Predicting Factors of Pain and Pain Management Behaviors in Working-age Patients undergoing Major Abdominal Surgery

Authors

  • Premrudee Sriwichai Boromarajonani College of Nursing, Phayao, Faculty of Nursing, Praboromarajchanok Institute https://orcid.org/0000-0001-6649-1138
  • Kanjana Sajai Boromarajonani College of Nursing, Phayao, Faculty of Nursing, Praboromarajchanok Institute
  • Jeeranan Saklaw Boromarajonani College of Nursing, Phayao, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Pain, Disturbances, Severity of pain, Pain management, Patients undergoing major abdominal surgery

Abstract

The objective of this study was to study predicting factors of pain and pain management behaviors of working-age patients undergoing major abdominal surgery. The sample consisted of 100 patients who underwent major abdominal surgery. Data were collected by using personal data record form, pain questionnaire, Disturbance Perception Questionnaire Pain severity perception questionnaire, Pain Management Questionnaire, and Patient Expectation Questionnaire for pain management. Data were analyzed by using descriptive statistics, Pearson’s correlation, and predicting factors using Stepwise Multiple Regression.

The study results showed that perceived disturbances and pain management had a low positive correlation with pain in working-age patients undergoing major abdominal surgery (r = .22 p<.05; r = .21 p<.05, respectively). Pain severity had a moderate positive correlation with pain (r = .66, p<.05). The type of surgery had a low negative correlation with pain (r = .24, p<.05). The severity of pain and type of surgery predict the pain of patients who have undergone major abdominal surgery accounted for 41.80%. Recommendations: Nurses should pay attention to evaluate the severity of pain and encourage patients to understand self-pain management to effectively reduce pain.

Author Biography

Premrudee Sriwichai, Boromarajonani College of Nursing, Phayao, Faculty of Nursing, Praboromarajchanok Institute

-

References

Potter P. A, & Perry G. A. Basic nursing: Essentials for practice (7th ed.). St. Louis: Mosby; 2007.

Good M, Stanton-Hicks M, Grass J. A, Anderson G.C, Makii, M, & Geras J. Pain after gynecologic surgery. Pain Management Nursing. 2000; 1(3): 96-104.

Good M, Stanten-Hicks M, Grass JA, et al. Pain outcomes after intestinal surgery. Manag Nurs Pract. 2001; 5(1): 41-6.

Kumar K.H, & Elavarasi P. Definition of pain and classification of pain disorders. Journal of Advanced Clinical & Research Insights. 2016; 3: 87-90.

Mc Guire H. B. Comprehensive and multidimensional assessment and measurement of pain. Journal of Pain and Symptom Management. 1992; 7: 312-19.

Stephan M. F, & Esther P.Z. Pain therapy to reduce perioperative complications. Innovative Surgical Sciences. 2019; 4(4): 158-66.

Good M, Stanton-Hicks M, Grass J. A, Anderson, G.C, Makii, M, & Geras J. Pain after gynecologic surgery. Pain Management Nursing. 2000; 1(3): 96-104.

Lawrence VA, Hilsenbeck SG, Mulrow CD, Dhanda R, Sapp J, & Page CP. Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery. Journal of General Internal Medicine. 1995; 10: 671-8

Medical records and statistics from 2019 to 2020. Phayao Hospital; (in Thai)

Siriburanonta S, Toskulkao T, & Satayawiwat W. The development of a Clinical Nursing Practice Guideline for pain management in elderly patients undergoing major abdominal surgery. 2009; 27(3): 33-41. (in Thai)

Sawangchai J, & Ngamkham S. Postoperative pain in patients after abdominal surgery at Sawanpracharak Hospital. Journal of Health Science Research. 2017; 11(Special Edition): 1-11. (in Thai)

Rattanapathumwong P, & Yooujaiyen M. Developement of Clinical Practice Guidelines for pain management among postoperative patience in the Post-Anesthesia Care Unit in Ranong Hospital. Journal of Boromarajonani College of Nursing, Bangkok. 2014; 30(1): 86-99. (in Thai)

Ummarinphonchai P. The effectiveness of nursing system on pain management in patients with acute pain. Master of Nursing Science at Rangsit University; 2014. (in Thai)

Pongam S, Chatchumni M. The study of post-surgical complications, pain levels, length of stay, and hospitalization costs of post-abdominal surgery patients Singburi Hospital. 2022, 3(3): 49-63. (in Thai)

Dodd M, Janson S, Facione N, Faucett J, Froelicher E, Hamphreys, J, et. al. Advancing the science of symptom management. Journal of Advanced Nursing. 2001; 33(5): 668-76.

Maneewong J, Panphu k, & Phorang R. The Correlation between pain perception and pain management in elderly patients undergoing surgery at a tertiary level hospital. Journal of Nursing Siam University. 2020; 21(41): 29-40. (in Thai)

Wattanabenjasopa S. Effects of supportive psychotherapy group on hope of cervical cancer patients receiving radiotherapy. Master of Nursing Science at Chiangmai University; 2008. (in Thai)

Gilstrap L. C, Cunningham F. G. & VanDorsten J. P. Obstetric hysterectomy. In L. C. Gilstrap, F. G. Cunningham & J. P.VanDorsten (Eds.), Operative obstetrics. (2nded. pp. 275-292). New York: McGraw-Hill; 2002.

Kunwee A, Pakdevong N, & Binhosen V. Pain management situation In recovery room for persons received general anesthesia. Journal of Bamrasnaradura Infectious Diseases Institute. 2012; 6(3): 1-8. (in Thai)

Bridges J, Flatley M, & Meyer J. (2010). Older people ‘s and relatives’ experiences in acute care setting: Systematic review and synthesis. International Journal of Nursing Studies. 2010; 47: 87-107.

Lindberg M. K, Miiaskowski C, Rustoen, T, Rosseland, L. A, Paul, S. M, & Lerdal. A. Preoperative pain, symtoms, and psychological factors related to higher acute pain trajectories during hos-pitalization for total knee arthroplasty. PLOS ONE.2016; 11(90): 161-81.

Khoyun S, Poothawee W, & Srisoy A. Effect of post-operative recovery program with the use of easy walk equipment to prevent complications in abdominal surgery. Srinagarind Medical Journal. 2019; 34(4): 386-92. (in Thai)

Lazopoulos A, Baebetakis N, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, Zarogoulidis, P. Open thoracotomy for pneumothorax. Journal of Thoracic Disease. 2015; 7(S1), S50-S5.

Unnapirak L. Pathophysiology for Nurses. (10thed). Bangkok: V.Print Co., Ltd; 2015. (in Thai)

Paorohit W, & Booncharoenpanich S. Quality of life of air force retirees and families with chronic illness received palliative care. Journal of The Royal Thai Army Nurses. 2017; 18(3): 244-50. (in Thai)

Veerahpong N. Safe care for the elderly with complications after spinal surgery. Journal of The Royal Thai Army Nurses. 2019; 20(3): 62-71. (in Thai)

Downloads

Published

01-09-2023

How to Cite

1.
Sriwichai P, Sajai K, Saklaw J. Predicting Factors of Pain and Pain Management Behaviors in Working-age Patients undergoing Major Abdominal Surgery. J Royal Thai Army Nurses [Internet]. 2023 Sep. 1 [cited 2024 Nov. 19];24(2):88-97. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262692

Issue

Section

Research Articles