Patients’ Decision-Making Strategies for Managing Postoperative Pain

Manias, Elizabeth; Botti, Mari; Bucknall, Tracey

doi:10.1016/j.jpain.2006.01.448

Cited by 29 publications

(29 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies underlined the lack of analgesia in the surgical population [8,11,12]. Until now, no intervention, even when targeting pain-related barriers, had an effect on opioid intake [11,42].…”

Section: Discussionmentioning

confidence: 99%

Web-Based Nursing Intervention for Self-Management of Pain After Cardiac Surgery: Pilot Randomized Controlled Trial

Martorella¹,

Côté²,

Racine³

et al. 2012

J Med Internet Res

View full text Add to dashboard Cite

BackgroundMost adults undergoing cardiac surgery suffer from moderate to severe pain for up to 6 days after surgery. Individual barriers and attitudes regarding pain and its relief make patients reluctant to report their pain and ask for analgesic medication, which results in inadequate pain management. More innovative educational interventions for postoperative pain relief are needed. We developed a Web-based nursing intervention to influence patient’s involvement in postoperative pain management. The intervention (SOULAGE-TAVIE) includes a preoperative 30-minute Web-based session and 2 brief face-to-face postoperative booster sessions. The Web application generates reflective activities and tailored educational messages according to patients’ beliefs and attitudes. The messages are transmitted through videos of a virtual nurse, animations, stories, and texts.ObjectiveThe aim of this single-blinded pilot randomized trial was to investigate the preliminary effects of a virtual nursing intervention (SOULAGE-TAVIE) to improve pain relief in patients undergoing cardiac surgery.MethodsParticipants (N = 60) were adults scheduled for their first cardiac surgery. They were randomly assigned to the experimental group using SOULAGE-TAVIE (n = 30) or the control group using usual care, including an educational pamphlet and postoperative follow-up (n = 30). Data were collected through questionnaires at the time of admission and from day 1 to day 7 after surgery with the help of a blinded research assistant. Outcomes were pain intensity, pain interference with daily activities, patients’ pain barriers, tendency to catastrophize in face of pain, and analgesic consumption.ResultsThe two groups were comparable at baseline across all demographic measures. Results revealed that patients in the experimental group did not experience less intense pain, but they reported significantly less pain interference when breathing/coughing (P = .04). A severe pain interference with breathing/coughing (pain ranked ≥ 7/10) was reported on day 3 after surgery by 15% of the patients in the experimental group (4/27), as compared to 44% (7/16) in the control group. On day 7 after surgery, participants in the experimental group also exhibited fewer pain-related barriers as measured by the Barriers Questionnaire-II (mean 10.6, SD 8.3) than patients in the control group (mean 15.8, SD 7.3, P = .02). No difference was found for pain catastrophizing. However, in both groups, means revealed a lower tendency to catastrophize pain before surgery as measured by the Pain Catastrophizing Scale (control group mean 1.04, SD 0.74; experimental group mean 1.10, SD 0.95) and after surgery (control group mean score 1.19, SD 0.94; experimental group mean score 1.08, SD 0.99). Finally, the experimental group consumed more opioid medication (mean 31.2 mg, SD 23.2) than the control group (mean 18.8 mg, SD 15.3, P = .001).ConclusionsThis pilot study provides promising results to support the benefits of this new Web-tailored approach that can increase accessibility to h...

show abstract

Section: Discussionmentioning

confidence: 99%

Web-Based Nursing Intervention for Self-Management of Pain After Cardiac Surgery: Pilot Randomized Controlled Trial

Martorella¹,

Côté²,

Racine³

et al. 2012

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…, 2007). In an observational study, 60% of the participants waited to be asked about their pain as passive recipients of pain relief before requesting analgesics (Manias et al. , 2006).…”

Section: Discussionmentioning

confidence: 99%

Perspectives and experiences of elective surgery patients regarding pain management

Rejeh

Vaismoradi

2010

Nursing & Health Sciences

View full text Add to dashboard Cite

The purpose of this study was to explore the perspectives and experiences of elective surgery patients regarding pain management. A qualitative design, based on the content analysis approach, was used to collect and analyze the experience of 20 elective surgery patients who all had abdominal surgery in surgical wards in two teaching hospitals in Tehran, Iran. After employing purposeful sampling for the selection of the participants, semistructured interviews were held for data collection. During the data analysis, three main themes emerged: "perceptions of pain management goals", "patients' views of nurses' role in pain management", and "interaction in pain management". It was concluded that understanding the factors that influence pain management after surgery from the patients' viewpoint will contribute to the body of knowledge of nurses in order to promote the quality of nursing care.

show abstract

“…In surgical patients, these concerns about reporting pain and using analgesics were identified in both western literature (Manias et al. 2006) and Chinese adult patients in Taiwan (Tzeng et al.…”

Section: Introductionmentioning

confidence: 99%

Postoperative pain experience and barriers to pain management in Chinese adult patients undergoing thoracic surgery

Yin

Tse

Wong

2011

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

Patients’ Decision-Making Strategies for Managing Postoperative Pain

Cited by 29 publications

References 42 publications

Web-Based Nursing Intervention for Self-Management of Pain After Cardiac Surgery: Pilot Randomized Controlled Trial

Web-Based Nursing Intervention for Self-Management of Pain After Cardiac Surgery: Pilot Randomized Controlled Trial

Perspectives and experiences of elective surgery patients regarding pain management

Postoperative pain experience and barriers to pain management in Chinese adult patients undergoing thoracic surgery

Contact Info

Product

Resources

About