Original ArticlePostoperative Patients in Jordan: Pain Prevalence, Characteristics, Beliefs, and Satisfaction
Section snippets
Design and Sample
This study was part of a 3-year funded project focusing on the pain management from the perspective of hospital patients and nurses using triangulation methodology. Although the qualitative data were published elsewhere (Shoqirat, 2014, Shoqirat, 2015), in this article a descriptive survey design was used to identify the prevalence, satisfaction, and beliefs regarding pain management among postoperative patients in Jordan. A convenient sample of 143 surgical patients was used. Inclusion
Participant Characteristics
A total of 150 questionnaires were distributed over a three-month period, and 143 questionnaires were returned (a response rate of 95%). The majority of participants were female (n = 82, 57.3%). Slightly more than half were aged ≥30 years (51%, n = 73). The majority were educated to the highest secondary school certificate (Tawjihi) (n = 111, 78%), and only 32 participants (22%) were educated to the bachelor's degree level.
Pain Characteristics and Satisfaction
The analysis revealed that pain was prevalent among surgical patients.
Discussion
This study aimed to determine pain prevalence, characteristics, beliefs, and satisfaction among postoperative patients in Jordan. The results revealed that pain was prevalent among 87% (n = 125) of all surgical patients (n = 143). The mean score of worst pain over the last 24 hours was 6.18 (SD = 3.41) out of 10. It is alarming that the pain prevalence in this study was the highest (87%) compared with many earlier cultural studies where pain prevalence was found to vary from 14% to 84.17% (
Conclusions
This study offers valuable insights into the world of surgical patient satisfaction and beliefs relating to pain and its prevalence and management. Although effective postoperative pain management is vital for the provision of humane patient care, this was not the case in this study, where the prevalence of pain among surgical patients was high. What was surprising in this study was the satisfaction with pain management received by postoperative patients despite the prevalence of pain and its
Acknowledgments
The authors are grateful to all participants who took part in this study. The project was funded by Abdul Hameed Shoman Foundation. The funder was not involved in the conduct of the study or development of the submission. The authors declare no conflicts of interest.
References (54)
- et al.
Nurses' perceptions and experiences regarding morphine usage in burn pain management
Burns
(2015) Emergency nurses' perceived barriers to demonstrating caring when managing adult patients' pain
Journal of Emergency Nursing
(2012)- et al.
Development of the Wisconsin brief pain questionnaire to assess pain in cancer and other diseases
Pain
(1983) - et al.
Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) for quality improvement of pain management in hospitalized adults: Preliminary psychometric evaluation
The Journal of Pain
(2010) - et al.
Assessing clinical outcomes: patient satisfaction with pain management
Journal of Pain and Symptom Management
(1998) - et al.
Barriers to postoperative pain management in Hip fracture patients with dementia as evaluated by nursing staff
Pain Management Nursing
(2014) “Sleepless nights and sore operation site”: Patients' experiences of nursing pain management after surgery in Jordan
Pain Management Nursing
(2014)- et al.
Validation of the brief pain inventory for chronic nonmalignant pain
The Journal of Pain
(2004) - et al.
Patient-related barriers to management of cancer pain
Pain
(1993) - et al.
Patient satisfaction survey as a tool towards quality improvement
Oman Medical Journal
(2014)
Nurses' knowledge and attitudes regarding pain assessment and intervention
Medsurg Nursing
Gender role affects experimental pain responses: a systematic review with meta-analysis
European Journal of Pain
Saudi Arabian nurses’ knowledge and attitudes regarding pain management: survey results using the KASRP
International Journal of Health Sciences and Research
Pain assessment intensity and pain relief in patients post-operative orthopedic surgery
Escola Anna Nery
Pain management barriers in Jordanian critical care units
International Journal of Advanced Nursing Studies
Pain barriers: psychometrics of a 13-item questionnaire
Nursing Research
Pain-related knowledge and barriers among Jordanian nurses: a national study
Health
Are we controlling postoperative pain?
Colombian Journal of Anesthesiology/Revista Colombiana de Anestesiología
Barriers to pain management: Focus on opioid therapy
Clinical Drug Investigation
Cultural Competence in Pain and Palliative Care
Effective pain management and improvements in patients’ outcomes and satisfaction
Critical Care Nurse
American Pain Society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force
Archives of Internal Medicine
The prevalence and characteristics of pain in critically ill cancer patients: a prospective nonrandomized observational study
Indian Journal of Palliative Care
Does pain severity guide selection to multimodal pain rehabilitation across gender?
European Journal of Pain
A study of knowledge and attitudes of registered nurses towards pain management in an urban hospital
La Clinica Terapeutica
Opioids and older adults: An article review
Indian Journal of Gerontology
Managing pain medications in long-term care: nurses' views
British Journal of Nursing
Cited by (13)
Outcomes of Pain Management Among Postoperative Patients: A Cross-sectional Study
2024, Journal of Perianesthesia NursingThe Prevalence of Pain in the First 24 Hours After Surgery: A Multicenter Study
2022, Journal of Perianesthesia NursingCitation Excerpt :Inclusion criteria in the study were being over the age 18 and completing the 24th hour after surgery. A questionnaire prepared by the researchers according to the literature was used in the study.20-24 The questionnaire consisted of two parts.
Experience of Pain and Satisfaction with Pain Management in Patients After a Lumbar Disc Herniation Surgery
2021, Journal of Perianesthesia NursingCitation Excerpt :Satisfaction with pain management was high in the study, nonetheless, 27.8% of patients experienced more postoperative pain than they expected. In other studies, in the literature with different patient groups, patients’ high level of satisfaction with nursing care despite high pain scores is congruent with the findings of our study.37,38 Further research is suggested on the subject to investigate the driving force behind satisfaction with pain management despite the severity of it.
Measuring knowledge and attitudes of pain in older adults among culturally diverse nursing students
2021, CollegianCitation Excerpt :According to Holl and Carmack (2015), culture influences individuals’ perception of pain. In Jordanian culture, high pain tolerance indicates strength and endurance, and Jordanian nurses believe in the saying “pain is gain” (Shoqirat et al., 2019). Therefore, Jordanian nursing students and nurses may not be highly sensitive to pain in older adults, as they perceive pain to be a source of strength and power for older adults.
Incidence and associated factors of post-operative pain after emergency Orthopedic surgery: A multi-centered prospective observational cohort study
2020, International Journal of Surgery OpenCitation Excerpt :It shows significant association with actual postoperative pain levels [39,64]. It was also found that patient satisfaction with postoperative pain management relies on patients' expectations, the intensity of pain experienced, promptness of acute pain service response and effectiveness of treatment [26]. The result of our study also shows that orthopedics surgical patients who had done under general anesthesia were 4.08 times more likely to develop moderate to severe postoperative pain compared with patients who operated under regional anesthesia.