Patients´ Experiences of Pain Following Day Surgery - At 48 Hours, Seven Days and Three Months

Abstract

Recent studies indicate that patients experience pain after day surgery for a longer period than previously known. This requires verification. This was a prospective, descriptive correlational study. A convenience sample of 298 day surgery patients undergoing various surgical procedures was asked to report pain intensity and its interference with daily function 48 hours, seven days and three months after day surgery. Correlation and regression analyses were performed. On a NRS, 55% (n=230) reported pain (≥4) 48 hours after surgery, as did 43% (n=213) at seven days. Pain interfered with normal activities at ≥4 NRS at 48 hours and at seven days, after which it decreased.

PROMIS fatigue, pain intensity, pain interference, pain behavior, physical function, depression, anxiety, and anger scales demonstrate ecological validity

“…Based on two prior studies [15,16], we expected that fatigue and depression would be higher in the premenstrual syndrome or premenstrual dysphoric disorder (PMS) sample than in the CS, but the prediction is only for the week preceding the onset of menses. For the hernia surgery group, studies have (not surprisingly) shown that pain intensity is high for the days after surgery [17,18]; therefore, we expected greater pain intensity and pain interference in the postsurgery week compared with the CS. Finally, for the BC sample, we predicted that fatigue would be higher than fatigue in the CS the week after chemotherapy [19].…”

The Relationship Between Anxiety, Pain Distress and Pain Severity Before and After Open Heart Surgery in Patients

“…Dolayısıyla kaygı ve ağrı distresi yaşatan ameliyat öncesi ve sonrası dönem bireyin yaşamında yer alan kriz dönemidir. Ağrı, subjektif ve bireysel yaşantı olup, şiddeti ve yoğunluğunda en önemli psikolojik belirleyicinin kaygı ve ağrı distresi olduğu bildirilmektedir (3,8,9). Kaygı ve ağrı distresi yüksek olan bireylerin daha yüksek ağrı deneyimlediği bilinmektedir (10).…”

Addressing the Barriers to Pain Management in Ambulatory Surgery

“…1 Approximately 70% of surgeries are done on an ambulatory basis, and we can anticipate continued growth in these volumes. 2 However, for patients to fully benefit from an outpatient approach, they must be adequately prepared and empowered to manage their own recovery. Despite the advances that allow more procedures to be done on an outpatient basis, (eg, short-acting anesthesia and opioids, minimally invasive surgery, multimodal pain management), 3 there continue to be cases of undermanaged postoperative pain after home discharge.…”

“…It is well known that anxiety has a negative impact on pain perception and management. 1,2,4 Research has provided a greater understanding of how the pain experience can vary greatly among patients having the same surgical procedure. The PA nurse is wise enough to not expect all patients will achieve a satisfactory level of comfort with one particular analgesia routine or weight-based dosing.…”