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Pain outcomes after intestinal surgery.

M Good1, M Stanton-Hicks, J A Grass

  • 1Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106-4904, USA. mpg@po.cwru.edu

Outcomes Management for Nursing Practice
|March 20, 2002
PubMed
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Postoperative intestinal surgery patients experienced severe pain and distress, often unrelieved by analgesics. Nonpharmacologic therapies and attentive pain management are recommended for better patient outcomes.

Area of Science:

  • Surgical Patient Care
  • Pain Management
  • Postoperative Recovery

Background:

  • Postoperative pain and distress are significant challenges following intestinal surgery.
  • Effective pain management is crucial for patient recovery and preventing complications.

Purpose of the Study:

  • To assess the severity of pain and distress in patients after intestinal surgery.
  • To investigate the impact of ambulation on pain levels.
  • To evaluate the use of nonpharmacologic pain relief methods.

Main Methods:

  • Pain and distress were measured using 100-mm visual analog scales in 38 intestinal surgical patients.
  • Data were collected on postoperative day 1, including before and after ambulation.
  • Patient-reported use of relaxation techniques and pain-related complications were recorded.

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Main Results:

  • Moderate to severe pain (34-49 mm) and distress (33-45 mm) were reported on postoperative day 1.
  • Ambulation significantly increased pain and distress (P < 0.01).
  • Half of patients had severe pain unrelieved by analgesics; only 8% used learned relaxation techniques. Pain impacted sleep for 34% and was linked to complications in 47% of subjects.

Conclusions:

  • Intestinal surgical patients experience substantial postoperative pain and distress.
  • Current analgesic strategies appear insufficient for a significant portion of patients.
  • Integration of attentive analgesic administration and nonpharmacologic therapies is recommended to improve pain management and recovery.