The Relationship between Pain Management, Pain scores and Patient Satisfaction among Musculoskeletal Injury Patients from Accidents in the Emergency Department of Somdech Phra Pinklao Hospital
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Abstract
Pain is a common symptom frequently encountered in emergency departments, especially among patients suffering from musculoskeletal injuries caused by accidents, which are increasingly prevalent. Despite this, pain management approaches remain inconsistent, resulting in some patients receiving inadequate care and potentially affecting the quality of treatment and patient satisfaction. Somdech Phra Pinklao Hospital has one of the highest numbers of such cases in its emergency department, highlighting the need for effective pain management strategies tailored to patient needs. This study aimed to investigate the relationship between pain management, pain scores, and patient satisfaction, as well as to compare satisfaction levels between patients whose pain decreased and those whose pain remained unchanged after receiving treatment. A cross-sectional analytical study was conducted involving 155 patients with pain scores of 4 or above due to musculoskeletal injuries. Pain management methods included pharmacological interventions (opioids and non-opioids) and non-pharmacological interventions (local anesthesia and immobilization). Data were obtained from medical records and a 12-item satisfaction questionnaire. Univariable and multivariable linear regression analyses were used to assess relationships between pain management and outcomes. The Mann–Whitney U test was applied to compare satisfaction scores between groups. The findings revealed that opioid use and immobilization were significantly associated with reduced pain levels (95% CI: -2.296, -0.164; p < .05 and 95% CI: 0.25, 1.86; p < .05, respectively). However, no significant association was found between pain management methods and overall patient satisfaction, and there was no significant difference in satisfaction between patients whose pain levels decreased and those whose pain did not. In summary, opioid administration and immobilization play an important role in pain reduction, but reduced pain does not necessarily lead to greater patient satisfaction. Other influencing factors should be considered when evaluating patient satisfaction with pain management.
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