Sınmaz Tuğba, Akansel Neriman
Department of Surgical Nursing, Istanbul University- Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Turkey.
Department Nursing, Bursa Uludag University Faculty of Health Sciences, Bursa, Turkey.
J Perianesth Nurs. 2021 Dec;36(6):647-655. doi: 10.1016/j.jopan.2021.01.009. Epub 2021 Aug 25.
The descriptive study was performed to assess patients' pain experienced in the early postoperative period of a lumbar disc herniation surgery and their satisfaction with the pain management administered.
This was a descriptive and cross-sectional study conducted from May 8 to November 8, 2017.
Data collection was performed during interviews through the Patient Information Form (20 questions), Turkish version of clinical quality indicators in the Postoperative Pain Management questionnaire (19 questions). The questionnaire included 14 items and 3 subdimensions named nursing interventions, pain management, and the environment. The remaining 5 questions were related to pain management satisfaction and pain severity. Questionnaire items scored on a 1 to 5 Likert scale. The higher the total score obtained from the questionnaire is the satisfaction with pain management increases.
The mean score obtained from the total questionnaire was 51.4 (standard deviation: 6.6).Characteristics of patients with lumbar disc herniation did not influence the total score obtained from the instrument and its sub-dimensions (P > .05). Overall satisfaction with pain management was high (mean: 8.3; standard deviation: 1.6) on the 0 to 10 visual analog scale. There was a statistically significant difference between the length of hospital stay, the type of anesthesia used, having more pain than expected, and the satisfaction score of patients (P < .05). As the length of procedure increases, the average and current pain scores increase as well (P < .05).
Results of this study indicate that despite pain experienced after the lumbar disc herniation surgery, patients' satisfaction with pain management was high. Encouraging nurses to implement systematic and evidence-based practices in pain management may help alleviate patients' pain after surgery and reduce variety of pain management practices among nurses.
进行描述性研究以评估腰椎间盘突出症手术后早期患者经历的疼痛以及他们对所给予的疼痛管理的满意度。
这是一项于2017年5月8日至11月8日进行的描述性横断面研究。
通过患者信息表（20个问题）、术后疼痛管理问卷中土耳其语版临床质量指标（19个问题）在访谈期间收集数据。该问卷包括14个项目以及名为护理干预、疼痛管理和环境的3个子维度。其余5个问题与疼痛管理满意度和疼痛严重程度相关。问卷项目采用1至5李克特量表评分。问卷获得的总分越高，对疼痛管理的满意度越高。
问卷总分的平均得分为51.4（标准差：6.6）。腰椎间盘突出症患者的特征不影响从该工具及其子维度获得的总分（P>.05）。在0至10视觉模拟量表上，对疼痛管理的总体满意度较高（均值：8.3；标准差：1.6）。住院时间、所用麻醉类型、疼痛比预期更严重与患者满意度得分之间存在统计学显著差异（P<.05）。随着手术时间延长，平均疼痛评分和当前疼痛评分也会升高（P<.05）。
本研究结果表明，尽管腰椎间盘突出症手术后患者经历了疼痛，但他们对疼痛管理的满意度较高。鼓励护士在疼痛管理中实施系统的循证实践可能有助于减轻患者术后疼痛并减少护士之间各种不同的疼痛管理做法。
