Aqel Elaqoul
King Hussein Cancer Center Amman Jordan
Title: Factors Associated with Inadequate Pain Control among Postoperative Patients with Cancer
Biography
Biography: Aqel Elaqoul
Abstract
Background: Postoperative pain is considered as a major, complex and multidimensional problem that impacts the clinical and functional outcomes of patients and may contribute to increased postoperative complications.
Aim: To determine the prevalence of inadequate pain control and to investigate the factors associated with inadequate pain control among postoperative cancer patients.
Design: A descriptive correlational, cross-sectional design was used.
Participants: A convenience sample of 800 cancer patients were selected; postoperative patients, diagnosed with cancer, aged ≥18 years, willing to participate, and being able to use the numeric rating scale.
Result: About 32.9% of patients had pain score more than 4/10 at rest and 56.4% of patients had pain score more than 4/10 at the movement. Data revealed that patients aged between 18 – 63 years old (OR= 0.196, P< 0.0005) and (OR= 0.245, P< 0.0005) and chronic user patients (OR=28.029, P< 0.0005) and (OR= 10.332, P< 0.0005) were associated with increase odd of being poorly pain controlled at rest and at movement respectively. Preemptive medications and Fentanyl and bupivacaine during the post-operative period were significantly associated with decrease odd of poor pain controlled. Intravenous route was associated with increased odds of poor pain control at rest and at movements (OR=2.279, P=0.016) and (OR=5.393, P=0.012) compared with other routes including a combination of intravenous and oral or epidural route.
Conclusion: chronic users of pain medications and adult patients were a predictor of inadequate pain control postoperatively. While receiving preemptive medications and combinations of Fentanyl/Bupivacaine via epidural route were associated with better pain control.