Quality of postoperative pain management among orthopedic patients in Hospital Universiti Sains Malaysia
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Date
2021-08
Authors
Hasan, Norfazila Amir
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia
Abstract
The quality of postoperative pain management is both determine through
assessment of postoperative pain and the outcome of satisfaction level. Postoperative pain
is the pain experienced by orthopedic patients who underwent the operation. Good
postoperative pain management indicates the high quality of postoperative pain
management. This study aimed to determine the quality of postoperative pain
management among orthopedic patients in Hospital USM, where can be determined
through four subscales, communication, action, trust, and environment. A cross-sectional
study had been conducted among 114 orthopedic patients obtained from three main
orthopedic wards in Hospital USM. A self-administered questionnaire was provided in
the ranged of age 18 to 74 who fit in inclusion criteria. The data were analyzed by using
SPSS version 25.0 with the method of descriptive, independent t-test, and Pearson
correlation coefficient test. The findings reported that the trust-related interventions were
the highest score (M=18.88, SD=2.25) in determining the quality of postoperative pain
management. Meanwhile, an independent t-test was used to statistically tested the
differences between the site of pain and more pain than expected with the quality of
postoperative pain management. Which showed there were no significant differences between the site of pain with the pain level at worst (p=0.404), least in the first 24-hours
(p=0.700), pain experienced at day three of postoperatively, now (p=0.960), and level of
satisfaction (p=0.071) of the quality of postoperative pain management. However, there
was a significant difference between more pain than expected with the level of satisfaction
of the quality of postoperative pain management (p=0.003). On the other hand, the
Pearson correlation coefficient was used to analyze the relationship between
communication, action, trust, and environment with the level of satisfaction to the quality
of postoperative pain management. Surprisingly, the findings resulted in there were
statistically significant, good and positive relationship between communication (r2=0.441,
p<0.000), action (r2=0.389, p<0.000), trust (r2=0.303, p=0.01) and environment (r2=0.304,
p=0.001) with level of satisfaction. In conclusion, the quality of postoperative pain
management among orthopedic patients was good where mainly the effort to improved
was influenced by trust-related assessment.
Description
Keywords
Pain