Abstract
Background
There is minimal research on the effect of individualized preoperative education on
postoperative pain and postoperative pain medication intake.
Aim
The study objective was to assess the effect of individually tailored preoperative
education on postoperative pain severity, number of pain breakthroughs, and use of
pain medication in participants receiving the intervention compared to controls.
Methods
A pilot study with 200 participants was conducted. The experimental group received
an informational booklet and discussed their ideas surrounding pain and pain medication
with the researcher. Controls received no intervention. Postoperative pain severity
was measured by a Numerical Rating System (NRS), which was divided into mild (NRS
1-3), moderate (NRS 4-6), and severe (NRS 7-10).
Results
In the participant cohort, 68.8% of participants were male, and the average age was
60.48±10.7. Average postoperative 48-hour cumulative pain scores were lower in those
who received the intervention compared to controls; 50.0 (IQR 35.8-60.0) vs. 65 (IQR
51.0-73.0; p < .01) participants who received the intervention had less frequent pain breakthroughs
when compared to controls (3.0 [IQR 2.0-5.0] vs. 6.0 [IQR 4.0-8.0; p < .01]). There was no significant difference in the amount of pain medication taken
by either group.
Conclusions
Participants who receive individualized preoperative pain education are more likely
to have decreased postoperative pain.
Key Words
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Article info
Publication history
Published online: March 18, 2023
Accepted:
February 6,
2023
Received in revised form:
January 8,
2023
Received:
May 8,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of American Society for Pain Management Nursing.
