) and (Ard o et al 2018;Dinic et al 2018;Hayashi et al 2017;Starkweather & Perry 2017;White & Dixon 2015;Zvara 2017).…”

Section: Discussion Of Findingssupporting

confidence: 89%

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

Odejobi

Maneewat

Chittithavorn

2019

International Nursing Review

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Aim The overarching aim of this study was to investigate the effects of a nurse‐led pain management programme on pain intensity, side effects of treatment, shoulder range of motion and length of stay after thoracic surgery. Background Post‐thoracic surgical pain is a major source of stress and distress for patients. It has profound effects ranging from increased risks in developing chronic post‐thoracic surgery pain to an increased length of stay after surgery. The post‐thoracic surgical pain management in the Nigerian context is based on the traditional approach that is dependent on the attending medical and nursing staff. Methods The study was a quasi‐experimental design (two‐group post‐test only). The study was conducted in a Nigerian hospital. Forty‐two patients were recruited and consecutively assigned into either the usual pain management group or the intervention group after they had met the inclusion criteria. Data were collected utilizing the following: (1) the modified McGill Pain Questionnaire; (2) a Numeric Rating Scale; (3) the documentation form for thoracic surgery pain management outcomes and (4) a goniometer. Results The findings indicated that pain intensity, nausea and drowsiness were significantly reduced among the patients in the experimental group than the control group, while the duration of stay after surgery and the shoulder range of motion were not different between the groups. Conclusion This study's results suggest that the intervention in question for patients undergoing thoracic surgery had a positive effect on reducing pain intensity, nausea and drowsiness but not the shoulder range of motion and length of stay after surgery. Implications for nursing policy Nursing policymakers may need to give a serious consideration to the revision of policies related to the nursing education curriculum as well as the in‐service training curriculum regarding pain management by nurses especially after surgery. Likewise, future research on other populations employing an improved methodology as well as utilizing up‐to‐date evidence by nurses across different hospitals may be necessary.

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Section: Discussion Of Findingssupporting

confidence: 89%

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

Odejobi

Maneewat

Chittithavorn

2019

International Nursing Review

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“…Regardless of the type and extent of surgery, women reported slightly higher pain scores in the research of Gerbershagen HJ et al [29]. Haghighi M.J. et al, in their studies, showed that in patients undergoing general surgery, the mean pain intensity was significantly higher in men than in women [30]. Due to cultural differences between the studied groups, it would be advisable to conduct comparative studies.…”

Section: Discussionmentioning

confidence: 92%

Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries

et al. 2022

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Currently, pain is considered the fifth vital sign, and its effective relief is a priority in many surgical departments. The aim of this study was to determine the influence of selected factors on the intensity of postoperative pain after orthopedic and gynecological procedures. The study was conducted in a group of 200 patients undergoing orthopedic and gynecological procedures at the County Hospital in Nisko between August 2017 and January 2018. The method of estimation and document analysis was applied in the course of the study. A standardized tool was used—Polish adaptation of the Melzack Pain Questionnaire (MPQ), an individual documentation of patients and a scientific and research questionnaire developed by the authors. The tests were conducted for three consecutive days from the day of the operation. The strongest pain immediately after surgery was experienced by the patients after general endotracheal anesthesia, and the mildest after full intravenous short-term anesthesia (p < 0.05). Procedures lasting more than 60 min were associated with greater pain intensity on all tested days. The sex of the patient did not significantly affect the level of the perceived intensity of postoperative pain (p > 0.05). The highest intensity of pain occurred on day 0 after surgery, with a declining trend in the following days (p < 0.001). The highest intensity of postoperative pain was caused by gynecological procedures as well as laparotomy and arthroplasty (p < 0.001). The variability of the results indicates the need for an individual approach to each patient, both in pain assessment and treatment. Therefore, continuous improvement of the quality of health services provided in accordance with the guidelines for pain relief is necessary.

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“…When a significant change in worsening pain level is reported, reevaluate the patient for possible postoperative complications. A combined nurse service with clinician supervision seems to provide better outcomes in APP management [14,15,18,20,21,23,24,34,35]. It is proven that 24 h/day monitoring with a regular assessment/documentation guarantees a better pain treatment [14,20].…”

Section: Statementsmentioning

confidence: 99%

“…34 General Surgery Department, UCLA Davis University Hospital, Los Angeles, CA, USA. 35 General Surgery Department, Government Gousiua Hospital, Srinagar, India. 36 Emergency and Trauma Surgery Department, Milano University Hospital, Milan, Italy.…”

Section: Abbreviationsmentioning

confidence: 99%

Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines

Coccolini

Corradi²,

Sartelli

et al. 2022

World J Emerg Surg

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Background Non-traumatic emergency general surgery involves a heterogeneous population that may present with several underlying diseases. Timeous emergency surgical treatment should be supplemented with high-quality perioperative care, ideally performed by multidisciplinary teams trained to identify and handle complex postoperative courses. Uncontrolled or poorly controlled acute postoperative pain may result in significant complications. While pain management after elective surgery has been standardized in perioperative pathways, the traditional perioperative treatment of patients undergoing emergency surgery is often a haphazard practice. The present recommended pain management guidelines are for pain management after non-traumatic emergency surgical intervention. It is meant to provide clinicians a list of indications to prescribe the optimal analgesics even in the absence of a multidisciplinary pain team. Material and methods An international expert panel discussed the different issues in subsequent rounds. Four international recognized scientific societies: World Society of Emergency Surgery (WSES), Global Alliance for Infection in Surgery (GAIS), Italian Society of Anesthesia, Analgesia Intensive Care (SIAARTI), and American Association for the Surgery of Trauma (AAST), endorsed the project and approved the final manuscript. Conclusion Dealing with acute postoperative pain in the emergency abdominal surgery setting is complex, requires special attention, and should be multidisciplinary. Several tools are available, and their combination is mandatory whenever is possible. Analgesic approach to the various situations and conditions should be patient based and tailored according to procedure, pathology, age, response, and available expertise. A better understanding of the patho-mechanisms of postoperative pain for short- and long-term outcomes is necessary to improve prophylactic and treatment strategies.

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The Impact of Evidence-Based Practices on Postoperative Pain in Patients undergoing Gastrointestinal Surgery in Amiralmomenin Hospital in Zabol During 2014-2015

Abstract: This study suggests that a high percentage of patients experienced acute postoperative pain despite routine nursing care, while evidence-based nursing practices could significantly alleviate pain.

Cited by 3 publications

References 25 publications

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries

Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines

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