Effect of non-pharmacological nursing interventions for pain management on patients' outcome
louka, seham; Gamal M. Elawa; Kamelia F. Abdalla,;
Abstract
This study was conducted to evaluate the effectiveness of nonpharmacological nursing interventions for pain management on patients' outcome. The study was conducted in the general surgical departments at El-Demerdash Hospital and outpatient pain clinic at Ain Shams Specialized Hospital. A purposive selected sample of 200 adult patients experiencing pain, of them 100 patients selected with acute pain [ 50 patients with moderate pain (G1) and other 50 patients with severe pain (G2)] and 100 patients selected with chronic pain [ 50 patients with moderate pain (G3) and other 50 with severe pain (G4)]. Patients in each group were randomly subdivided into two equal subgroups treated by different pain relief measures; they either received the pharmacological measures only (control groups) or subjected to both nonpharmacological nursing interventions and pharmacological measures (intervention groups); 25 patients each. Data collection was carried out using the following tools: McGill questionnaire scale, Visual analogue scale, Anxiety scale, Satisfaction scale and Patients' medical records. These tools were taken before intervention as a baseline and then after intervention to monitor its efficacy. The results of this study supported the stated hypotheses. The patients experiencing acute or chronic pain who subjected to both nonpharmacological and pharmacological measures demonstrated lower mean total pain scores, pain intensity level, anxiety level, more satisfaction and less need for pain killers as compared to patients treated by pharmacological measures only regardless the severity of pain with highly statistically significant difference at P<0.01. In conclusion, nonpharmacological nursing interventions adjunct to pharmacological measures for pain management have significantly positive effect on patients' outcome in term of reducing mean total pain scores, relieving pain regardless of its type or intensity, decreasing anxiety, the need for pain killers and improving patients’ satisfaction.
Other data
| Title | Effect of non-pharmacological nursing interventions for pain management on patients' outcome | Authors | louka, seham ; Gamal M. Elawa ; Kamelia F. Abdalla, | Keywords | non-pharmacological, nursing interventions, pain | Issue Date | Jun-2007 | Publisher | seham Guirguis | Journal | المجلة الطبية لجامعة القاهرة | Series/Report no. | 75;2 | Description | Pain is a complex phenomenon, and it is one of the most common problems nurses face. It is an almost universal experience, but at the same time, it is a unique experience for each client. Pain is classified as acute or chronic. Acute pain is usually associated with trauma, lasts for only a short period (from seconds to 6 months) and so acts as a warning thus preventing further damage. Chronic pain, however, is pain that persists after six months. Many are not associated with any discernible damage, or occur in areas of previous trauma after healing has taken place. There are thousands of pain clinics and pain services dedicated to the diagnosis and treatment of chronic and acute pain. Pain clinics have been established and if not available widely, they are in existence thus supporting the need to manage pain effectively. Health care providers need to recognize that effective pain management is the single most important treatment that a provider can provide for some patients and view effective pain management as a part of quality medical practice of all patients with pain, whether it is acute or chronic. The management of pain should be based upon current knowledge and research. |
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