Assessement of Pain Severity and Associated Factors among Post-operative Adult Patients in Public Hospitals of Addis Ababa, Ethiopia, 2021.
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Date
2021-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Post-operative pain management is one of the key responsibilities of health
professionals. Failure to manage post-operative pain effectively will lead to increase morbidity
and mortality, long hospital stay, increase health care cost, and patient dissatisfaction. Despite
improved understanding of pain mechanism, advances in pain management approach, and other
focused initiatives large proportion of post-operative patient’s reports pain after surgery.
Therefore the major aim of this study was to assess pain severity and associated factors among
post-operative adult patients in public hospitals of Addis Ababa.
Methods and materials: Facility-based cross-sectional study was conducted. The single
population proportion formula was used to calculate the sample size. A total of 414 study
participants were involved. Simple random sampling was used to select study participants. The
data was collected by the standard questioner and checklist. The collected data were entered,
cleaned, and analyzed by SPSS version 24.0 statistical software. Descriptive results were
presented by tables and figures. Bi-variable analysis was employed to select independent
predictors of pain severity and multivariable regression used to measure the association between
independent and dependent variables. On bi-variable analysis, those variables with a value less
than 0.20 were entered on multi-variable analysis. Finally, variables with a p-value < 0.05 were
declared as independent predictors of the outcome variables. The model fitness test was checked
by Hosmer and Lemeshow's goodness-of-fit test.
Results: a total of 406 study participants have responded to the interview giving a response rate
of 98%. The overall incidence of moderate to severe pain was 85.5%. Preoperative analgesia
adjusted odds ratio (confidence interval), 0.236(0.065-0.863), preoperative anxiety, 5.468(1.34122.303),
general
surgery
7.627(1.901-30.602),
orthopedics
surgery,
7.195(1.055-49.094),
size
of
the
incision,
5.086(1.352-19.135),
and
post-operative
analgesia;
none
steroidal
anti-inflammatory
drugs
5.611(2.000-15.737), and tramadol, 4.714(1.506-14.753) was independent predictors of
postoperative moderate to severe pain.
Conclusion: - The study revealed that the overall incidence of postoperative pain was high in the
study area. This reflects attention given to postoperative pain management is low. Preoperative
analgesia, preoperative anxiety surgery type, incision length, and postoperative analgesia were
independent predictors of postoperative pain.
Description
Keywords
Pain severity, post operative pain, type of surgery