The effect of clinical practice guideline for post operative pain management on patients receiving general anesthesia in Bamrasnaradura Infectious Disease Institute

Abstract

          Post operative pain is the most common problem in surgical patients. Pain is intense in the first 24 hours post operative. Good pain management will reduce the complications and hospital stay. This descriptive study is to study the satisfactory of pain management practices among patients and health professionals in Bamrasnaradura Infectious Institute. Total 36 patients who were undergone major surgery, 6 anesthetist nurses, and 23 registered nurses were enrolled in the study.

          Results; 68.6% of the patients had pain score 5-7. After 24 hours, pain score were reduced to 3-4. About 88.6% of patients were satisfied with pain management protocol. There are 8 steps in the protocol. 5 steps out of 8 steps were 62.5% in frequency of practice by anesthetist nurse. Post operative consultation for pain management needed only 33.3%. Most of the anesthetist nurses and registered nurses understand the pain management protocol and satisfy to practice with the protocol. Conclusion, patients and health professionals satisfy with the recent pain management protocol of Bamrasnaradura Infectious Institute. The update and improve of the protocol will help to maintain the standard practice of pain management.