Patients' Satisfaction with Post-operative Pain Management in Ayder Comprehensive Specialized Hospital, Ethiopia: a cross sectional study

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INTRODUCTION: Surgical patients often suffer from inadequate treatment of post-operative pain which potentially results in numerous adverse medical consequences and is a recurring source of patients´ dissatisfaction. Thus, this study was aimed to investigate patient´s satisfaction with their postoperative pain management and its determinants among surgically treated patients in a specialized hospital within Ethiopia. METHODS: An institutional based prospective cross-sectional study was conducted in the surgical ward of Ayder Comprehensive Specialized Hospital. Data were collected using a semi-structured questionnaire, which was an adaption of the 2010 version of the American Pain Society Patient Outcome Questionnaire, and by reviewing the medical charts of the patients. A stepwise linear regression model was used to analyze the data. RESULTS: Among the 144 patients approached in this study, 112 (77.8%) of them categorized their postoperativetheir postoperative pain as moderate to severe. The mean patient satisfaction with their pain management was 7±2.3 on 0-10 numerical rating scale. Despite high levels of pain, the majority of patients (90.3%, n=131) were moderately or completely satisfied with their pain management. Stepwise linear regression analysis found that the determinants of patients´ satisfaction were prior chronic pain, prior surgical history, and substance use (F (3,140) = 5.364, Adjusted R2 = 0.084, P=0.02). CONCLUSION: The patients were moderately and completely satisfied with their pain management in spite of expressing moderate and severe level of pain intensity. Pain still remains a concern among surgical patients, and effective pain management strategies should be practiced to manage pain and its functional interferences more effectively.

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