Impact of preoperative education on pain management outcomes after coronary artery bypass graft surgery: a pilot.
Patients have been found to receive inadequate analgesia despite moderate to severe pain after coronary artery bypass graft (CABG) surgery. The purpose of this pilot study was to evaluate a preadmission educational booklet for patients undergoing their first uncomplicated CABG. A randomized controlled trial (RCT) was undertaken at the largest cardiovascular centre in Canada. Repeated measures were used to compare data from 3 interviews: at baseline, day 3, and day 5. Patients were randomly assigned to one of 3 groups at the preadmission clinic 2 to 7 days before surgery: (1) generic hospital booklet and videotape (control), (2) control + pain booklet, or (3) control + pain booklet and interview; 45 subjects completed all 3 interviews. Measures were the McGill Pain Questionnaire-Short Form and the American Pain Society Patient Outcome Questionnaire. For all groups, analgesic administration was inadequate (19.89[13.37] mg morphine equivalents/24 hours) despite unrelieved pain (6.63[2.46], 0-10). However, patients receiving the interventions in addition to control care received 46% more analgesia than patients receiving control care alone and had fewer concerns about asking for help and taking analgesia. Changes were not required in the intervention booklet or measures.
Watt-Watson
J
J
Faculty of Nursing, University of Toronto, Ontario. j.watt.watson@utoronto.ca
Stevens
B
B
Costello
J
J
Katz
J
J
Reid
G
G
D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass / Q000451:nursing*; D003327:Coronary Disease / Q000451:nursing* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000451:nursing* / Q000628:therapy; D010353:Patient Education as Topic; D010865:Pilot Projects; D011300:Preoperative Care / Q000379:methods*; D016896:Treatment Outcome