Impact of preoperative education on pain outcomes after coronary artery bypass graft surgery
| dc.contributor.author | Watt-Watson, Judy | |
| dc.contributor.author | Stevens, Bonnie | |
| dc.contributor.author | Katz, Joel | |
| dc.contributor.author | Costello, Judy | |
| dc.contributor.author | Reid, Graham J. | |
| dc.contributor.author | David, Tirone | |
| dc.date.accessioned | 2011-05-18T20:19:16Z | |
| dc.date.available | 2011-05-18T20:19:16Z | |
| dc.date.issued | 2004 | |
| dc.description.abstract | Cardiovascular diseases cause more disability and economic loss in industrialized nations than any other group of diseases. In previous work [Nurs Res 49 (2000a) 1], most coronary artery bypass graft patients (CABG, N=225) reported unrelieved pain and received inadequate analgesics. This study proposed to evaluate a preadmission education intervention to reduce pain and related activity interference after CABG surgery. Patients (N=406) were randomly assigned to (a) standard care or (b) standard care+pain booklet group. Data were examined at the preadmission clinic and across days 1–5 after surgery. Outcomes were pain-related interference (BPI-I), pain (MPQ-SF), analgesics (chart), concerns about taking analgesics (BQ-SF), and satisfaction (American Pain Society-POQ). The impact of sex was explored related to primary and secondary outcomes. The intervention group did not have better overall pain management although they had some reduction in pain-related interference in activities (t(355)=2.54, P<0.01) and fewer concerns about taking analgesics (F(1,313)=2.7, P<0.05) on day 5. Despite moderate 24-h pain intensity across 5 days, patients in both groups received inadequate analgesics (i.e. 33% prescribed dose). Women reported more pain and pain-related interference in activities than men. The booklet was rated as helpful, particularly by women. In conclusion, the intervention did not result in a clinically significant improvement in pain management outcomes. In future, an intervention that considers sex-specific needs and also involves educating the health professionals caring for these patients may influence these results. | en |
| dc.identifier.citation | Pain, 109(1-2), 73-85. (2004) | |
| dc.identifier.uri | http://hdl.handle.net/10315/7964 | |
| dc.language.iso | en | en |
| dc.publisher | 2004 | en |
| dc.rights.article | http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6T0K-4BX7DPB-2-21&_cdi=4865&_user=866177&_pii=S030439590400034X&_origin=gateway&_coverDate=05%2F31%2F2004&_sk=998909998&view=c&wchp=dGLbVzW-zSkzS&md5=3807d62a4e1d3971d141efb6ef313f5d&ie=/sdarticle.pdf | |
| dc.rights.journal | http://www.elsevier.com/wps/find/journaldescription.cws_home/506083/description#description | en |
| dc.rights.publisher | http://www.elsevier.com | en |
| dc.title | Impact of preoperative education on pain outcomes after coronary artery bypass graft surgery | |
| dc.type | Article | en |