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Pain levels experienced with activities after cardiac surgery
Lesley B Milgrom1, Jo Ann Brooks, Rong Qi
1School of Nursing, Indiana University, Indianapolis, Ind, USA.
Summary
Postoperative pain after cardiac surgery is highest for coughing and moving, decreasing over the first six days. Chest tube removal significantly reduces pain during rest and activity.
Area of Science:
- Cardiology
- Pain Management
- Postoperative Care
Background:
- Acute pain is prevalent following cardiac surgery, hindering patient mobility and recovery.
- Effective pain assessment and management are crucial for optimal patient outcomes.
Purpose of the Study:
- To quantify pain levels associated with five key postoperative activities from day 1 to day 6 after cardiac surgery.
- To analyze changes in pain following chest tube removal and extubation.
Main Methods:
- Adult patients undergoing cardiac surgery rated their pain during specific activities over the first six postoperative days.
- Pain scores were analyzed based on postoperative day, activity type, and surgical procedure.
- Pre- and post-intervention pain scores related to chest tube removal and extubation were examined.
Main Results:
- Pain intensity was highest in the early postoperative period, diminishing over time.
- The highest pain scores were reported for coughing, moving in bed, and getting up.
- Pain levels decreased significantly after chest tube removal, particularly at rest and during coughing and ambulation.
Conclusions:
- Pain management is a critical aspect of postoperative care after cardiac surgery.
- Individualized pain assessment, considering patient activities, is essential for effective pain control and recovery.