Abstract

MENDEZ PRIETO, M. L.; OREJAS CARBONELL, B.; PEIX SORIANO, N.  and  HERRERO NOGUES, S.. Prevalence of acute postoperative pain in gastrointestinal surgery service and patient satisfaction. Rev. Soc. Esp. Dolor [online]. 2016, vol.23, n.5, pp.222-228. ISSN 1134-8046.

Introduction: Adequate pain treatment, together with items that reduce preoperative stress, introducing rehabilitation and nutrition at an early stage, decrease postoperative morbidity and mortality are the current basis of surgical patient management despite greatly improved knowledge of pathophysiology of postoperative pain and provide drug for treatment, half of the patients reported moderate to severe pain in the postoperative period. Objectives: 1. Know the incidence and intensity of acute postoperative pain in gastrointestinal surgery unit. 2. Assessing the predictive value of visual analogue scale at two hours after surgery. 3. To measure the degree of satisfaction of the patients operated on CGI respect to postoperative pain control. Material and methods: A prospective, descriptive, observational study, was conducted in the Department of Gastrointestinal Surgery Clinical Hospital of Barcelona. We performed a measurement of the degree of pain at different times: a) at the end of the intervention; b) at two hours post intervention; c) after 24 hours at rest and in motion immediately after extubation the patient; d) collect the maximum amount of pain and minimal pain reported by the expected patient in the last 24 hours from the end of the intervention is collected; e) patient satisfaction was assessed in relation to the treatment of pain received from professionals and compared to the expectations he had before surgery. If you have had more or less pain than he would have expected; f) the Clinical Research Ethics Committee of the Hospital (CEIC) approved in October 2011, and g) respondents were informed consent request. Results: The study included 51 patients one (54.9 %) males and (45.1 %) women the mean age was 55.90 (SD ± 16.32). A total of 45 patients (88.2 %) reported having experienced pain Sometime in the last 24 hours versus 11.8 % 6 patients who had no pain at the time of the interview 41 patients (80.4 %) mild pain VAS 0-3. The remaining 15 patients (19.6 %) reported having moderate pain VAS 4-6. However, 88.2 % of patients could not sleep during the first night after surgery. A correlation between the value of EVA at two hours post intervention and assessed pain intensity at 24 hours, both at rest and in motion p 0.049 and p 0.03 Despite suffering pain satisfaction was very good, presented much more pain than they expected 2 %, something more than expected by 21.6 %, much less than what they expected 29.4 % what they expected 33.3 %. Conclusions: 1. DAP incidence is 88.2 % at 24 hours after the IQ. With a mild pain intensity in 80.4 % of patients and moderate pain intensity in 19.6 %. 2. The Eva at two hours post-intervention, indicating that patients will require special attention and has a high predictive as it almost certainly will suffer pain 24 hours. 3. Although there is acute postoperative pain degree of patient satisfaction with physicians and nurses regarding their treatment was very satisfactory.

Keywords : Acute postoperative pain; pain assessment; patient satisfaction.

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