Assessment of post-operative pain management among acutely and electively admitted patients - a Swedish ward perspective.
OBJECTIVE
Swedish health care is regulated to involve the patient in every intervention process. In the area of post-operative pain, it is therefore important to evaluate patient experience of the quality of pain management. Previous research has focused on mapping this area but not on comparing experiences between acutely and electively admitted patients. Hence, the aim of this study was to investigate the experiences of post-operative pain management quality among acutely and electively admitted patients at a Swedish surgical department performing soft-tissue surgery.


METHODS
A survey study design was used as a method based on a multidimensional instrument to assess post-operative pain management: Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP). Consecutive patients at all wards of a university hospital's surgical department were included. Data collection was performed at hospital discharge.


RESULTS
In total, 160 patients participated, of whom 40 patients were acutely admitted. A significant difference between acutely and electively admitted patients was observed in the SCQIPP area of environment, whereas acute patients rated the post-operative pain management quality lower compared with those who were electively admitted.


CONCLUSIONS
There may be a need for improvement in the areas of post-operative pain management in Sweden, both specifically and generally. There may also be a difference in the experience of post-operative pain quality between acutely and electively admitted patients in this study, specifically in the area of environment. In addition, low levels of the perceived quality of post-operative pain management among the patients were consistent, but satisfaction with analgesic treatment was rated as good.
Department of Surgical Sciences, Akademiska sjukhus, Uppsala, Sweden.
Mahnaz
M
Magidy
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Margareta
M
Warrén-Stomberg
Division of Nursing Science, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Kristofer
http://orcid.org/0000-0002-8500-2245
K
Bjerså
D000328:Adult; D000367:Age Factors; D000368:Aged; D017558:Elective Surgical Procedures; D005260:Female; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000628:therapy*; D017060:Patient Satisfaction; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000458:organization & administration*; D012737:Sex Factors; D012959:Socioeconomic Factors; D013548:Sweden
pain; post-operative; quality indicator; surgery