Relevance of Preoperative Pain Education To The Cardiac Patients on Their Response To Postoperative Pain Therapy

Preoperative Pain Education to the Cardiac Patients

Authors

  • Asma Khalid New Advance College of Nursing
  • Samina Kausar Institute of Nursing, University of Health Sciences
  • Ayesha Sadiqa CMH Lahore Medical College & IOD, Lahore, Pakistan
  • Asma Abid College of Nursing, Lahore General Hospital
  • Sumera Jabeen Shaikh Fatima Institute of Nursing

DOI:

https://doi.org/10.54393/pbmj.v5i2.248

Keywords:

Preoperative, Postoperative, Pain, Education, and Cardiac patients

Abstract

To observe the effects of preoperative pain education on Coronary artery bypass graft surgery (CABG) patients on postoperative pain management. Methods: A randomized control trial was performed from April-December 2019, after seeking ethical approval. Patients of Punjab institute of cardiology, Lahore, scheduled for CABG were selected after informed consent. Those with psychiatric illness, chronic pain/opioid addiction, or allergic to opioids, were excluded. The population was divided into control (received routine preoperative care) and interventional (received additional preoperative education via pain management booklet) groups, data was collected postoperatively via questionnaire and analyzed on SPSS. Chi-square was used as a statistical test and p-value <0.05 was significant. Results: Eighty patients with 47 males and 33 females aged 50-80 years (mean=61.05±8.32) were recruited. The interventional group agreed to the significance of instant in-hospital notifying/managing pain and 38(95%) controls agreed to it, 39(98%) interventional patients were willing for a stronger pain-relief medicine if not cured by the initial dose, while 12(30%) controls were willing for it. 38(95%) interventional patients denied the fear of addiction to painkillers, contrarily 5(12.5%) controls negated this fear. All interventional patients rejected the concern of incurable nausea with pain-relief medicine, while 37(92.5%) controls were threatened with this concern. Constipation associated with pain-relief medicine was refused by all interventional patients, 25(62.5%) controls accepted it. All the differences between both groups were significant (p<0.001).                                Conclusion: A significantly improved postoperative patient compliance/outcome (pain-related) was observed in the interventional group who preoperative received pain education compared to the control.

References

Ertürk, EB. & Ünlü, H. 2018. Effects of pre-operative individualized education on anxiety and pain severity in patients following open-heart surgery. International journal of health sciences, 12, 26. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040857/

Micah, S., Barolia, R., Parpio, Y., Kumar, S. & Sharif, H. 2019. Factors associated with postoperative pain among patients after cardiac surgery in the tertiary care teaching hospital of Karachi, Pakistan. Pain research and treatment, 2019. Available from: https://www.hindawi.com/journals/prt/2019/9657109/

https://doi.org/10.1155/2019/9657109

Kara, KA. & Caner, T. 2019. Comparison of pain in the early post-operative period using VAS score in patients after cardiac surgery who had minimally invasive incisions vs. full median sternotomy. Ann Ital Chir, 90, 3-9. Available from: https://pubmed.ncbi.nlm.nih.gov/30394365/

Jain, P. & Bakshi, SG. 2021. Perioperative Pain Management for Onco-surgery. Textbook of Onco-Anesthesiology. Springer. Available from: https://link.springer.com/chapter/10.1007/978-981-16-0006-7_27

https://doi.org/10.1007/978-981-16-0006-7_27

Bjørnnes, AK., Parry, M., Lie, I., Fagerland, MW., Watt-Watson, J., Rustøen, T., Stubhaug, A. & Leegaard, M. 2017. The impact of an educational pain management booklet intervention on postoperative pain control after cardiac surgery. European Journal of Cardiovascular Nursing, 16, 18-27. Available from: https://pubmed.ncbi.nlm.nih.gov/26846145/

https://doi.org/10.1177/1474515116631680

Wang, X.-X., Dai, J., Hu, X.-G., Zhou, A.-G. & Pan, D.-B. 2021. Oral Pregabalin in Cardiac Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. BioMed Research International, 2021. Available from: https://www.hindawi.com/journals/bmri/2021/8835891/

https://doi.org/10.1155/2021/8835891

Gräwe JS, Mirow L, Bouchard R, Lindig M, Hüppe M. 2010. Impact of preoperative patient education on postoperative pain in consideration of the individual coping style. Schmerz. 24(6):575-86. German. doi: 10.1007/s00482-010-0994-z. PMID: 21052731.

https://doi.org/10.1007/s00482-010-0994-z

Iuque Oliveros, M. & Morilla Romero De La Osa, R. 2021. Bupivacaine infiltration for acute postoperative pain management after cardiac surgery. Nursing in Critical Care. Available from: https://pubmed.ncbi.nlm.nih.gov/33641253/

https://doi.org/10.1111/nicc.12614

Watt-Watson, J., Stevens, B., Costello, J., Katz, J. & Reid, G. 2016. Impact of preoperative education on pain management outcomes after coronary artery bypass graft surgery: A pilot. Canadian Journal of Nursing Research Archive, 31. Available from: https://pubmed.ncbi.nlm.nih.gov/11189670/

