Patient Satisfaction with Postoperative Pain Management and its Associated Factors in Adult Patients Undergoing Elective Surgery at Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia
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Date
2021-11
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Addis Ababa University
Abstract
Background: Patient satisfaction with postoperative pain management is a relevant but difficult measure of quality of care. It is a complex concept which highly depends on subjective judgment and is influenced by emotional feelings, sociocultural values and expectations.
However, data regarding this issue is limited in the study area. Therefore, generating data in terms of patients’ satisfaction will reduce this limitation. It will also have a significant input in the formulation of appropriate strategy to modify and transform the overall post-operative pain management in to one that is patient centered.
Objective: Assess level of patients` satisfaction and its associated factors in adult patients who underwent elective surgery at Tikur Anbessa Specialized Hospital from June 1 to September 15, 2021 GC.
Methods: An institution-based cross-sectional study was conducted from June 1 to September 15 2021 at Addis Ababa University, TASH using the APS-POQ-R tool. Trained data collectors approached participants within 24-72 hours of surgery for interview. Data was entered, cleaned and analyzed using SPSS version 25 software. Level of satisfaction was dichotomized in to
high and low satisfaction using the median split technique. Bivariate and Multivariate Binary logistic regression and Pearson`s correlation tests were done to identify factors associated with level of patient satisfaction. One way ANOVA and Mann Whitney- U tests were done to reveal differences in pain intensity and satisfaction across different groups of independent variables.
P values less than 0.05 were considered significant throughout the analysis. Results were presented using texts, tables, charts and graphs.
Results: Reliability test showed, the APS-POQ-R tool had good internal consistency (Cronbach’s α= 0.84). A total of 335 individuals participated in the study (98.5% response rate). Only 19% of the participants had information about their pain management. The mean satisfaction score was 7.13 (SD±2.23) respectively. The proportion of patients with high satisfaction was 57.3%. Satisfaction scores were higher in Obstetrics, Gynecology and Urology
patients than Orthopedic patients (ANOVA, p<0.05). Female sex, increased degree of pain relief and use of non-pharmacological pain relief methods were significantly associated with high level of satisfaction (p<0.05). Higher preoperative and postoperative pain level, longer duration of surgery, increased levels of affective behaviors and adverse effects had inverse
relation with patients` satisfaction (P<0.05). Conclusion: Compared to similar studies, satisfaction of patients with postoperative pain management was substantially low in this study. Presence of high intensity of pain was an important factor for this finding. A huge gap in information provision regarding patients’ pain management was also observed. In order to alleviate these problems, we recommend for nurses and physicians to provide the necessary information on the available pain treatment modalities and conduct a thorough evaluation and management of preoperative and postoperative pain.
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Keywords
Postoperative Pain Management,Patient Satisfaction