Satisfaction on postoperative pain management and Associated factors among patients undergoing Abdominal surgery at jimma medical center2022; a Prospective cross-sectional study

Abstract

BACKGROUND: Pain is an unpleasant sensory associated with actual/potential tissue damage. Pain has been recognized as a global health problem and postoperative pain is classified as a serious public health problem in both developed and developing countries. Findings from studies suggested that post-operative pain were not effectively managed. Patients’ satisfaction on pain management is the most relevant criteria of clinical success. This study aimed to assess satisfaction on postoperative pain management and associated factors among patients undergoing abdominal surgery at Jimma medical center, Jimma, Southwest Ethiopia in 2022 Method: Institutional based prospective cross-sectional study was conducted in Jimma medical center from September 1 to October 31, 2022. All patients whose age ≥15 years undergo abdominal surgery at JMC during study period and able to communicate were included in the study. For those less than 18 years age, consent taken from family. About 149 patients undergo abdominal surgery at JMC were included in the study. Data entered in Epi Data version 4.6.0, and exported to SPSS version 25 for analysis. Descriptive statistics like frequency tables and charts were used to describe the variables, and logistic regression analysis was performed. Those variables at Binary logistic regression with p- value<0.2 were moved to multivariable logistic regression model and finally Adjusted Odds Ratio with 95%CI and P-value <0.05 declared as statistically significant. Result: It is 149 patients’ who undergo abdominal surgery investigated in this study; the majorities were females and rural dwellers. The study showed 60.4 % of patients were satisfied with pain management. Illiterate (AOR: 0.21; 95% CI: 0.06, 0.70), anesthesia type (AOR: 4.09; 95% CI (1.41, 11.89); asked medication for their pain (AOR: 0.12; 95% CI: 0.04, 0.32), previous chronic pain (AOR: 0.16; 95% CI: 0. 06, 0.44), advised preoperatively on POP (AOR: 3.39; 95% CI (1.23, 9.33) and bleeding amount (AOR: 0.04; 95% CI: 0. 01, 0.19) were factors significantly associated with patient satisfaction. Conclusion: The study found that 60.4 % of patients were satisfied with post-operative pain management. The study found that being an illiterate asked medication for their pain, had previous chronic pain, bleeding amount and advised preoperatively on postoperative pain were significantly associated with abdominal surgery outcome.