Association of preoperative pain-related education with postoperative patient care among in-hospital cardiac patients

Abstract

Background: The present study evaluated the association of pre-operative pain education with the postoperative pain perception among the patients undergoing coronary artery bypass grafting (CABG). Methodology: This randomized controlled trial was performed with cardiac patients undergoing CABG at Punjab Institute of Cardiology (PIC), Lahore. Eighty patients (47 males and 33 females) were selected and randomly assigned, either to the interventional group (40 patients) or the control group (40 patients). Those with any psychiatric disorder, past pain history, and those addicted to the opioids were excluded. The interventional group received preoperative pain education (booklet by Canadian Pain Society). Pre-operative and post-operative pain questionnaires including Brief Pain Inventory (BPI) scales were study tools. Chi-square and independent t-test, were used for association and comparison respectively. Results: No significant difference was found between comparative groups regarding pre-operative pain perception, while significant difference was noted between the two groups regarding post-operative clarification of pain management (P < 0.001), preparedness for stronger analgesics (P < 0.001), risk of analgesia dependence (P < 0.001), fear of nausea related to pain-killers (P < 0.001), and threat of constipation with use of analgesics (P < 0.001). BPI scale showed that the average pain score of interventional and control groups were 17.25 ± 5.26 and 32.17 ± 2.51 respectively. Conclusion: CABG patients who received preoperative pain education reported significantly less postoperative pain after the CABG, compared to the controls. Abbreviations: BPI: Brief Pain Inventory; CABG: Coronary artery bypass grafting; ICU: Intensive care unit; POPM: Postoperative pain management Key words: Preoperative, Postoperative, BPI scale, Pain perception, Cardiac patients. Citation: Khalid A, Sadiqa A, Rehman NA, Bilal B, Inayat T. Association of preoperative pain-related education with postoperative patient care among in-hospital cardiac patients. Anaesth. pain intensive care 2022;26(5): 756-766; DOI: 10.35975/apic.v26i6.2046