Hendriks, M.A. (2016) Resulteert het verbeteren van informatie over postoperatieve pijnbestrijding bij een totale knievervanging in meer patiënttevredenheid over de pijnbehandeling en beter gebruik van pijnmedicatie? : Een Pilot studie. thesis, Medicine.
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Abstract
Introduction: A total knee replacement is an orthopedic procedure that is subject to a significant amount of postoperative pain. This pain interferes with body movements and with sleep, which can slow down rehabilitation. Adequate pain relief is essential for a good recovery. In case of severe pain, patients are prescribed opioids. Patients often show resistance to taking opioids. Reasons for this include fear of addiction and the idea that pain is naturally associated with such a procedure. Pre procedure education about postoperative pain can eliminate these biases and adjust expectations. In addition, the role of the patient is emphasized with regards to pain management. Purpose: By providing patients with better education and additional information about postoperative pain, the patient is encouraged to play a larger role in their pain management. As a result, the use of Oxycodone is more effective. This will lead to better pain relief and more patient satisfaction. Method: This is a comparative study with a pre- and post-assessment. In total, 82 patients were included. Only patients in the intervention group were provided with additional information about the postoperative pain management. Patients in the control group were informed according the traditional method. During three days, pain scores were monitored. The last day the satisfaction rate was quizzed. The time of administration and the number of milligrams of oxycodone were observed. The amount of degrees that the patient could actively flex and extend the knee was recorded as Active Range of Motion (AROM). Results: In the control group (n = 39) 97.4% of the patients were satisfied. In the intervention group (n = 43), all patients were satisfied. In the control group, patients used an average of 8.14 times Oxycodone in 72 hours. In the intervention group an average was found of 10.08 times (p = 0.023). No statistacally significant differences were found between the pain scores. On the third postoperative day (POD 3) a statistacally significant difference was found between the AROM of the knee (control group (n = 20) 65.65 degrees versus intervention group (n = 24) 75.00 degrees, (p = 0.020)). Conclusion: Providing additional information about postoperative pain management results in patients using pain medication more often. However, no differences were found between the pain scores. The relationship between better patient eductaion regarding pain and greater range of motion needs further study. Remarkable is the high degree of patient satisfaction at relatively high pain scores.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Cobben, J.M.G. anesthesioloog |
| Supervisor name: | Tweede begeleider: and Jonbergen, Dr. J.P.W. van Orthopedisch chirurg and Deventer Ziekenhuis and Afdeling anesthesiologie en orthopedie |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:41 |
| Last Modified: | 25 Jun 2020 10:41 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/253 |
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