Aira Prišmantienė, Daiva Brogienė
Abstract
The goal of the paper is to investigate the attitude of patients and nurses towards pain management partnership after caesarean section surgeries. The surveys were conducted in the public institution “X” maternity hospital. Two anonymic surveys were carried out – 100 patients after caesarean section surgeries and 50 nurses who provided pain management services after caesarean sections were interviewed. The partnership was assessed in the following aspects: patient cooperation, information provision, respect, trust, safety, patient participation in the pain management process; help/emotional support of nurses, privacy. To assess the statistical correlations the Chi-Quadrat criterion (χ2) and Spearmen rank correlation coefficient (q) were used. Differences between corresponding indicators were considered statistically significant if the calculated statistical significance was p≤0.05.
Results of investigation showed, that pain management partner ship with respect to patients was best assessed in terms of trust and security assurance. 71.4 percent of the respondents claimed that they always trusted the information on pain provided by the nurses. 80.6 percent of the patients indicated that assistance in pain management on a 24-hour basis assured a sense of security for them. The attitude of nurses was best assessed in terms of the assurance of help/ emotional support, security and privacy. 90 percent of the nurses indicated that they always helped patients control pain and provided help if the patients had problems with pain at any time of the day. 80 percent of the nurses thought that help in pain management had an effect on patient security; 76 percent of the nurses assured privacy while talking with the patients on sensations and feelings caused by pain. Mutual partnership of the patients and nurses was impeded by little information provided by the nurses on the pain assessment pain words (69.4 percent – in the opinion of patients; 54 percent – in the opinion of nurses) and pain scales (65.3 percent in the opinion of patients, and 48 percent – in the opinion of nurses). In the opinion of patients, an obstacle for cooperation was unwillingness of the patients themselves to share knowledge on pain and pain suppression (56/52 percent). Half of the patients recognized that they unwillingly shared their knowledge with the nurses on pain and pain suppression methods there of (41.9/51 percent).
Article in Lithuanian
doi:10.5200/sm-hs.2012.019
Keyword(s): pain management; caesarean section; partnership of patients and nurses
DOI: 10.5200/260
Full Text: PDF