Process and Outcomes for Pain Management in Patients after Ophthalmic Surgery in Metta Pracharak Hospital (Wat Rai Khing)
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Abstract
Purpose: To study the process and pain management outcomes of patients' ophthalmic surgery 24, 48, and 72 hours after ophthalmic surgery.
Design: Retrospective study
Methods: A 3-year retrospective medical record study from 2019-2021 was conducted in 80 cases in patients' ophthalmic surgery. Using random sampling, collect data by case record form, including personal and health information, pain management outcomes, and pain management processes. This research tool was checked for content validity by three experts. The content validity was 1.0, .85, and .96, respectively. Data were analyzed using descriptive statistics and one sample t-test.
Results: Mean pain scores and pain control criteria (Pain score ≤ 3 points) after ophthalmic surgery patient with the highest pain score. By one sample t-test, it was found that 24 hours after surgery. Patients had pain scores higher than the pain control criteria. It was insignificant (p= .244) and 48 and 72 hours after surgery. It was found that patients' pain scores were in the pain control criteria with statistical significance (p= .001 and .001, respectively). Conclusion: After ophthalmic surgery, within the first 24 hours after surgery, the patient had a pain score >3. Because it is an ophthalmic surgery causing the tissue around the eyes to be destroyed from surgery, therefore, the nurse or the treating physician's Effective pain management should be appropriate for the patient.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
References
Balas, MC, Gerald LW, Linda D,Gerald C,Bram
R, Cherl JM, et al. Interpreting and
implementing the 2018 pain, agitation/
sedation, delirium, immobility, and
sleep disruption clinical practice
guideline. Crit Care Med 2018;46(9):1464-70.
Werner MU, Kongsgaard UE. I. Defining
persistent post-surgical pain: is an
update required?. Br J Anaesth.
;113(1):1-4.
Rawal N. Current issues in postoperative pain
management. Eur J Anaesthesiol
;33(3):160-71.
Atichart, S. Acute pain relief for nurses. in
the documents accompanying the
academic conference of Chonburi
Hospital at Dr. Suchin Phalakornkul’s
meeting room; 2011. [In Thai].
Guenter P, Jensen G, Patel V, Miller S,
Mogensen KM, Malone A, et al.
Addressing disease-related malnutrition
in hospitalized patients: a call for a
national goal. Jt Comm J Qual Patient
Saf 2019;41(10):469-73.
Rogers, Michael P,Paul C. Pain as the fifth
vital sign. J Am Coll Surg 2020;231(5):601-02.
Metta Pracharak Hospital (Wat Rai Khing).
Statistics of plastic and reconstructive
ophthalmic surgery patients, fiscal year
- 2021. Nakhon Pathom; 2021.
[In Thai].
Kannicha M. Practice Guidelines for Pain
Management. Metta Pracharak Hospital
(Wat Rai Khing); 2013. [In Thai].
Irvine D, Sidani S, Hall LM. Linking outcomes
to nurses’ roles in health care. Nurs
Econ 1998;16(2):58.
DeVellis RF, Thorpe CT. Scale development:
Theory and applications. Sage
Publications; 2021.
Jonglak R, Panarat J. Development of pain
management guidelines for Nurses at
King Taksin Hospital. Chiang Rai Med J
;13(1):182-99. [In Thai].
Molao C, Mmoloki T. Postoperative eye care
in Botswana: the role of ophthalmic
nurses. Community Eye Health
;33(1):52.
Elliott DB. Clinical procedures in primary eye
care E-Book. Elsevier Health Sciences;
Puntillo F, Giglio M, Varrassi G. The routes of
administration for acute postoperative
p a i n m e d i c a t i o n . P a i n T h e r
;10(2):909-25.
Freys SM, Pogatzki-Zahn E. Pain therapy to
reduce perioperative complications.
Innov Surg Sci 2019;4(4):158-66.
Das S, Mitra K, Mandal M. Sample size
calculation: Basic principles. Indian J
Anaesth 2016;60(9):652-65.
Porela-Tiihonen S, Kaarniranta K, Kokki M,
Purhonen S, Kokki H. A prospective
study on postoperative pain after
cataract surgery. Clin Ophthalmol 2019;
(3):1429-35.
Lesin M, Dzaja Lozo M, Duplancic-Sundov Z,
Dzaja I, Davidovic N, Banozic A, et al.
R i s k f a c t o r s a s s o c i a t e d w i t h
postoperative pain after ophthalmic
surgery: a prospective study. Ther Clin
Risk Manag 2018;21(1):93-102.
Kadović M, Ćorluka S, Dokuzović S. Nurses’
Assessments Versus Patients’ Self-
Assessments of Postoperative Pain:
Knowledge and Skills of Nurses for
Effective Pain Management. Int J
Environ Res Public Health 2023;20(9):568-79.
Marcotti A, Fernández-Trillo J, González A,
Vizcaíno-Escoto M, Ros-Arlanzón P,
Romero L, et al. TRPA1 modulation by
Sigma-1 receptor prevents oxaliplatininduced
painful peripheral neuropathy.
Brain 2023;146(2):475-91.
Brennan TJ. Pathophysiology of postoperative
pain. Pain 2011;152(3):33-40.