title: Postoperative pain management discharge teaching in a rural population.
abstract: With health care increasingly administered on an outpatient and in-home basis, the knowledge and education of any patient population including discharged postoperative patients are essential ingredients to optimal pain management. The purpose of this study was to implement and evaluate in a rural setting a predischarge patient education intervention focused on self pain management of uncomplicated postsurgical patients after being discharged home. A total of 146 patients completed a pretest knowledge and experience questionnaire and then were randomly assigned to the education intervention group (n = 87) or the control group (n = 59). The control group received the usual standards of care. One week after discharge, 68 patients (47%) returned a completed a post-test knowledge and experience questionnaire, Brief Pain Inventory, and a patient pain log used to evaluate the effectiveness of the intervention. Results indicated that although there was no statistically significant difference between the groups regarding knowledge and experience about pain, postoperative pain, and interference of pain with activities of daily living 1 week after discharge, those that received the intervention had lower pain scores and less interference of pain with activities.
authors.affiliation: Idaho State University, 921 South 8th Ave, Stop 8101, Pocatello, Idaho 83209-8101, USA. reynmary@isu.edu
authors.forename: Mary Anne Hales
authors.initials: MA
authors.lastname: Reynolds
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006780:Hospitals, Rural; D006801:Humans; D007061:Idaho / Q000453:epidemiology; D015994:Incidence; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D010149:Postoperative Pain / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000458:organization & administration*; D017060:Patient Satisfaction; D015397:Program Evaluation; D012648:Self Care / Q000379:methods / Q000523:psychology; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014861:Washington / Q000453:epidemiology