title: The effect of standard pain assessment on pain and analgesic consumption amount in patients undergoing arthroscopic shoulder surgery.
abstract: Pain assessment has a key role in relief of the postoperative pain. In this study, we aimed to examine the effect of the Standard Pain Assessment Protocol (SPAP), which we developed based on acute pain guidelines, on pain level, and analgesic consumption. The study population consisted of a total of 101 patients who had arthroscopic shoulder surgery. The routine pain assessment was administered to the control group, while the SPAP was administered to the study group. The routine pain therapy of the clinic was administered to the subjects from both groups based on the pain assessment. Throughout the study, pain was assessed nearly two times more in the study group (p<0.001) and the mean pain levels were lower at 8th-11th hours in the study group (p<0.001). Pain assessment was not performed after 12th hour despite the severe pain in the control group, and, therefore, analgesia was administered at irregular intervals or was not administered at all. However, the hours of analgesic administration were found to be more regular according to the pain levels of the patients in the study group. In conclusion, the SPAP reduced the pain level by providing regular analgesia when used in combination with regular pain assessment.
  
  
  
  This article highlights the appropriate assessment for patients with surgical pain. In majority of literature on the subject, the authors emphasize the importance of Standard Pain Assessment Protocol to provide adequate pain relief.
authors.affiliation: Department of Nursing, Faculty of Health Sciences, Çukurova University, Adana, Turkey. Electronic address: sevilaygil@gmail.com.
authors.forename: Sevilay
authors.initials: S
authors.lastname: Erden
authors.affiliation: Department of Nursing, Faculty of Health Sciences, Gazi University, Ankara, Turkey. Electronic address: sevilgulerdemir@yahoo.com.
authors.forename: Sevil Güler
authors.initials: SG
authors.lastname: Demir
authors.affiliation: Gazi University Faculty of Medicine, Department of Orthopaedics and Traumatology, Besevler, Ankara, Turkey. Electronic address: ulunayk@hotmail.com.
authors.forename: Ulunay
authors.initials: U
authors.lastname: Kanatlı
authors.affiliation: Gazi University Health Research and Practice Center, Orthopaedic and Traumatology Clinic, Ankara, Turkey. Electronic address: d_fatos5@hotmail.com.
authors.forename: Fatma
authors.initials: F
authors.lastname: Danacı
authors.affiliation: Gazi University Health Research and Practice Center, Orthopaedic and Traumatology Clinic, Ankara, Turkey. Electronic address: bn.car@outlook.com.
authors.forename: Banu
authors.initials: B
authors.lastname: Carboğa
mesh_terms: D000328:Adult; D000368:Aged; D000700:Analgesics / Q000008:administration & dosage*; D001182:Arthroscopy / Q000009:adverse effects*; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods*; D010149:Postoperative Pain / Q000188:drug therapy*; D012782:Shoulder / Q000601:surgery*
chemical_list: D000700:Analgesics
keywords: Analgesic consumption; Orthopedic nursing; Pain assessment protocol; Pain management; Postoperative pain