Effect of a Preoperative Pain Education Program on Postoperative Pain Management after Abdominal Surgery_Chinese Journal of Evidence-Based Medicine

Authors：

WEN Mei ,  LI Xiaoling

School of Nursing, West China Center of Medical Sciences of Sichuan University, Chengdu 610041, China;

Corresponding author：

LI Xiaoling, Email: janifer818@163.com

Keywords：

Pain; Abdominal surgery; Health education; Pain management

DOI：

10.7507/1672-2531.20080005

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective　 To evaluate the effects of a preoperative pain education program on patients’ knowledge of postoperative pain management, measures taken for such pain management and the actual postoperative pain.
Methods　 A total of 84 patients undergoing abdominal surgery were non-randomly divided into two groups, 42 in each group. Patients in group A received routine preoperative care and 30 minutes of education about pain management, while patients in group B received routine preoperative care only. All patients completed the Postoperative Pain Management Questionnaire on the second postoperative day.
Results　 Patients in group A achieved higher scores for their knowledge about postoperative pain management than those in group B (P lt;0.05). More patients in group A took non-medical pain relief methods after surgery (P lt;0.05); and patients in group A were able to use the PCA pump more correctly than those in group B (P lt;0.05). No significant differences were observed between the two groups in the frequency of asking for analgesics or their pain score when they requested analgesics (P gt;0.05). The average score for postoperative pain was lower for group A compared to group B (P lt;0.05).
Conclusions　 A program of preoperative pain education can improve patients’ knowledge of postoperative pain management and encourage them to participate actively in such pain management, so as to further relieve the postoperative pain.

Citation： WEN Mei,LI Xiaoling. Effect of a Preoperative Pain Education Program on Postoperative Pain Management after Abdominal Surgery. Chinese Journal of Evidence-Based Medicine, 2008, 08(1): 13-16. doi: 10.7507/1672-2531.20080005 Copy

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16.	刘争, 李玉, 刘治荣. 术前疼痛教育对腹部手术患者术后疼痛控制的影响. 华西医学, 2005, 20(3): 568-569.
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1. 赵继军. 主编. 疼痛护理学. 北京: 人民军医出版社, 2002.19, 311-321.
2. 王彤. 外科手术后病人疼痛情况调查及护理干预. 继续医学教育, 2004, 18(6): 57-58.
3. Knoerl DV. Preoperative PCA teaching program to manage postoperative pain. Medsurg Nursing, 1999, 81(1): 25-33, 36.
4. Lin LY, Wang RH. Abdominal surgery, pain and anxiety: preoperative nursing intervention. Journal of Advanced Nursing, 2005, 51(3): 252-260.
5. 沈曲, 李峥. 手术后病人疼痛控制状况的调查研究. 护理研究, 2006, 20(11): 2845-2848.
6. Sherwood GD, McNeil JA, Starck PL, et al. Changing acute pain management outcomes in surgical patients. AORN Journal, 2003, 77(2): 377-380.
7. 倪宗瓒. 主编. 卫生统计学. 第4版. 北京: 人民卫生出版社, 2001. 162.
8. Jamison RN, Ross MJ, Hoopman P, et al. Assessment of postoperative pain management: patient satisfaction and perceived helpfulness. Clinical Journal of Pain, 1997, 13(3): 229-236.
9. American Pain Society Quality of Care Committee. Quality improvement guidelines for the treatment of acute pain and cancer pain. Journal of the American Medical Association, 1995, 274(23): 1874-1880.
10. www.cityofhope.org.
11. www.xwyx.cn.
12. 赵三梅. 脐部外敷藏药独一味并深呼吸静息放松训练缓解癌性疼痛. 中国临床康复, 2004, 8(11): 2120.
13. 史崇清, 李峥. 自控镇痛患者对术前教育需求的调查. 现代护理, 2005, 11(20): 1694-1696.
14. 赵存凤, 姚梅芳, 赵继军, 等. 患者自控镇痛的问题分析与护理对策. 中华护理杂志, 2003, 38(3): 222-223.
15. 胡俊峰, 侯培森. 主编. 当代健康教育与健康促进. 北京: 人民卫生出版社, 2005. 36.
16. 刘争, 李玉, 刘治荣. 术前疼痛教育对腹部手术患者术后疼痛控制的影响. 华西医学, 2005, 20(3): 568-569.
17. Kuhn S, Coole K, Collins M, et al. Perceptions of pain relief after surgery. BMJ, 1990, 300(6741): 1687-1690.
18. Hader CF, Guy J. Your hand in pain management. Nursing Management, 2004, 35(11): 21-27.

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