Authors (including presenting author) :
LI MY(1), Tong WS(1), Tse YY(1), Wong TT(1), Yeung PS(1), Lau SY(1)
Affiliation :
(1)Department of Surgery, United Christian Hospital
Introduction :
Surgical pain workgroup members found that patients were commonly refused analgesics after surgery. It was mainly associated with misconceptions of postoperative pain management. Evidence suggested involving education program in the pre-operative phase and leaflet was supposed to be useful. Currently, there was no structuralized pre-operative patient education on post-operative in Department of Surgery. To comprehend the patient service, the workgroup conducted the study on the effectiveness of leaflet based educational intervention for patients having operation.
Objectives :
To evaluate effectiveness of leaflet based educational intervention in the pre-operative phrase for patient pain management
Methodology :
Patients admitted for elective surgeries were randomly assigned to experimental and control group by envelop method after written consent obtained. Experimental group received pain leaflet based education with standardized education flow pre-operatively whereas control group received usual care. Pre and post Questionnaires on Pre and post operation day 2 respectively were collected for analysis.
Result & Outcome :
50 samples were recruited with 40 samples analyzed within 7/11/16-1/3/17. Patients were dropped out due to exclusion criteria such as offering PCA post-operatively. SPSS version 24 was used for analysis. Chi-square test showed there were no statistically significant differences between the groups concerning baseline comparison of age (p=0.6), gender (p=0.63), religion (p=0.60), education (p=0.46) and type of operation (p=0.36) The knowledge and attitude related questionnaire result was presented by t-test, mean difference, SD (range 1-10) with 95% CI. For the knowledge enhancement concerning pain medication, five related questions showed significant result in the pre and post comparison of experimental group (p<0.05): Side effect (3.52±2.45, p<0.01) Addiction (1.7±3.634, p<0.01) effect (3.36±4.04, p=0.02) Taking time (2.42±2045) p<0.01) medication request (3.42±2.87, p<0.01). The result was not significant in the control group (p>0.05). Percentage of pain relief showed great improvement (2.06±3.15, p=0.019) .However, result was insignificant for the questions concerning worst pain ( 6.06±3.13,p=0.364) Also, post experimental group rated high score (mean =7.84± 1.54)for the effectiveness of leaflet based pain education. For the education need, both groups rated high score (mean=7.89±1.66 and mean =7.52±2.06). Conclusion and recommendation :The result indicated the effectiveness though the small sample size. It is recommended to: Promote patient leaflet-based pain education. Explore on other factors affecting the worst pain score post-operatively. Conduct further research with larger sample size on the effectiveness of other teaching tools such as electronic device assisted education.
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