The Investigation Of Patient’s Postoperative Pain Control Situation And Satifaction In Bengbu Three General Hospitals

Background:With the continuous development of society, the requirements of pain control have become increasingly demanding. Postoperation pain is a complex human physiological and psychological reaction in the process of tissue damage and repair, which is confronted with problems of postperative patients. With the continuous development of medicine, people had sufficient cognition to brought to the body’s short-term and long-term adverse effects which came from postoperative pain. Due to the medical workers not enough emphasis and lack of knowledge on postoperative pain, underestimate the pain of the patient’s physical and mental damage, so that led to the improper measures of patients with postoperative pain management and caused the present situation of the lack of postoperative analgesia. Therefore, how to safe, effective, scientific for postoperative pain management is imperative. Severe pain not only can affect the sleep quality of patients, which also cause many adverse effects on the body, such as oxygen consumption increased. And it will produce adverse effects in the following aspects:cardiovascular and respiratory function, gastrointestinal motor function, urinary system, musculoskeletal system, neuroendocrine system, psychological mood and sleep. The most direct consequences are that it hider the postoperative patients’ incision healing, enhance the postoperative complications, affect the postoperative functional rehabilitation, extend the length of a patient’s hospital stay and increase medical expenses. In recent years, it will have pain control as one of the assessment index of evaluation of nursing quality management in some developed cities, but there are lack of related research in Anhui Province. The study aims to investigate and analysis the current state of the post-operative patients for pain control and postoperative pain control satisfaction and provide valuable theoretical basis for medical nursing intervention.Aims:By cross-sectional study, to understand the patients’ status with postoperative pain, postoperative pain control and pain control satisfaction at the tertiary hospitals in Bengbu, to analysis the influence factors of postoperative pain control and patient satisfaction, to provide the basis for clinical nursing of postoperative pain and to provide data for the study of pain.Methods:325 inpatients on their second postoperative day in three tertiary hospitals of Bengbu in Anhui Province were randomly recruited by general data and Houston Pain Outcome Instrument in this study. The database were established and the data were carried on the statistical analysis by SPSS software. The frequency and percentage were used in the statistical analysis of survey results. The differences between groups were analyzed using Student’s t test if only two groups were compared or using one-way analysis of variance (ANOVA) if more than two groups were compared. The correlational analyses using pearson method. P values< 0.05 were considered statistically significant.Results:Approximately 98.1% patients reported pain in the last 24 hours after after operation. The vast majority of patients hoped to experience different degrees after the operation and expected the pain could relieve after operation. Mean ratings for pain were moderate to severe, and patients reported moderate to mild pain-related interference on mood and physical activities. Approximately 49.5% patients deemed hospitals should give priority to the problem that provide an effective methods to control the pain by doctors or nurses. About 87.7% medical staffs told patients that they are in pain should inform medical staffs. Postoperative patients’satisfaction with pain control or ease of pain control method was higher than that of control pain education.Conclusions and suggestions:It was reported that there was not effectively controlled postoperative pain in three tertiary hospitals of Bengbu, and patients reported moderate to mild pain-related interference on mood and physical activities. Pain education has not been attention and popularity in the clinical. Recommendations formulated the formulation of rules and regulations, procedures and practice guidelines for the control of postoperative pain. Doctors and nurses should pay attention to strengthen observation and treatment with related to postoperative pains. To instruct the patients about postoperative pain control on knowledge of health education and personalized nursing, to take the personalized and targeted of pain nursing care for each patient, to improve the control quality and control satisfaction of patients with postoperative pain. It is conducive to the implementation of rapid rehabilitation, but also can improve the quality of life of postoperative patients.