Pain Management of Postoperative in Bamrasnaradura Infectious Disease Institute

Abstract

           There is clear management guideline for postoperative pain management for Bamrasnaradura Infectious Diseases Institute. However, there are some lack in the continuity of pain management and lack of process evaluation. The purpose of this study was to present the results of postoperative pain management in Bamrasnaradura Infectious Diseases Institute. The study subjects were postoperative patients admitted to Bamrasnaradura Institute during April-September 2017, Purposive sampling of subjects were done in surgical ward, private surgical ward and obstetric ward. The total number of sample was 75. The records form included personal details, pain management related process and the results of pain management were used. Data were analyzed using descriptive statistics.
          The study found that nurses use pain assessment tools and recorded pain assessment 100% at 24 and 48 hours postoperative, while reduce to 98.7% after 72 hours post-surgery. For continuous pain assessment (at least 3 times daily). In 24, 48 and 72 hours after surgery were 62.7%, 48.0% and 42.7% respectively. However, reassessment of pain for more than one time at 24, 48 and 72 hours after surgery were found to be less effective (29.3%, 20.0% and 22.7%, respectively). The method of administering intravenous infection by time interval were the commonest pain management method. The most commonly non-drug-based pain relief method is to arrange the posture of patients, a hot or cold compress. Results showed that the highest mean pain scores was at 24 hours. The mean postoperative pain scores were 4.32, 3.64 and 3.21, by 24, 48 and 72 hours respectively. The lowest pain scores were 2.05, 1.87 and 1.66.
           The results show that nurses should focus on continuous management of pain focus on continuous management of pain and reassessment after pain management. Development of a non-during-based pain management model will improve the effectiveness of pain management for Bamrasnaradura Infectious Diseases Institute. The results show that nurses should focus on continuous management of pain focus on continuous management of pain and reassessment after pain management. Development of a non-during-based pain management model will improve the effectiveness of pain management for Bamrasnaradura Infectious Diseases Institute.