title: Intervention focused on the patient and family for better postoperative pain relief.
abstract: Hip arthroplasty results in high-intensity postoperative pain. To counter this, a multimodal approach (combining pharmacologic and nonpharmacologic strategies) is recommended. The involvement of the patient and family is also suggested, but there are few examples. The purpose of this study was to measure the effects of a patient and family-centered educational intervention (accompanying family member), promoting nonpharmacologic strategies, about pain relief, anxiety, and the pain-coping strategies used. The intervention took the family into consideration by recognizing its expertise, existence, experience, and need for hope. Thirty-three patients took part in this quasiexperimental study, all being accompanied by a significant other (control group [CG]: n = 17; experimental group [EG]: n = 16). The control group received conventional treatment and the experimental group received the intervention. The results show that EG members experienced less intense pain on postoperative days 2 (2.75 vs. 5.14; p = .001) and 4 (2.17 vs. 4.00; p = .01). EG members reported less anxiety (29.50 vs. 37.00; p = .041). EG members used significantly fewer negative pain-coping strategies, such as ignorance and dramatization. The results suggest that a patient and family-centered educational intervention (accompanying family member), promoting nonpharmacologic strategies, should be routinely used in combination with the multimodal approach. This combination improves pain management, lowers anxiety, and facilitates the use of positive postoperative coping strategies.
authors.affiliation: Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Grondin
authors.affiliation: Université de Sherbrooke, Sherbrooke, Québec, Canada. Electronic address: frederic.grondin@usherbrooke.ca.
authors.forename: Patricia
authors.initials: P
authors.lastname: Bourgault
authors.affiliation: Université de Sherbrooke, Sherbrooke, Québec, Canada.
authors.forename: Nicole
authors.initials: N
authors.lastname: Bolduc
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D001007:Anxiety / Q000451:nursing / Q000523:psychology; D022143:Family Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D059408:Pain Management / Q000379:methods / Q000451:nursing*; D010149:Postoperative Pain / Q000188:drug therapy* / Q000451:nursing* / Q000523:psychology; D013527:Perioperative Nursing / Q000379:methods*; D011795:Surveys and Questionnaires
chemical_list: D000701:Analgesics, Opioid