The Effectiveness of an Evidence-Based Pain Management Program on Pain Intensity and Chest Rehabilitation Improvement Among Chest Trauma Patients in a Thai Hospital |
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| Institution: | 1. Songklanagarind Hospital, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Thailand;2. Department of Surgical Nursing, Faculty of Nursing, Prince of Songkla University, Hat-Yai, Thailand;1. Johns Hopkins University School of Nursing, Baltimore, Maryland;2. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland;3. Department of Radiology, Johns Hopkins University School of Medicine, 600 N. Wolfe St, Phipps 455, Baltimore, Maryland;4. Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China;6. Chengdu Medical College School of Nursing, Chengdu, Sichuan, China;5. The Nursing College of Zhengzhou University, No. 100 Science Ave, Zhengzhou, Henan, China;7. Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland;11. National Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland;1. Department of Psychology, University of Economic and Human Sciences in Warsaw, Warsaw, Poland;2. Department of Neurosurgery, Copernicus Hospital, Gdańsk, Poland;3. Department of Neurology and Neurosurgery, University of Warmia and Mazury, Olsztyn, Poland;4. Department of Quality of Life Research, Medical University of Gdańsk, Gdańsk, Poland;6. Institute of Health Sciences, Pomeranian Academy in S?upsk, S?upsk, Poland;5. Department of Palliative Medicine, Poznań University of Medical Sciences, Poznań, Poland;1. Johns Hopkins University School of Nursing, Baltimore, Maryland;2. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland;3. Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland;4. Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China;6. Chengdu Medical College School of Nursing, Chengdu, Sichuan, China;5. The Nursing College of Zhengzhou University, Zhengzhou, Henan, China;7. Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland;11. National Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland;1. Hariri School of Nursing, American University of Beirut, Beirut, Lebanon;2. School of Nursing, Azusa Pacific University, Azusa, California |
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| Abstract: | BackgroundPain after thoracic injury has further profound impacts on patients resulting in increased length of hospital stay and hospital care cost, and decreased quality of life. Utilization of the cutting-edge evidence on pain management that fits with the individual care context is therefore important.AimTo examine the effects of an evidenced-based pain management program on the worst pain intensity and lung vital capacity among acutely ill hospitalized chest trauma patients.DesignA two-group repeated measures design.Settingstrauma unit, a university hospital in southern Thailand.Participants/Subjects42 chest trauma patients.MethodsThe study population included 42 chest trauma patients admitted to the trauma unit. Twenty-one eligible chest trauma patients were consecutively assigned into intervention and control groups. The impacts of the intervention on the level of the worst pain intensity and lung vital capacity were measured before implementation of the program and throughout the first 5 days of admission.ResultsThe study found a significant reduction in the worst pain intensity and an increase in the lung vital capacity among chest trauma patients in the intervention group compared with the control group (p < .05).ConclusionsUse of a pain management program can be an effective, inexpensive, and low-risk intervention for the improvement of pain management and chest rehabilitation among chest trauma patients. |
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