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KMID : 0390320070170020182
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Chungbuk Medical Journal
2007 Volume.17 No. 2 p.182 ~ p.189
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Pre- and post-operative patients’ reactions to postoperative pain
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Kang Hoon
Hong Seung-Hwa
Shin Hyun-Jung
Kim Eun-Seok
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Abstract
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Purpose: While very little is known of how much pain patients expect after their surgery or of what makes them to express their pain and request pain relief, this study was designed to identify expectations of patients regarding postoperative pain and pain relief and to determine when administration of analgesic agent would be requested, and further to determine the quality of postoperative pain therapy at Chungbuk National University Hospital.
Materials and Methods: After Institutional Review Board approval 61 adult patients admitted to the Chungbuk National University Hospital for elective surgery and receive pain control with PCA in June, July and August, 2007 were asked to answer three questionnaires (Table 1 and 3); one (how much pain they expected after surgery, how much relief from pain they wanted, what degree of pain they could request analgesia at, and when, once made a request, they wish to be given pain relief) preoperatively, the other (how much pain had been present in the previous 24 hours, for what length of time pain had been relieved and how much relief had been obtained from administerd analgesics.) at both 24 and 72 hours postoperatively.
Results: Patients expecting more than moderate degree of pain was nearly 70% and only few patients expected little or no pain and most of them wanted effective pain relief. The great majority of patients would rather request pain killer for severe pain than mild pain and expect it administered at once. At 24 and 72 hours after surgery more than half of patients had effective pain control (no or mild pain) with PCA, and had pain mainly in the recovery area and the early period after transferring to the ward. Postoperative pain was relieved in about half of patients for most or all of the time. There was no big difference between reports of pain at 24 and 72 hours
Conclusion: Nearly 70% of patients expected more than moderate degree of pain and most of them wanted effective pain relief. The great majority of patients would rather request analgesics for severe pain than mild pain, expecting it given at once. At 24 and 72 hours after surgery more than half of patients had effective pain control with PCA. Patients had pain mainly in the early postoperative period, and there was no big difference between reports of pain at 24 and 72 hours, implying pain control should be focused on the initial postoperative stage.
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KEYWORD
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postoperative pain, Patient-comtrolled analgesia
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