Abstract
Effective pain management has been shown to promote earlier ambulation and reduced postoperative complications. However, pain management in patients who underwent orthopedic surgery remains an issue in nursing practice. Purpose: This study were to assess pain scores on postoperative day 1 to day 5, to examine patients' satisfaction on pain management, and to ascertain nurses' satisfaction on the implementation of a CPG. Methods: 42 samples from surgical units of a hospital in Thailand were randomly assigned into the intervention group (21 participants received the CPG) and control group (21 participants received usual treatment).The CPG consisted of four stages including, pre-operative, peri-operative, postoperative at a recovery room, and postoperative at surgical units. Data were gathering by using the Numeric Pain Red Color Scale, the Patient's Satisfaction Questionnaire, and the Nurses' Satisfaction Questionnaire. Descriptive statistics, t-test, and repeated measure ANOVA were conducted to analyze data. Results: The results were as follows: 1. Pain scores were significantly reduced in the intervention group compared with control group over five days after surgery (p < .05). 2. The experimental group had more significantly satisfaction on pain management than those in the control group (p < .05). 3. 96.09 % of health care providers satisfied with the CPG at a highest level and decided to continue practice following the CPG. Conclusion: Results of the study are evidence-based practice in postoperative pain management for patients with orthopedic surgery. Application the evidence-based CPG and the Diffusion of Innovation Model can reduce postoperative pain, enhance patients' satisfaction, increase nurses' satisfaction, and promote nursing quality of care on postoperative pain management.
Sigma Membership
Unknown
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Postoperative Pain Management, Clinical Practice Guidelines, Patient Satisfaction
Recommended Citation
Phannetr, Chintana, "Effect of clinical practice guidelines developed base in evidence-based practice for postoperative pain management in patients who underwent orthopedic surgery" (2012). INRC (Congress). 2.
https://www.sigmarepository.org/inrc/2012/presentations_2012/2
Conference Name
23rd International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Brisbane, Australia
Conference Year
2012
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Effect of clinical practice guidelines developed base in evidence-based practice for postoperative pain management in patients who underwent orthopedic surgery
Brisbane, Australia
Effective pain management has been shown to promote earlier ambulation and reduced postoperative complications. However, pain management in patients who underwent orthopedic surgery remains an issue in nursing practice. Purpose: This study were to assess pain scores on postoperative day 1 to day 5, to examine patients' satisfaction on pain management, and to ascertain nurses' satisfaction on the implementation of a CPG. Methods: 42 samples from surgical units of a hospital in Thailand were randomly assigned into the intervention group (21 participants received the CPG) and control group (21 participants received usual treatment).The CPG consisted of four stages including, pre-operative, peri-operative, postoperative at a recovery room, and postoperative at surgical units. Data were gathering by using the Numeric Pain Red Color Scale, the Patient's Satisfaction Questionnaire, and the Nurses' Satisfaction Questionnaire. Descriptive statistics, t-test, and repeated measure ANOVA were conducted to analyze data. Results: The results were as follows: 1. Pain scores were significantly reduced in the intervention group compared with control group over five days after surgery (p < .05). 2. The experimental group had more significantly satisfaction on pain management than those in the control group (p < .05). 3. 96.09 % of health care providers satisfied with the CPG at a highest level and decided to continue practice following the CPG. Conclusion: Results of the study are evidence-based practice in postoperative pain management for patients with orthopedic surgery. Application the evidence-based CPG and the Diffusion of Innovation Model can reduce postoperative pain, enhance patients' satisfaction, increase nurses' satisfaction, and promote nursing quality of care on postoperative pain management.