妇科患者对术后疼痛及其管理的态度、信念和期望。

Attitudes, beliefs, and expectations of gynecological patients toward postoperative pain and its managementt.

作者信息

Nimmaanrat Sasikaan, Liabsuetrakul Tippawan, Uakritdathikarn Thida, Wasinwong Wirat

机构信息

Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.

出版信息

J Med Assoc Thai. 2007 Nov;90(11):2344-51.

PMID:18181318

Abstract

OBJECTIVE

To examine the attitudes, beliefs, and expectations of gynecological patients regarding postoperative pain and management.

MATERIAL AND METHOD

A prospective study performed in 112 patients undergoing major gynecological surgery, using a preoperative questionnaire regarding expectations toward postoperative pain and management and a postoperative questionnaire regarding actual pain experience, attitudes, and beliefs about pain and management.

RESULTS

The majority expected (92%) and experienced (89%) postoperative pain at moderate to very severe levels. The median visual analog scales (VAS) of expected and maximum experienced pain were 6.4 and 6 6, respectively. Ninety-eight percent reported at least moderate pain relief from the analgesics administered. Ninety-two percent were satisfied with their pain management. A significant number held misconceptions about postoperative pain and its management.

CONCLUSION

Patients should be preoperatively advised regarding postoperative pain and management. Misunderstandings should be corrected to improve the quality and adequacy of postoperative pain management.

摘要