Dental and Medical Problems

Dent Med Probl
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2017, vol. 54, nr 2, April-June, p. 135–141

doi: 10.17219/dmp/69758

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

The assesment of the quality of postoperative pain management in patients with maxillofacial injury

Ocena bólu u pacjentów po zabiegach z zakresu chirurgii szczękowo-twarzowej

Dorota Ozga1,A,B,C,D, Danuta Dyk2,A,E,F, Aleksandra Gutysz-Wojnicka3,B,E, Wioletta Mędrzycka-Dąbrowska4,C, Bogumił Lewandowski5,E

1 Department of Didactics in Intensive Medical Care and Emergency Medicine, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland

2 Department of Anesthesiological and Intensive Care Nursing, Poznan University of Medical Sciences, Poznań, Poland

3 Department of Nursing, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland

4 Department of General of Nursing, Medical University of Gdansk, Gdańsk, Poland

5 Department of Emergency Medicine, Faclty of Medicine, University of Rzeszów, Rzeszów, Poland

Abstract

Background. Postoperative pain is acute pain. Its prevalence is associated not only with the course of the disease but also with surgical damage to the tissue or the organs as well as the surgical wound.
Objectives. The aim of the paper is to evaluate the quality of perisurgical care in the aspect of postoperative pain in patients with a maxillofacial injury.
Material and Methods. The study involved 198 patients. The research included all the patients diagnosed with a maxillofacial injury who were admitted to the Clinical Ward of Maxillofacial Surgery.
Results. The average score in the clinical quality indicators in postoperative pain management was 47.89 and did not reach the minimal level of 63. A current intensification of pain amounted to 2.14 on average ± 1.54. In the 24 h time period the most severe postoperative pain was 4.55 ± 2.03, whereas the mildest pain experienced came to 2.4 ± 2.36. Satisfaction with the pain alleviation method was high, 7.71 ± 1.97. It has been proven that there is a correlation between the general score of the clinical quality indicators in postoperative pain management and the pain level according to the VAS scale, which as evaluated during the first 24 h after the surgery proved a significant dependency (p = 0.0000). The surveyed patients, who gave higher notes to the quality of pain treatment experienced pain amounting up to 4 pts. (minor pain) on the VAS scale.
Conclusion. Generally, the quality of the nursing care considering the postoperative pain management received average notes. The level of experience in postoperative pain management is higher in younger patients, who are university graduates suffering from mild pain as well as the patients with upper face injury.

Key words

postoperative pain, perisurgical care, care quality

Słowa kluczowe

ból pooperacyjny, opieka okołooperacyjna, jakość opieki

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