Patient’s belief towards pain management may affect pain management outcomes and quality of life. The main aim of the present study was to determine the impact of a pre-operative pain education package towards pain belief among patients undergoing orthopaedic surgery in a tertiary hospital. A one-group pre-test post-test design study was conducted on orthopaedic surgery patients. Thirty respondents were recruited and pre-operative pain education was administered individually before surgery. Pre-operative and post-operative pain belief, management scores and side effects were measured using the Barrier Questionnaire (BQ-13). The results reported significant differences between pre-test scores (Mean = 41.87, Standard Deviation = 11.467) and post-test scores (Mean=34.80, Standard Deviation=13.026) of pain belief (t = 2.84, p = 0.004). There were also significant differences between pre-test scores (Mean = 37.10, Standard Deviation = 10.610) and post-test scores (Mean=30.80, Standard Deviation = 11.424) of pain management (t = 3.856, p = 0.0005). Respondent’s gender (t = -2.403, p = 0.023) and ethnicity (F = 5.038, p=0.014) reported significant differences with p value < 0.05, respectively. However, there were no significant differences between educational level, ethnicity, prior surgical history with pain belief (p> 0.05). There was positive impact of the pain education package towards pain belief and painmanagement among respondents who underwent orthopaedics surgery in a tertiary hospital. Reinforcement of pain educational program is pivotal in order to achieve optimal post-operative pain management.
The Impact of a Patient Education Package on Outcomes of Pain Management Following Orthopaedic Surgery in a Tertiary Hospital in Malaysia
Author
Abstrak
epercayaan pesakit terhadap pengurusan kesakitan boleh menjejaskan hasil pengurusan kesakitan dan kualiti hidup. Tujuan kajian ini dijalankan adalah untuk menentukan kesan pakej pendidikan pra-operasi sakit ke arah kepercayaan kesakitan dalam kalangan pesakit-pesakit yang menjalani pembedahan ortopedik di hospital tertiari. Reka bentuk kajian ‘pre-test pos-test’ satu-kumpulan dijalankan pada pesakit-pesakit untuk menentukan impak pakej pendidikan tentang kesakitan terhadap skor ‘post-test’ kepercayaan tentang kesakitan dalam kalangan pesakit yang menjalani pembedahan ortopedik. Tiga puluh responden telah diambil menggunakan ‘convenience sampling’. Pendidikan tentang kesakitan sebelum pembedahan berkaitan dengan pengurusan kesakitan diberikan kepada respons.Skor kepercayaan pra-operasi dan pos-operasi sakit, pengurusan markah dan kesan-kesan sampingan telah diukur dengan menggunakan borang soal-selidik halangan (BQ-13). Keputusan melaporkan perbezaan yang signifikan antara skor ‘pre-test’ (Mean = 41.87, Standard Deviation = 11.467) dan ‘post-test’ (Mean = 34,80, Standard Deviation = 13.026) kepercayaan terhadap kesakitan (t = 2.84, p =0.004). Terdapat juga perbezaan yang signifikan antara skor ‘pre-test’ (Mean = 37.10, Standard Deviation = 10.610) dan skor ‘post-test’ (Mean = 30.80, Standard Deviation = 11.424), pengurusan kesakitan (t = 3.856, p =0.0005). Responden dan jantina (t =-2.403, p =0.023) dan bangsa (F = 5.038, p =0.014) melaporkan perbezaan yang signifikan iaitu p < 0.05. Bagaimanapun, tidak terdapat perbezaan yang signifikan antara tahap pendidikan, etnik, sejarah pembedahan terlebih dahulu dengan kepercayaan kesakitan dengan p > 0.05. Kesimpulannya, terdapat kesan positif daripada pakej pendidikan kesihatan berkenaan kepercayaan kesakitan dan pengurusan kesakitan responden yang telah menjalani pembedahan ortopedik di hospital tertiari. Pengukuhan program pendidikan kesakitan adalah penting untuk mencapai matlamat pengurusan kesakitan pos-operasi yang optimum.
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