Author/Editor		Krčevski-Škvarč, N; Pečan, M; Godec, M; Stare, J; Kamenik, M
Title		Pacientova pričakovanja in izkušnje z akutno pooperativno bolečino: rezultati ankete "Bolečina po operaciji"
Translated title		The patient's expectations and experiences with acute postoperative pain: results of inquiry: pain after surgery
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 2
Publication year		1997
Volume		str. 61-4
Language		slo
Abstract		Background. Postoperative pain management is frequently insufficient. Developed countries have services organizing and monitoring postoperative pain management and educatin gpatients as well as medical staff. Patients from nine Slovene hospitals were questioned regarding their expectations of postoperative pain and their experiences with its treatment. Methods. The inquiry included patients prior to surgery who had already undergone and operation in the past. Prior to the imminent operation the patients received information about postoperative pain and its management. They were questioned regarding their experiences, their previous and present knowledge about postoperative pain. Prior to the operation they were asked whether they expected to have postoperative pain, and after the operation they were questioned about the effectiveness of the applied pain management procedures. Results. The patients share the opinion that surgery must necessarily be followed by pain (86.4%), and they were afraid of it (39.8%). As a rule they were not previously informed about postoperative pain (78.1%). Follwing the present operation they had less pain immediately upon awakening than they had before (63.7%). The effectiveness of treatment following the operation was evaluated as absolute (30.8%), satisfactory in a larger percentage than before (65.7%) and unsatisfactory in a smaller percentage than before (3.5%). After this operation the pain was reduced sooner. Pain killers were administered by more modern methods than on previous occasions. The patients also demanded pain killers more often (45.8%). Conclusions. The patients in Slovene hospitals experience postoperative pain more strongly than they had expected. The majority is not informed about postoperative pain and its management. Half of the patients who were informed had better experiences with pain management following surgery. (Abstract truncated at 2000 characters.)
Summary		Izhodišča. Zdravljenje pooperativne bolečine je pogosto nezadostno. V razvitem svetu imajo službe, ki organizirajo in nadzorujejo zdravljenje pooperativne bolečine in o njej poučujejo paciente in medicinsko osebje. V devetih slovenskih bolnišnicah smo anketirali paciente o njihovem pričakovanju pooperativne bolečine in izkušnjah z njenim zdravljenjem. Metode. V anketo smo vključili paciente, ki so bili predvideni za operacijo in so v preteklosti že bili operirani. Pred sedanjo operacijo smo jih poučili o pooperativni bolečini in njenem zdravljenju. Metode. V anketo smo vključili paciente, ki so bili predvideni za operacijo in so v preteklosti že bili operirani. Pred sedanjo operacijo smo jih poučili o pooperativnni bolečini in njenem zdravljenju. Paciente smo vprašali o izkušnjah in obveščenosti o pooperativni bolečini prej in sedaj. Pred sedanjo operacijo smo jih vprašali, ali pričakujejo, da jih bo po operaciji bolelo, po operaciji pa o učinkovitosti postopkov zdravljenja bolečine. Rezultati. Pacienti menijo, da po operaciji mora boleti (86,4%) in se teh bolečin bojijo (39,8%). Prej praviloma niso poučeni o poperativni bolečini (78,1%). Po sedanji operaciji jih je takoj po zbujanju bolelo manj kot prej (63,7%). Učinkovitost zdravljenja po sedanji operaciji ocenjujejo kot popolno (30,8%), zadovoljivo v večjem odstotku kot prej (65,7%) in nezadovoljivo v manjšem odstotku kot prej (3,5%). Bolečina je po sedanji operaciji hitreje minila. Analgetike so jim dovajali na sodobnejše načine kot prej. Pacienti so pogosteje sami zahtevali zdravljenje proti bolečini (45,8%). Zaključki. Paciente v slovenskih bolnišnicah po operaciji boli bolj, kot pričakujejo. Večinoma niso poučeni o pooperativni bolečini in njenem zdravljenju. Polovica pacientov, ki so bili poučeni o pooperativni bolečini in njenem zdravljenju, je imela boljše izkušnje z zdravljenjem bolečine po operaciji. (Izvleček prekinjen pri 2000 znakih.)
Descriptors		PAIN, POSTOPERATIVE QUESTIONNAIRES PATIENT EDUCATION