What Do Adult Surgical Patients Really Want to Know About Pain and Pain Management?

Kastanias, Patti; Denny, Keith; Robinson, Sandra; Sabo, Kathy; Snaith, Kianda

doi:10.1016/j.pmn.2008.08.006

Cited by 34 publications

(28 citation statements)

References 27 publications

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“…They need to understand why managing pain is important and how they can be active participants in their own treatment [17,30]. Patients want information on how to treat their pain after being discharged, what to do if the treatment is insufficient, what side effects of medications to expect, and how to treat those side effects [31]. …”

Section: Introductionmentioning

confidence: 99%

Development, Usability, and Efficacy of a Serious Game to Help Patients Learn About Pain Management After Surgery: An Evaluation Study

Ingadóttir¹,

Blöndal²,

Thue³

et al. 2017

JMIR Serious Games

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BackgroundPostoperative pain is a persistent problem after surgery and can delay recovery and develop into chronic pain. Better patient education has been proposed to improve pain management of patients. Serious games have not been previously developed to help patients to learn how to manage their postoperative pain.ObjectiveThe aim of this study was to describe the development of a computer-based game for surgical patients to learn about postoperative pain management and to evaluate the usability, user experience, and efficacy of the game.MethodsA computer game was developed by an interdisciplinary team following a structured approach. The usability, user experience, and efficacy of the game were evaluated using self-reported questionnaires (AttrakDiff2, Postoperative Pain Management Game Survey, Patient Knowledge About Postoperative Pain Management questionnaire), semi-structured interviews, and direct observation in one session with 20 participants recruited from the general public via Facebook (mean age 48 [SD 14]; 11 women). Adjusted Barriers Questionnaire II and 3 questions on health literacy were used to collect background information.ResultsTheories of self-care and adult learning, evidence for the educational needs of patients about pain management, and principles of gamification were used to develop the computer game. Ease of use and usefulness received a median score between 2.00 (IQR 1.00) and 5.00 (IQR 2.00) (possible scores 0-5; IQR, interquartile range), and ease of use was further confirmed by observation. Participants expressed satisfaction with this novel method of learning, despite some technological challenges. The attributes of the game, measured with AttrakDiff2, received a median score above 0 in all dimensions; highest for attraction (median 1.43, IQR 0.93) followed by pragmatic quality (median 1.31, IQR 1.04), hedonic quality interaction (median 1.00, IQR 1.04), and hedonic quality stimulation (median 0.57, IQR 0.68). Knowledge of pain medication and pain management strategies improved after playing the game (P=.001).ConclusionsA computer game can be an efficient method of learning about pain management; it has the potential to improve knowledge and is appreciated by users. To assess the game’s usability and efficacy in the context of preparation for surgery, an evaluation with a larger sample, including surgical patients and older people, is required.

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Section: Introductionmentioning

confidence: 99%

Development, Usability, and Efficacy of a Serious Game to Help Patients Learn About Pain Management After Surgery: An Evaluation Study

Ingadóttir¹,

Blöndal²,

Thue³

et al. 2017

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…[13,27] Levandovski et al, [28] reported that diazepam-treated patients undergoing abdominal hysterectomy showed lower postoperative anxiety and lower incidence of surgical infection up to 30 days after surgery compared to patients treated with placebo. Besides medical treatment, different methods such as pychoeducation, [29] music, [30] hypnosis [31] and relaxation [32] have tried in order to reduce the pain level after the surgery. Seers et al, [33] have reported that jaw relaxation in patients with orthopedic surgery resulted in a low, brief additional amount of pain relief, and they have suggested that this small benefit was perceived significantly by the hospital staff and patients.…”

Section: Discussionmentioning

confidence: 99%

Effects of the preoperative anxiety and depression on the postoperative pain in ear, nose and throat surgery

et al. 2012

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“…38,39 The effective management and relief of postoperative pain are important for humanistic and psychological reasons, and now it is increasingly clear that pain management also plays a vital role in overall surgical outcome. Untreated pain has been linked to prolonged hospital stays, deep venous thrombosis, pulmonary embolus, pneumonia, bowel dysmotility, insomnia, and impaired wound healing.…”

Section: Analgesia/pain Managementmentioning

confidence: 99%

The Safe Management of Anesthesia, Sedation, and Pain in Plastic Surgery

Mustoe

Buck

Lalonde

2010

Plastic and Reconstructive Surgery

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What Do Adult Surgical Patients Really Want to Know About Pain and Pain Management?

Cited by 34 publications

References 27 publications

Development, Usability, and Efficacy of a Serious Game to Help Patients Learn About Pain Management After Surgery: An Evaluation Study

Development, Usability, and Efficacy of a Serious Game to Help Patients Learn About Pain Management After Surgery: An Evaluation Study

Effects of the preoperative anxiety and depression on the postoperative pain in ear, nose and throat surgery

The Safe Management of Anesthesia, Sedation, and Pain in Plastic Surgery

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