Authors (including presenting author) :
Yeung CH(1), Wong MKM(1)
Affiliation :
(1) Operating Theatre, Caritas Medical Centre
Introduction :
The management of acute pain is one of the greatest challenges for nurses who care for patients during the postoperative period. Ineffective management of postoperative pain can induce negatively outcome on patient's road of recovery, or even complicated to chronic pain syndrome.
Objectives :
The purpose of this quality improvement project was to evaluate the effectiveness of a preoperative pain management patient education on improving patient's postoperative pain management outcomes.
Methodology :
Patients are divided into two groups: Received pre-operative pain management education group and No Education group. For the Received group, a dedicated pain nurse was visited the patients the day before operation with education materials: Information booklet and a Patient-Controlled Analgesia (PCA) machine, patients were allowed to practice correct use of the PCA machine and allowed 2-ways communication with the pain nurse in the matters related to post-operative pain management. On next day of post-operation, both groups patients were visited by the same pain nurse, patients were asked about the pain score by using the Numerical Rating Scale (NRS); post-operative pain management skill was reinforced and to be reviewed on post-operative day two.
Result & Outcome :
Total number of patients required post-operative pain relief by using PCA machine was 99: the number of Received education group was 28 & the No education group was 71. On post-op day one, pain score less than 3 in Received group was 79% and No education group was 70%, it seems no special different, the reason behind was patients can also received information in the continuously operation-related video-show the day before operation in the surgical unit; on post-op day two after the reinforcement of pain education by the pain nurse, the rest of the received group (21%) patients and the No education group (30%) patients reduced pain score to less than 3. For the No education group, 24% of patients significantly reduced pain score more than 7 after the education reinforcement by the pain nurse.
Co-location with:
