Quality Nursing Care Improvement in Acute Pain Management of Postoperative Orthopaedic Patients at Ramathibodi Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/304504
Category:
Abstract
Type:
Presentation
Title:
Quality Nursing Care Improvement in Acute Pain Management of Postoperative Orthopaedic Patients at Ramathibodi Hospital
Author(s):
Lausawatchaikul, Pensri; Warapapong, Orawan
Lead Author STTI Affiliation:
Non-member
Author Details:
Pensri Lausawatchaikul, RN, MNS, rapenlk@hotmail.com; Orawan Warapapong, RN, MA;
Abstract:

Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013

Purpose:  Effective pain management has been shown to promote earlier mobilization, adequate rest, reduced hospital stays and postoperative complications.   Clinical observations and outcome indicators indicated a need to improve pain management and patient satisfaction was decreased.  The purpose of this study was to assess patients’ pain status, satisfaction, and improve quality of postoperative pain management.

Method: The protocol was revised and target indicators were set.  Team strategies included staff education, pain assessment tool, patient education material, pain management process and documentation. Outcomes were analyzed including pain level, impact of pain (interferes with activities of daily living, sleeping and mental health), patient satisfaction and quality of nursing documentation. 

Result: A total of 60 patients were included in this study.  The majority was female (57.4%) with the mean age of  58.28 (SD=17.2).  The mean LOS was 5.55 (SD= 4.46).   Results showed that the subjects had experience moderate level of worst pain in postop-day-1-2 and low level of worst pain in postop-day-3. Pharmocological pain management were as follow: by IV-MO 74.1 %, epidural-MO 14.8 % and PCA 5.6 %. About 62 %  of patients use nonpharmacological technique and distraction technique by watching television was the most (31.1 %). However, 37.8 % of patients did not use nonpharmacological technique to reduce their pain. The majority (57.8%) rated the satisfaction of their pain management by nurses as good and 22.7 % as excellent.  The majority, 48.9 %, pain moderate interfere (score 4-6) with ADL, minimal interfere (score 1-3), 39.6 % and 42.0 % with sleep and mental health, respectively.

Conclusion: Patient information for pain assessment and pain management prior surgery is the key process for improving postoperative pain management. However, encourage patient to use individual specific prefer nonpharmacological technique is essential for better pain management and more patient satisfaction. Pain management should selected by care provider with patient.

Keywords:
postoperative pain management,; quality improvement
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleQuality Nursing Care Improvement in Acute Pain Management of Postoperative Orthopaedic Patients at Ramathibodi Hospitalen_GB
dc.contributor.authorLausawatchaikul, Pensrien_GB
dc.contributor.authorWarapapong, Orawanen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsPensri Lausawatchaikul, RN, MNS, rapenlk@hotmail.com; Orawan Warapapong, RN, MA;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304504-
dc.description.abstract<p>Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013</p><b>Purpose: </b> Effective pain management has been shown to promote earlier mobilization, adequate rest, reduced hospital stays and postoperative complications.<b> </b>  Clinical observations and outcome indicators indicated a need to improve pain management and patient satisfaction was decreased.  The purpose of this study was to assess patients’ pain status, satisfaction, and improve quality of postoperative pain management. <p><b>Method: </b>The protocol was revised and target indicators were set.  Team strategies included staff education, pain assessment tool, patient education material, pain management process and documentation. Outcomes were analyzed including pain level, impact of pain (interferes with activities of daily living, sleeping and mental health), patient satisfaction and quality of nursing documentation.  <p><b>Result: </b>A total of 60 patients were included in this study.  The majority was female (57.4%) with the mean age of  58.28 (SD=17.2).  The mean LOS was 5.55 (SD= 4.46).   Results showed that the subjects had experience moderate level of worst pain in postop-day-1-2 and low level of worst pain in postop-day-3. Pharmocological pain management were as follow: by IV-MO 74.1 %, epidural-MO 14.8 % and PCA 5.6 %. About 62 %  of patients use nonpharmacological technique and distraction technique by watching television was the most (31.1 %). However, 37.8 % of patients did not use nonpharmacological technique to reduce their pain. The majority (57.8%) rated the satisfaction of their pain management by nurses as good and 22.7 % as excellent.  The majority, 48.9 %, pain moderate interfere (score 4-6) with ADL, minimal interfere (score 1-3), 39.6 % and 42.0 % with sleep and mental health, respectively. <p><b>Conclusion: </b>Patient information for pain assessment and pain management prior surgery is the key process for improving postoperative pain management. However, encourage patient to use individual specific prefer nonpharmacological technique is essential for better pain management and more patient satisfaction. Pain management should selected by care provider with patient.en_GB
dc.subjectpostoperative pain management,en_GB
dc.subjectquality improvementen_GB
dc.date.available2013-10-22T20:37:25Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:37:25Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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