Authors (including presenting author) :
Tsang WY (1)(3), Li MP (1), Wong MKM (2)(3), Wong MC (2), Fuk WK (1), Lau LH (2), Ngan SKC (2), Yim CW (2)
Affiliation :
(1) Operation Theatre and Theatre Service Centre, PMH (2) Operative Theatre, CMC (3) Pain management, KWC
Introduction :
Surgery is recognized as a distressing event. Pre-operative anxiety is common among patients including anticipation of postoperative pain which happened to surgical procedures. Adequate postoperative pain management not only increases patient’s satisfaction but also reduces postoperative negative outcomes. There is no structural and unified preoperative nursing practice to provide pain education in KWC, thus, an animated video was established for educating pre-operative patients in postoperative pain management.
Objectives :
1.To increase patients’ awareness of self-control of pain during postoperative phase 2.To enhance patients’ knowledge of multimodal analgesic therapy in postoperative pain management 3.To increase patients’ satisfaction with postoperative pain management 4.To promote preoperative pain education in KWC
Methodology :
A “Pre-test” and “Post-test” was applied. Subjects were aged above 18, mentally and cognitively fit, with elective operations, local anesthesia and emergency cases were excluded. Nurses provided patients education video via iPad pre-operatively and performed postoperative visits within 72 hours. Pre- and post- knowledge assessment questionnaire and satisfaction questionnaire were provided for evaluation.
Result & Outcome :
From June to July 2024, 23 patients were recruited, 19 out of 23 patients completed the study, 4 of them failed to complete due to limitations. The mean +/- standard deviation of pain score on post-operative day 0 was 4.42 +/-2.76 while 3.36 +/- 1.31 post-operatively first 72 hours with full marks of 5 scores. The postoperative pain scores were comparatively lower for post-operative first 72 hours. The pre-and post-intervention knowledge assessment average scores were 0.95/5 and 4.1/5 respectively. The post-intervention knowledge assessment average score was improved. Moreover, the average score of the patient satisfaction questionnaire was 16.2/20. Over 90% of the patients reported that the educational video can help them manage their postoperative pain and relieve their worries from postoperative pain. It can be concluded that patients were satisfied with the preoperative education with animation video. The pilot study demonstrated that preoperative education video on postoperative pain management provided positive outcomes. The preoperative education will be extended to Pre-anesthetic Assessment Clinic in order to benefit most of the preoperative patients on postoperative pain management.
