School of Nursing, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Department of Quality, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, 21224, USA.
Pain Manag Nurs. 2024 Oct;25(5):451-458. doi: 10.1016/j.pmn.2024.04.008. Epub 2024 May 7.
Effective pain management following discharge is critical for postoperative recovery, with pain self-efficacy serving as a crucial component in this process. Patient education plays a key role in enhancing self-efficacy. Among various educational modalities, a growing body of evidence supports the efficacy of video-based methods.
A lack of evidence-based pain education programs for patients undergoing elective orthopedic surgery was identified at an urban academic hospital on the East Coast of the United States. This quality improvement project aimed to develop and assess a video-based pain education program, focusing on pain self-efficacy and self-reported preparedness among adult patients prescribed opioids for postsurgical pain.
This project adopted a pretest-posttest design, utilizing the knowledge-to-action framework. Data collection spanned 3 months. Among the 69 patients screened for eligibility, 13 participants were included in the analysis. The primary intervention consisted of a 15-minute educational video covering essential pain management aspects. Following the intervention, pain self-efficacy and self-reported preparedness were evaluated using the Pain Self-Efficacy Questionnaire and a five-point Likert scale, respectively.
Median (IQR) scores on the Pain Self-Efficacy Questionnaire increased significantly from 20 (16) to 32 (14) (p < .01). Mean (SD) scores for patients' self-reported preparedness also increased from 21.92 (6.53) to 31.85 (2.41) (p < .01). All participants reported being satisfied or very satisfied with the educational intervention.
Video-based education is a time-efficient and cost-effective approach. Healthcare providers can consider integrating video education to enhance pain self-efficacy in the postoperative phase, thus enhancing postsurgical pain outcomes and overall recovery experience.
术后有效的疼痛管理对术后恢复至关重要，而疼痛自我效能感是这一过程的关键组成部分。患者教育在增强自我效能感方面起着关键作用。在各种教育模式中，越来越多的证据支持基于视频的方法的有效性。
在美国东海岸的一家城市学术医院，发现了缺乏针对择期骨科手术患者的基于证据的疼痛教育计划。这个质量改进项目旨在开发和评估一个基于视频的疼痛教育计划，重点是评估接受阿片类药物治疗术后疼痛的成年患者的疼痛自我效能感和自我报告的准备情况。
该项目采用了预测试-后测试设计，利用知识转化框架。数据收集跨越了 3 个月。在筛选出的 69 名符合条件的患者中，有 13 名参与者被纳入分析。主要干预措施包括一个 15 分钟的教育视频，涵盖了基本的疼痛管理方面。干预后，使用疼痛自我效能感问卷和五分制量表分别评估疼痛自我效能感和自我报告的准备情况。
疼痛自我效能感问卷的中位数（IQR）评分从 20（16）显著增加到 32（14）（p <.01）。患者自我报告准备情况的平均（SD）评分也从 21.92（6.53）增加到 31.85（2.41）（p <.01）。所有参与者都报告对教育干预非常满意或满意。
基于视频的教育是一种高效且具有成本效益的方法。医疗保健提供者可以考虑整合视频教育，以提高术后阶段的疼痛自我效能感，从而改善术后疼痛结局和整体康复体验。
