Postoperative Pain Management of Appendicitis Patients without Ruptured Appendicitis in the Recovery Room, Anesthesiology Department, Krabi Hospital

Abstract

          This research aimed to study postoperative pain management for appendicitis patients without ruptured appendicitis in Recovery room anesthesiology department, Krabi Hospital. The sample consisted of
168 appendicitis patients who were admitted in recovery room, anesthesiology department in Krabi Hospital
from April to June 2016 and 10 nurse anesthetists who practiced in the same department. Tools used in the
research implementation were anesthetic record form, post anesthetic recovery record form, pain assessment form, the questionnaires for nurse anesthetists in postoperative pain management. Data were analyzed using mean, percentage, standard deviation and paired sample t- test. The results of this study revealed as follows.
          1. Postoperative pain management consisted of local anesthesia at surgical site, pain score evaluation immediately after surgery, every 15 minutes and before discharging from the recovery room. Postoperative pain management follows severity of pain: 1) mild pain (score 1-3) nonpharmacological therapy, 2) moderate pain (pain score 4-6) weak opioids and nonpharmacological therapy, 3) severe pain (pain score 7-10) strong opioids, fowler’s position, deviation, cold compression, monitoring of adverse drug reaction and nursing care.
         2. Postoperative pain management outcome : 69.6% of patients with mild pain did not recieve any analyesics, 24.4% of patients with moderate to severe pain recieved 3 mg of morphine as well as 6% of those
recieved 20 mg of pethidine. One to postoperative pain management in the study, pain score was reduced
significantly Therefore, postoperative pain management of appendicitis patients without ruptured appendicitis in recovery room will help the patients get better from pain suffering, sleep sufficiently and recover from surgery soon.