การประเมินการใช้แนวปฏิบัติการจัดการความปวดในผู้ป่วยที่ได้รับการผ่าตัดทางกระดูกและข้อ The evaluation of Pain Management Guideline in Patients With Orthopedic Surgery

Abstract

This quasi - experimental research aimed to investigate the effectiveness of a pain management guidelines in patients undergoing orthopedic surgery upon pain severity, adequacy and satisfaction of pain management within 72 hours after surgery.  Participants consisted of 65 patients undergoing orthopedic surgery who met the inclusion criteria and 15 nurses who cared for them. Data were collected during June to December 2015 at Saint Louis Hospital. The interventional instrument was pain management guidelines in patients with orthopedic surgery. Instruments used for data collection were the demographic characteristics questionnaire, the pain scale, the adequacy of pain management questionnaire, and the patients’ and nurses’ satisfaction of pain management guidelines. Data were analyzed using descriptive statistics. The results revealed that participants perceived a low level of pain; had adequate pain management, and were satisfied with the pain management guidelines at a high level (Mean = 4.37; SD = 0.54). The overall score of nurses’ satisfaction of the pain management guidelines was high (Mean = 4.53; SD = 0.51), and the highest part was the pre-operative provision of information and knowledge on pain and it's established Pain Management Guidelines management (Mean = 4.73; SD = 0.45). Based on these findings, it suggested that the guideline can be utilized to improve the quality of postoperative pain management for patients undergoing orthopedic surgery.