Assessment of prevalence and associated risk factors of post-operative pain among adultpatients at Dagmawi Menelik Referral Hospital, Addis Ababa, Ethiopia
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Date
2018-06
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Addis Ababa Universty
Abstract
Background: Pain is a sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage according to Association of the Study of Pain. It is very common in almost all surgeries.
Inability to identify perioperative and medical factors lead to poor pain management which results in suffering, increased risk of morbidity and mortality, longer hospital stay and higher cost.
Despite advances in medical science inadequate post-operative pain management exists in developed and developing countries including Ethiopia
Objective: The aim of this study is to assess postoperative pain prevalence and associated risk factors among adult patients at Dagmawi Menelik Referral Hospital, Addis Ababa Ethiopia.
Methods: Institutional based cross sectional study was conducted at Dagmawi Menelik Referral Hospital from December, 20, 2017 to March 20. 2018.
Data were collected by administering questionnaires via interview and reviewing the patients chart after taking consent. Numeric rating scale was used to assess the level of pain.
Data was entered and analyzed using statistical package for social science (SPSS) version
20. Binary logistic regression was used to determine statistical significance between dependent and each independent variable. P-value 0.05 and 95% CI was used as cut off point.
Results
Incision length of less than 5cm and (5-10cm) had equal number of patients 60 (39.5%) each. While greater than10 cm surgical site incisional length was 32(21.1%).
Intra-abdominal (72.2%) and cardiothoracic (75%) procedures reported the most amounts of patients complaining moderate to severe pain. The least moderate to severe pain was among orthopedic (36.8%) surgery.
Conclusion: The prevalence of moderate to severe pain was found to be 28.3% at 2 hour postoperatively at after the end of surgery, 55.9% at 12 hour and 32.2% at 24 hour.
The result revealed that type of anesthesia and incision length were signicantly4 associated with postoperative pain (OR: 0.03, 95% CI: 0.004- 0.180, p<0.001), (OR: 2.6, 95% CI: 1.029-6.355, p<0.043) respectively
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Keywords
Adult Patients,anesthesia