Effect of Clinical Practice Guidelines Developed Base in Evidence-Based Practice for Postoperative Pain Management in Patients Who Underwent Orthopedic Surgery

Tuesday, 31 July 2012: 2:20 PM

Chintana Phannetr, RN
Department of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi, Thailand

Learning Objective 1: The learner will be able to reduced painscore in the intervention group compared with control group over five days after surgery.

Learning Objective 2: The learner will be able to have more satisfaction on painmanagement of experimental group than the control group.

Effective pain management has been shown to promote earlier ambulation and reduced postoperative complications. However, pain management in patients who underwent orthopedic surgery remains an issue in nursing practice.

Purpose: This study were to assess pain scores on postoperative day 1 to day 5, to examine patients’ satisfaction on pain management, and to ascertain nurses’ satisfaction on the implementation of a CPG.

Methods: 42 samples from surgical units of a hospital in Thailand were  randomly assigned into the intervention group (21 participants received the CPG) and control group (21 participants received usual treatment).The CPG consisted of four stages including, pre-operative, peri-operative, postoperative at a recovery room, and postoperative at surgical units.Data were gathering by using the Numeric Pain Red Color Scale, the Patient’s Satisfaction Questionnaire, and the Nurses’ Satisfaction Questionnaire. Descriptive statistics, t-test, and  repeated measure ANOVA were conducted to analyze data.    

Results: The results were as follows:

     1.    Pain scores were significantly reduced in the intervention group compared with control group over five days after surgery (p < .05).

     2.    The experimental group had more significantly satisfaction on pain management than those in the control group (p < .05).

     3.     96.09 % of health care  providers satisfied with the CPG at a highest level and decided to continue practice following the CPG.

Conclusion: Results of the study are evidence-based practice in postoperative pain management for patients with orthopedic surgery. Application the evidence-based CPG and the Diffusion of Innovation Model can reduce postoperative pain, enhance patients’ satisfaction, increase nurses’ satisfaction, and promote nursing quality of care on postoperative pain management.