Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?

Abstract Background Patient satisfaction with postoperative pain management is an important quality indicator in patient health care, but its determinants are poorly understood. Here, we examined the contribution of the discrepancy between an individual’s estimated acceptable and actual postoperativ...

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Main Authors: Marie Shigematsu-Locatelli, Takashi Kawano, Sonoe Kitamura, Atsushi Nishigaki, Daiki Yamanaka, Bun Aoyama, Hiroki Tateiwa, Masataka Yokoyama
Format: Article
Language:English
Published: SpringerOpen 2017-01-01
Series:JA Clinical Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40981-016-0075-0
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author Marie Shigematsu-Locatelli
Takashi Kawano
Sonoe Kitamura
Atsushi Nishigaki
Daiki Yamanaka
Bun Aoyama
Hiroki Tateiwa
Masataka Yokoyama
author_facet Marie Shigematsu-Locatelli
Takashi Kawano
Sonoe Kitamura
Atsushi Nishigaki
Daiki Yamanaka
Bun Aoyama
Hiroki Tateiwa
Masataka Yokoyama
author_sort Marie Shigematsu-Locatelli
collection DOAJ
description Abstract Background Patient satisfaction with postoperative pain management is an important quality indicator in patient health care, but its determinants are poorly understood. Here, we examined the contribution of the discrepancy between an individual’s estimated acceptable and actual postoperative pain scores to the overall satisfaction with pain treatment. Findings A total of 93 surgical patients were included in this study. Preoperatively, the subjects were asked to rate their estimated acceptable postoperative pain using a numerical rating scale (NRS). One day after the surgery, the patients were again asked to give NRS ratings of the overall actual pain intensity they had experienced, as well as their satisfaction with the provided pain treatment. The median estimated acceptable and actual NRS values for postoperative pain were 4.0 (3.0–5.0) and 4.0 (2.0–5.0), respectively. Although there was no correlation between the degree of patient satisfaction and preoperative estimated acceptable pain intensity, there was a significant negative correlation between the degree of patient satisfaction and postoperative actual pain intensity. When the preoperative estimated acceptable NRS value was compared with the postoperative actual value for each individual, postoperative NRS was greater in 34 cases (36.6%), less in 43 cases (46.2%), and equal in 16 cases (17.2%). The degree of patient satisfaction was not significantly correlated with the magnitude of difference between preoperative estimated acceptable NRS and postoperative actual NRS. Conclusions Our findings suggest that inquiring about the estimated acceptable pain before surgery may not help anesthesiologists to understand the patient’s goal of pain management for improving patient satisfaction.
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spelling doaj.art-040164e2c0e34b74bf2f8774d7ff7b772022-12-21T21:56:42ZengSpringerOpenJA Clinical Reports2363-90242017-01-01311410.1186/s40981-016-0075-0Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?Marie Shigematsu-Locatelli0Takashi Kawano1Sonoe Kitamura2Atsushi Nishigaki3Daiki Yamanaka4Bun Aoyama5Hiroki Tateiwa6Masataka Yokoyama7Department of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolAbstract Background Patient satisfaction with postoperative pain management is an important quality indicator in patient health care, but its determinants are poorly understood. Here, we examined the contribution of the discrepancy between an individual’s estimated acceptable and actual postoperative pain scores to the overall satisfaction with pain treatment. Findings A total of 93 surgical patients were included in this study. Preoperatively, the subjects were asked to rate their estimated acceptable postoperative pain using a numerical rating scale (NRS). One day after the surgery, the patients were again asked to give NRS ratings of the overall actual pain intensity they had experienced, as well as their satisfaction with the provided pain treatment. The median estimated acceptable and actual NRS values for postoperative pain were 4.0 (3.0–5.0) and 4.0 (2.0–5.0), respectively. Although there was no correlation between the degree of patient satisfaction and preoperative estimated acceptable pain intensity, there was a significant negative correlation between the degree of patient satisfaction and postoperative actual pain intensity. When the preoperative estimated acceptable NRS value was compared with the postoperative actual value for each individual, postoperative NRS was greater in 34 cases (36.6%), less in 43 cases (46.2%), and equal in 16 cases (17.2%). The degree of patient satisfaction was not significantly correlated with the magnitude of difference between preoperative estimated acceptable NRS and postoperative actual NRS. Conclusions Our findings suggest that inquiring about the estimated acceptable pain before surgery may not help anesthesiologists to understand the patient’s goal of pain management for improving patient satisfaction.http://link.springer.com/article/10.1186/s40981-016-0075-0Postoperative painNumerical rating scalePatient satisfaction
spellingShingle Marie Shigematsu-Locatelli
Takashi Kawano
Sonoe Kitamura
Atsushi Nishigaki
Daiki Yamanaka
Bun Aoyama
Hiroki Tateiwa
Masataka Yokoyama
Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?
JA Clinical Reports
Postoperative pain
Numerical rating scale
Patient satisfaction
title Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?
title_full Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?
title_fullStr Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?
title_full_unstemmed Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?
title_short Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management?
title_sort does preoperative patient s estimated acceptable pain affect the satisfaction with postoperative pain management
topic Postoperative pain
Numerical rating scale
Patient satisfaction
url http://link.springer.com/article/10.1186/s40981-016-0075-0
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