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Postoperative pain: patients' expectations and experiences.

E C Carr1

  • 1Southampton University, Nurse Facilitator/Research Unit, Southampton General Hospital.

Journal of Advanced Nursing
|January 1, 1990
PubMed
Summary

Postoperative pain management is inadequate, with patients experiencing more pain than expected. Nurses often failed to identify patients in pain, indicating a need for improved pain assessment and control strategies.

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Area of Science:

  • Pain Management
  • Surgical Patient Care
  • Healthcare Quality Improvement

Background:

  • Postoperative pain is frequently under-managed, affecting a significant percentage of hospitalized patients.
  • Existing evidence suggests a discrepancy between patients' expected and experienced pain levels after surgery.
  • Inadequate pain relief can lead to prolonged recovery and decreased patient satisfaction.

Purpose of the Study:

  • To investigate the gap between preoperative pain expectations and postoperative pain experiences in surgical patients.
  • To identify factors influencing postoperative pain management, including analgesia administration and patient-nurse communication.
  • To assess the effectiveness of current pain assessment methods and the role of nursing staff in pain management.

Main Methods:

  • A study involving 21 surgical patients utilizing a Visual Analogue Scale for pain measurement.
  • Patient questionnaires were employed to explore pain experiences and identify contributing factors.
  • A comprehensive review of prescribed and administered analgesia was conducted.

Main Results:

  • A significant difference was observed between preoperative pain expectations and postoperative pain experiences.
  • Postoperative pain scores on the first day were not 'low' and showed no correlation with analgesia dosage.
  • Nurses' preoperative information provision was limited, and their pain assessments often failed to identify patients in distress.

Conclusions:

  • Current postoperative pain management strategies are insufficient, failing to meet patient expectations and needs.
  • There is a critical need to enhance preoperative patient education and improve nursing pain assessment skills.
  • Optimizing analgesia protocols and nursing interventions is essential for effective postoperative pain control.

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