Post-Operative Pain after Caesarean Delivery: Initial Assessment for Quality Improvement.
| Autor: | Elsous, Aymen, Mohsen, Samah, Mokayad, Seham, Ouda, Mahmoud, Al-Sheikh, Mohammed |
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| Předmět: |
ANALGESIA
ANALGESICS CESAREAN section EMOTIONS INTERVIEWING PATIENT satisfaction PATIENTS POSTOPERATIVE pain POSTOPERATIVE period PREGNANT women QUALITY assurance QUESTIONNAIRES STATISTICAL sampling SLEEP SURGERY HOSPITAL maternity services PAIN management PAIN measurement VISUAL analog scale CROSS-sectional method PHYSICAL activity DATA analysis software DESCRIPTIVE statistics |
| Zdroj: | International Journal of Caring Sciences; Jan-Apr2018, p136-144, 9p, 2 Charts, 5 Graphs |
| Abstrakt: | Background: Pain is usually a common symptom of any disorder especially after surgery, in which pain management is a critical component of health care quality. Objective: The aim of this study was to assess post-operative pain for women underwent caesarean section in the Shifa Medical Complex (Gyn/Obst wards). Methods: This was a hospital-based cross-sectional study. Two hundred seven women who had undergone caesarean delivery were included in the study and interviewed on their first postoperative day using the American Pain Society/Patient Outcome Questionnaire. Results: Response rate was 86.2%. Mean age was 28.1 ±6.5 years old. One hundred nine (46.1%) reported severe pain on Visual Analog Scale (VAS ≥ 8). Mean pain intensity in the first 24 hours after surgery was 7±2 out of 10 on the VAS. Women reported moderate interference of pain with activity and sleep pattern (5.88±2.85 and 5.78±2.91 respectively out of 10 on the VAS). Women (78.2%) did not involve in the decision of pain management, however they reported satisfaction. Conclusion: Post-operative pain control was sub-optimal, however the patients reported satisfaction. Education of nurses and physicians on pharmacology of analgesics and tranquilizers and on non-pharmacological measures are recommended. A unify pain management policy and protocol is urgently needed to ensure safe practice. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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