Effect of Clinical Practice Guidelines Developed Base in Evidence-Based Practice for Postoperative Pain Management in Patients Who Underwent Orthopedic Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/243362
Category:
Full-text
Type:
Presentation
Title:
Effect of Clinical Practice Guidelines Developed Base in Evidence-Based Practice for Postoperative Pain Management in Patients Who Underwent Orthopedic Surgery
Author(s):
Phannetr, Chintana
Lead Author STTI Affiliation:
N/A
Author Details:
Phannetr, Chintana, RN, jintana_pn@hotmail.com;
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. 

Keywords:
POSTOPERATIVE PAIN MANAGEMENT; CLINICAL PRACTICE GUIDELINES; SATISFACTION
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEffect of Clinical Practice Guidelines Developed Base in Evidence-Based Practice for Postoperative Pain Management in Patients Who Underwent Orthopedic Surgeryen
dc.contributor.authorPhannetr, Chintanaen
dc.contributor.departmentN/Aen
dc.author.detailsPhannetr, Chintana, RN, jintana_pn@hotmail.com;en
dc.identifier.urihttp://hdl.handle.net/10755/243362-
dc.description.abstractEffective 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. <b></b><p><b>Purpose: </b>This study were to assess pain scores on postoperative day 1 to day 5, to examine patients&rsquo; satisfaction on pain management, and to ascertain nurses&rsquo; satisfaction on the implementation of a CPG. <p><b>Methods: </b>42 samples from surgical units of a hospital in Thailand were &nbsp;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&rsquo;s Satisfaction Questionnaire, and the Nurses&rsquo; Satisfaction Questionnaire. Descriptive statistics, t-test, and&nbsp; repeated measure ANOVA were conducted to analyze data.&nbsp;&nbsp;&nbsp;&nbsp; <p><b>Results: </b>The results were as follows: <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1.&nbsp;&nbsp;&nbsp; Pain scores were significantly reduced in the intervention group compared with control group over five days after surgery (p &lt; .05). <p>&nbsp;&nbsp;&nbsp;&nbsp; 2.&nbsp;&nbsp;&nbsp;&nbsp;The experimental group had more significantly satisfaction on pain management than those in the control group (p &lt; .05). <p>&nbsp;&nbsp;&nbsp;&nbsp; 3.&nbsp;&nbsp;&nbsp;&nbsp; 96.09 % of health care&nbsp; providers satisfied with the CPG at a highest level and decided to continue practice following the CPG. <p><b>Conclusion: </b>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&rsquo; satisfaction, increase nurses&rsquo; satisfaction, and promote nursing quality of care on postoperative pain management.&nbsp;en
dc.subjectPOSTOPERATIVE PAIN MANAGEMENTen
dc.subjectCLINICAL PRACTICE GUIDELINESen
dc.subjectSATISFACTIONen
dc.date.available2012-09-12T09:21:09Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:21:09Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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