|
Challenges of pain management after orthopedic surgery in drug-addicted patients from the patient's perspective
|
Sara Tabeshnejad1    , Shahla Mohammadzadeh Zarankesh 2, Mehrandokht Nekavand3 |
1- MSc Student of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2- PhD, Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , shmohammadzadeh@iautmu.ac.ir
3- PhD, Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran |
|
|
Abstract: (1181 Views) |
Background: Pain management of surgical patients is an important part of postoperative care. This issue is associated with various challenges in drug-addicted patients. The aim of this study was to determine the challenges of pain management after orthopedic surgery in drug-addicted patients from the patient's point of view and to determine the relationship between the variables.
Materials and methods: In this descriptive study that was conducted in Akhtar Hospital in Tehran in 2021, 105 patients participated with the available sampling method. The data collection tool was a researcher-made questionnaire which included the patient's demographic information and 16 statements about effective factors in pain management of drug-addicted patients. SPSS26 software, parametric independent t-tests, analysis of variance and Pearson's correlation coefficient were used for data analysis and the significance level of the tests was considered less than 0.05.
Results: From their point of view, "the low amount of painkillers" and "the ineffectiveness of painkillers" were the most important factors in their inadequate pain control, and other challenges in pain management were of little importance in optimal pain control of patients.
Conclusion: Pain in drug-addicted patients is not properly controlled after orthopedic surgery, and there are unrecognized challenges that require further investigation.
|
|
| Keywords: Pain management, Barriers, Nurse, Orthopedic surgery, Addicted patients |
|
|
Full-Text [PDF 342 kb]
(677 Downloads)
|
Semi-pilot: Survey/Cross Sectional/Descriptive |
Subject:
Nursing
Received: 2022/07/11 | Accepted: 2022/10/1 | Published: 2022/12/31
|
|
|
|
|
|
|
| References |
1. Mandell BF. The fifth vital sign: A complex story of politics and patient care. Cleveland Clinic journal of medicine. 2016 Jun;83(6):400-1.
2. Kumar KH, Elavarasi P. Definition of pain and classification of pain disorders. Journal of Advanced Clinical and Research Insights. 2016;3(3):87-90.
https://doi.org/10.15713/ins.jcri.112
3. Wiznia DH, Zaki T, Leslie MP, Halaszynski TM. Complexities of perioperative pain management in orthopedic trauma. Current Pain and Headache Reports. 2018;22(9):58.
https://doi.org/10.1007/s11916-018-0713-5
4. Edgley C, Hogg M, De Silva A, Braat S, Bucknill A, Leslie K. Severe acute pain and persistent post-surgical pain in orthopaedic trauma patients: a cohort study. British journal of anaesthesia. 2019;123(3):350-9.
https://doi.org/10.1016/j.bja.2019.05.030
5. Philip BK, Reese PR, Burch SP. The economic impact of opioids on postoperative pain management. J. Clin. Anesth. 2002 Aug 1;14(5):354-64.
https://doi.org/10.1016/S0952-8180(02)00372-0 [ DOI:10.3949/ccjm.83b.06016] 2. Salimi A, Sabetkasaei M, Raisi H, Labibi F, Ameli H, Khazaei-Poul Y, Zarei M, Mottaghi K, Safari F, Nazem-Bokaei A, Mohajerani SA. Carbamazepine effects on pain management and serum IL-6, IL-10 evaluation in addicted patients undergoing surgery. European Journal of Pharmacology. 2017 Oct 5;812:184-8. [ DOI:10.1016/j.ejphar.2017.07.011] 3. Mehta V, Langford R. Acute pain management in opioid dependent patients. Anaesthesia. 2009 Oct;3(2):10-4. [ DOI:10.1177/204946370900300204] 4. Cooney MF, Broglio K. Acute pain management in opioid-tolerant individuals. The Journal for Nurse Practitioners. 2017 Jun 1;13(6):394-9. [ DOI:10.1016/j.nurpra.2017.04.016] 5. Quinlan J, Cox F. Acute pain management in patients with drug dependence syndrome. Pain Reports. 2017;2(4). [ DOI:10.1097/PR9.0000000000000611] 6. Coluzzi F, Bifulco F, Cuomo A, Dauri M, Leonardi C, Melotti RM, et al. The challenge of perioperative pain management in opioid-tolerant patients. Therapeutics and clinical risk management. 2017;13:1163. [ DOI:10.2147/TCRM.S141332] 7. Tawil S, Iskandar K, Salameh P. Pain management in hospitals: patients' satisfaction and related barriers. Pharmacy Practice (Granada). 2018;16(3). [ DOI:10.18549/PharmPract.2018.03.1268] 8. Dehnoalian A, Mohammadpour A. Barriers to pain management: Comparing the viewpoints between physicians and nurses. Anesthesiology and Pain Persian. 2014 Jul 10;5(2):49-56.(Ful Text in Persian) 9. Shah S, Kapoor S, Durkin B. Analgesic management of acute pain in the opioid-tolerant patient. Current Opinion in Anaesthesiology. 2015 Aug 1;28(4):398-402. [ DOI:10.1097/ACO.0000000000000218] 10. Imani F, Rahimzadeh P, Faiz SH. Comparison of the efficacy of adding clonidine, chlorpromazine, promethazine, and midazolam to morphine pumps in postoperative pain control of addicted patients. Anesthesiology and Pain Medicine. 2011 Jul;1(1):10. [ DOI:10.5812/aapm.1336] 11. Zuccaro SM, Vellucci R, Sarzi-Puttini P, Cherubino P, Labianca R, Fornasari D. Barriers to pain management. Clinical drug investigation. 2012 Feb;32(1):11-9. [ DOI:10.2165/11630040-000000000-00000] |
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
|
Tabeshnejad S, Mohammadzadeh Zarankesh S, Nekavand M. Challenges of pain management after orthopedic surgery in drug-addicted patients from the patient's perspective. MEDICAL SCIENCES 2022; 32 (4) :438-444 URL: http://tmuj.iautmu.ac.ir/article-1-2024-en.html
|
