Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Abstract

Introduction. The primary objectives of this study were to assess patients' description of their acute pain intensity; patients' attitude towards their pain management during hospitalization; and their overall satisfaction with pain treatment. Methodology. A cross-sectional questionnaire-based study was conducted between October 2014 and March 2015 in three medical centers in Lebanon. All participants' responses were reported using descriptive statistics. The association between categorical variables was evaluated using Pearson χ2 test or Fisher's exact test where the expected cell count was < 5. Results. A total of 119 women on the maternity services and 177 patients on the orthopedic services were surveyed. Around 50% of obstetric and 37% of orthopedic patients reported pain to be severe at its highest intensity. In maternity and orthopedic patients, respectively, unfavorable practices included pain not being assessed prior to pain medication administration (19.3% and 30.5%), having to wait for ≥30 minutes before getting the pain medication (14.2% and 11.3%), and pain score not being documented on medical chart (95% and 93.2%). Surprisingly, 94.1% of the maternity and 89.2% of orthopedic patients were satisfied to strongly satisfied with their pain management. Conclusion. Pre- and postoperative pain remain a prevalent problem that requires a consensus and joint efforts for improvement.

Orthopedic Professionals’ Recognition and Knowledge of Pain and Perceived Barriers to Optimal Pain Management at Five Hospitals

“…For instance, 37% of orthopedic patients reported pain to be severe at its highest intensity [ 5 ], where postoperative pain remains a problem that requires consensus and joint efforts [ 5 ]. Similarly, patients feel moderate to severe pain after e.g., total knee arthroplasty [ 6 ], and managing such pain remains unsatisfactory [ 7 ].…”

Do surgical patients' characteristics and behaviours affect nurses' pain management decisions? A qualitative inquiry

“…To some extent, this might have been underpinned by the nurses' concern to avoid complaints by the patients or their families, and, equally, by their intention to avoid excessive attention and assessments for some patients, regardless of their pain scores. While participants acknowledged the importance of equal pain management for all patients, their narratives showed a bias towards female and younger patients, with such behaviours not in line with international principles of pain management encapsulating equity, effectiveness, and ethic‐based pain management (Calcaterra et al, ; Miftah et al, ; Ramia, Nasser, Salameh, & Saad, ). Therefore, such findings raise concerns that decisions about pain management in the postoperative context may be influenced by factors unrelated to the patients' clinical condition.…”

Sentence Structure Analysis in Patients with Ischemic Stroke

“…pain itself was therefore low [40]. In addition to adequate pain relief, overall patient satisfaction depends on many factors, including providing rapid intervention, engaging patients in self-care, encouraging them to communicate pain, interacting with the care provider, and establishing a relationship based on mutual trust [41]. It was also noted in the literature that the involvement of patients in their own care improves their satisfaction of it [42], which may align with the results of own research, i.e.…”