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Postoperative Pain Relief After Ambulatory Laparoscopic Surgery a Nonmatched Case-Control Study
Susanne W Olsen1, Lene Lehmkuhl2, Lone W Hamborg1
1Department of Anesthesia and Intensive Care, Odense University Hospital, Svendborg, Denmark.
Purpose:
To examine whether patient involvement using a Patient Decision Aid has a positive effect on pain levels, by giving them an active role in choosing a pain schedule for postoperative pain assessment and pain management.
Design:
A nonmatched case-control study.
Methods:
101 adults 18 years or older were included to choose between 1 of 3 possible schedules for postoperative pain management. Perioperative variables, for example, patients' assessments of pain were registered at the hospital and further variables after discharge at postoperative day 1 (POD1), POD3, and POD7, for example, patients' ability to sleep and assessment of nausea.
Findings:
Less pain after discharge was seen among patients choosing pain schedule II at POD1 (P = .0439). A significantly higher consumption of opioids (P = 0010) on POD1 in patients who have chosen pain schedule II.
Conclusions:
Improved patient involvement by choosing a user-controlled pain schedule (pain schedule II) in postoperative pain management increased patient empowerment.
