Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery
Background: Pain management remains an integral part of patient care after cardiac surgery, and it required proper pain assessment. The aim of the study was to assess pain perception using validated Arabic version of the short-form McGill Pain Questionnaire (SF-MPQ) and to identify analgesics prescr...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=343;epage=348;aulast=Alharbi |
| _version_ | 1819015515628109824 |
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| author | Hussam A Alharbi Monirah A Albabtain Nourah Alobiad Jomanah Aba Alhasan Maram Alruhaimi Muzun Alnefisah Samar Alateeq Haneen Alghosoon Sumaiah J Alarfaj Amr A Arafat Khaled D Algarni |
| author_facet | Hussam A Alharbi Monirah A Albabtain Nourah Alobiad Jomanah Aba Alhasan Maram Alruhaimi Muzun Alnefisah Samar Alateeq Haneen Alghosoon Sumaiah J Alarfaj Amr A Arafat Khaled D Algarni |
| author_sort | Hussam A Alharbi |
| collection | DOAJ |
| description | Background: Pain management remains an integral part of patient care after cardiac surgery, and it required proper pain assessment. The aim of the study was to assess pain perception using validated Arabic version of the short-form McGill Pain Questionnaire (SF-MPQ) and to identify analgesics prescribing patterns post cardiac surgery.
Methods: This is a prospective study conducted in an adult cardiac critical care unit of a tertiary cardiac center from September 2018 to March 2019. The study enrolled 74 patients who underwent cardiac surgical procedures through a median sternotomy.
Results: The mean age of our patients was 57 ± 11 years and 47 (63.5%) were males. Patients described post-cardiac surgery pain as heavy (n = 37; 50%) and tiring-exhausting (n = 49; 66%), mainly at the site of incision (n = 20; 27%). Pain intensity at day 1 according to pain rating index (PRI) and numerical rating scale (NRS) was 7 (25th, 75th percentiles: 2.8–15) and 6 (3–8), respectively. There was a significant change in pain intensity score between 2 days of assessment (PRI: 7 [2.8–15] vs 5 [2–11] P = 0.010; NRS: 6 (3–8) vs 5 (2–8), P = 0.021]). The most common analgesics prescribed were paracetamol (39%) and a combination of tramadol and paracetamol (33.8%).
Conclusion: Pain decreased the second day after cardiac surgery compared to day 1. Paracetamol was the most prescribed analgesic; however, there was an underutilization which might be affected by insufficient pain reporting. Future improvement could focus on multimodal pain management and proper communication of pain experience. |
| first_indexed | 2024-12-21T02:32:58Z |
| format | Article |
| id | doaj.art-55a75b3380ab4d908d7c32cca535e720 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-21T02:32:58Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-55a75b3380ab4d908d7c32cca535e7202022-12-21T19:18:53ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2020-01-0114334334810.4103/sja.SJA_34_20Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgeryHussam A AlharbiMonirah A AlbabtainNourah AlobiadJomanah Aba AlhasanMaram AlruhaimiMuzun AlnefisahSamar AlateeqHaneen AlghosoonSumaiah J AlarfajAmr A ArafatKhaled D AlgarniBackground: Pain management remains an integral part of patient care after cardiac surgery, and it required proper pain assessment. The aim of the study was to assess pain perception using validated Arabic version of the short-form McGill Pain Questionnaire (SF-MPQ) and to identify analgesics prescribing patterns post cardiac surgery. Methods: This is a prospective study conducted in an adult cardiac critical care unit of a tertiary cardiac center from September 2018 to March 2019. The study enrolled 74 patients who underwent cardiac surgical procedures through a median sternotomy. Results: The mean age of our patients was 57 ± 11 years and 47 (63.5%) were males. Patients described post-cardiac surgery pain as heavy (n = 37; 50%) and tiring-exhausting (n = 49; 66%), mainly at the site of incision (n = 20; 27%). Pain intensity at day 1 according to pain rating index (PRI) and numerical rating scale (NRS) was 7 (25th, 75th percentiles: 2.8–15) and 6 (3–8), respectively. There was a significant change in pain intensity score between 2 days of assessment (PRI: 7 [2.8–15] vs 5 [2–11] P = 0.010; NRS: 6 (3–8) vs 5 (2–8), P = 0.021]). The most common analgesics prescribed were paracetamol (39%) and a combination of tramadol and paracetamol (33.8%). Conclusion: Pain decreased the second day after cardiac surgery compared to day 1. Paracetamol was the most prescribed analgesic; however, there was an underutilization which might be affected by insufficient pain reporting. Future improvement could focus on multimodal pain management and proper communication of pain experience.http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=343;epage=348;aulast=Alharbimcgill pain questionnaire; pain assessment; post-sternotomy pain |
| spellingShingle | Hussam A Alharbi Monirah A Albabtain Nourah Alobiad Jomanah Aba Alhasan Maram Alruhaimi Muzun Alnefisah Samar Alateeq Haneen Alghosoon Sumaiah J Alarfaj Amr A Arafat Khaled D Algarni Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery Saudi Journal of Anaesthesia mcgill pain questionnaire; pain assessment; post-sternotomy pain |
| title | Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery |
| title_full | Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery |
| title_fullStr | Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery |
| title_full_unstemmed | Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery |
| title_short | Pain perception assessment using the short-form McGill pain questionnaire after cardiac surgery |
| title_sort | pain perception assessment using the short form mcgill pain questionnaire after cardiac surgery |
| topic | mcgill pain questionnaire; pain assessment; post-sternotomy pain |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=343;epage=348;aulast=Alharbi |
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