Clinical Study
Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals
Table 5
Pain management predictive factors associated with patient’s satisfaction (combined obstetric and orthopedic patients).
| | Characteristic | Strongly dissatisfied and dissatisfied
= 26 | Satisfied
= 185 | Strongly satisfied
= 85 | value | Total
= 296 |
| | Generally when you are in pain, would you like to be treated? | | | | | | | No | 3 (6.5%) | 25 (54.3%) | 18 (39.1%) | 0.523 | 46 | | Yes | 19 (9.4%) | 131 (64.5%) | 53 (26.1%) | | 203 | | Depending on pain severity | 4 (8.5%) | 29 (61.7%) | 14 (29.8%) | 47 |
| | Fear of adverse effects | | | | | | | No | 18 (12.5%) | 84 (58.3%) | 42 (29.2%) | 0.074 | 144 | | Yes | 8 (5.3%) | 101 (66.4%) | 43 (28.3%) | | 152 |
| | Fear of addiction | | | | | | | No | 21 (8.4%) | 151 (60.4%) | 78 (31.2%) | 0.088 | 250 | | Yes | 5 (10.9%) | 34 (73.9%) | 7 (15.2%) | | 46 |
| | Fear of additional cost | | | | | | | No | 20 (7.8%) | 156 (60.9%) | 80 (31.3%) | 0.030 | 256 | | Yes | 6 (15.0%) | 29 (72.5%) | 5 (12.5%) | | 40 |
| | Fear of tolerance | | | | | | | No | 22 (8.7%) | 160 (63.0%) | 72 (28.3%) | 0.912 | 254 | | Yes | 4 (9.5%) | 25 (59.5%) | 13 (31.0%) | | 42 |
| | Were you asked about previously used medications for pain management? | | | | | | | No | 11 (17.7%) | 39 (62.9%) | 12 (19.4%) | 0.008 | 62 | | Yes | 15 (6.4%) | 146 (62.4%) | 73 (31.2%) | | 234 |
| | Was your pain assessed prior to pain medication administration? | | | | | | | No | 13 (17.3%) | 44 (58.7%) | 18 (24.0%) | 0.006 | 75 | | Yes | 12 (5.5%) | 141 (64.4%) | 66 (30.1%) | | 219 |
| | Did a healthcare provider inform you that pain management is important and asked you to report when in pain? | | | | | | | Yes | 11 (5.7%) | 115 (59.3%) | 68 (35.1%) | <0.001 | 194 | | Yes but not sufficient | 2 (3.9%) | 37 (72.5%) | 12 (23.5%) | | 51 | | No but I wanted to know | 9 (25.0%) | 24 (66.7%) | 3 (8.3%) | 36 | | No and I do not want to know | 4 (26.7%) | 9 (60.0%) | 2 (13.3%) | 15 |
| | What was the longest time you had to wait to get a pain medication after asking for it? | | | | | | | <10 minutes | 0 | 2 (100%) | 0 | | 2 | | 10–30 minutes | 11 (7.7%) | 79 (55.6%) | 52 (36.6%) | <0.001 | 142 | | 30–60 minutes | 4 (5.2%) | 66 (85.7%) | 7 (9.1%) | | 77 | | >60 minutes | 3 (10.3%) | 23 (79.3%) | 3 (10.3%) | 29 | | Asked but never received | 5 (62.5%) | 1 (12.5%) | 2 (25.0%) | 8 | | Never asked for pain medication | 1 (2.8%) | 14 (38.9%) | 21 (58.3%) | 36 |
| | Were you provided with an appropriate atmosphere of peace and quiet to sleep at night? | | | | | | | No | 8 (28.6%) | 13 (46.4%) | 7 (25.0%) | <0.001 | 28 | | Yes | 18 (6.7%) | 172 (64.2%) | 78 (29.1%) | | 268 |
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