Guidelines for Regulating the Pain in Post-Operative Patients at Recovery Room of Angthong Hospital
Introduction: Most post-operative patients do not feel well because of very severe pain level during the first 24 hours after surgery, pain can be managed and reduced by means of evidence-based practices.
Objectives: To develop Clinical Practice Guidelines (CPG) for pain management in the recovery room. To assess the effectiveness of the clinical practice.
Developmental research procedures: Phase 1: This phase is the analysis step of the causes of problems regarding post-operative pain management in the recovery room. Phase 2: Guidelines for post-operative pain management were developed. Phase 3: The CPG for post-operative pain management in the recovery room were used as a standard in practice by the staff of the anesthesiology department. The outcomes of the developed methods were assessed. Descriptive statistics and inferential statistics were used.
Results: The development of CPG. The Clinical Practice Guidelines for post-operative pain management in the recovery room follow the practice following the CPG for post-operative pain management in the recovery room increased from 76.4% to 93.3% and 99.2%, respectively. The development periods were associated with the practices of nurse anesthetists following the Clinical Practice Guidelines in the recovery room with statistical significance (p<0.001). Comparing the means of pain scores before leaving the recovery room, it was found that the means of pain scores of the pre-development period and the during-development period were 2.99 and 2.59, respectively. The mean in the post-development period decreased to 1.86. The overall rating of nurse anesthetists and patients satisfaction in the use of the Clinical Practice Guidelines for pain management in the recovery room was good (mean 4.34, 4.37) respectively. The CPG were appropriate and they were satisfied with the implementation.