Ingadóttir B, Zoëga S. 2017. Role of patient education in postoperative pain management. Nursing Standard. 6;32(2).

https://doi.org/10.7748/ns.2017.e10939

Edwards, P. K., Mears, S. C. & Barnes, C. L. 2017. Preoperative education for hip and knee replacement: never stop learning. Current reviews in musculoskeletal medicine, 10, 356-364. Available from: https://pubmed.ncbi.nlm.nih.gov/28647838/

https://doi.org/10.1007/s12178-017-9417-4

Rapp, A., Sun, M., Weissman, H., Perez-Cruet, M. J. & Fahim, D. K. 2021. Pre-operative patient education does not necessarily reduce length of stay or pain after spinal surgery. Interdisciplinary Neurosurgery, 24, 101044. Available from: https://www.sciencedirect.com/science/article/pii/S2214751920306058

https://doi.org/10.1016/j.inat.2020.101044

Azizi, A., Khatibian, M., Mohamadian, A., Soltanian, A. & Salehzadeh Glonduz, F. 2020. Effect of Patient Education About Patient-controlled Analgesia Pump Preoperative on Severity of Pain, Nausea and Vomiting After Spinal Culumn Surgery. Avicenna Journal of Nursing and Midwifery Care, 27, 405-414. Available from: https://www.semanticscholar.org/paper/Effect-of-Patient-Education-About-Analgesia-Pump-on-Azizi-Khatibian/0c01ab834eac0a48b6386f8de78d44383081a316

https://doi.org/10.30699/ajnmc.27.6.405

Fink, C., Diener, M.K., Bruckner, T. et al. 2013. Impact of preoperative patient education on prevention of postoperative complications after major visceral surgery: study protocol for a randomized controlled trial (PEDUCAT trial). Trials 14, 271 (2013). https://doi.org/10.1186/1745-6215-14-271

https://doi.org/10.1186/1745-6215-14-271

Ramesh, C., Nayak, B. S., Pai, V. B., Patil, N. T., George, A., George, L. S. & Devi, E. S. 2017. Effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery: a systematic review and meta-analysis. Journal of PeriAnesthesia Nursing, 32, 518-529. e2. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1089947216304221

https://doi.org/10.1016/j.jopan.2016.11.011

Mcdonald, S., Page, M. J., Beringer, K., Wasiak, J. & Sprowson, A. 2014. Preoperative education for hip or knee replacement. Cochrane database of systematic reviews. Available from: https://pubmed.ncbi.nlm.nih.gov/24820247/

https://doi.org/10.1002/14651858.CD003526.pub3

Jones S, Alnaib M, Kokkinakis M, Wilkinson M, St Clair Gibson A, Kader D. Pre-operative patient education reduces length of stay after knee joint arthroplasty. 2011. Ann R Coll Surg Engl. 93(1):71-5. doi: 10.1308/003588410X12771863936765. PMID: 21418755; PMCID: PMC3293278.

https://doi.org/10.1308/003588410X12771863936765

Agneta Aasa, Malin Hovbäck and Carina Berterö, 2013. The importance of preoperative information for patient participation in colorectal surgery care. Journal of Clinical Nursing, (22), 11-12, 1604-1612.

https://doi.org/10.1111/jocn.12110

Burgess, L. C., Arundel, J. & Wainwright, T. W. The effect of preoperative education on psychological, clinical and economic outcomes in elective spinal surgery: a systematic review. Healthcare, 2019. Multidisciplinary Digital Publishing Institute, 48. Available from: https://pubmed.ncbi.nlm.nih.gov/30901875/

https://doi.org/10.3390/healthcare7010048

Klaiber, U., Stephan-Paulsen, L. M., Bruckner, T., Müller, G., Auer, S., Farrenkopf, I., Fink, C., Dörr-Harim, C., Diener, M. K. & Büchler, M. W. 2018. Impact of preoperative patient education on the prevention of postoperative complications after major visceral surgery: the cluster randomized controlled PEDUCAT trial. Trials, 19, 1-12. Available from: https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-2676-6

https://doi.org/10.1186/s13063-018-2676-6

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Published

2022-02-28

How to Cite

Khalid, A. ., Kausar, S., Sadiqa, A. ., Abid, A. ., & Jabeen, S. (2022). Relevance of Preoperative Pain Education To The Cardiac Patients on Their Response To Postoperative Pain Therapy: Preoperative Pain Education to the Cardiac Patients. Pakistan BioMedical Journal, 5(2), 147–151. https://doi.org/10.54393/pbmj.v5i2.248

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