Effect of Clinical Practice Guidelines Developed Base in Evidence-Based Practice for Postoperative Pain Management in Patients Who Underwent Orthopedic Surgery
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Effective pain management has been shown to promote earlier ambulation and reduced postoperative complications. However, pain management in patients who underwent orthopedic surgery remains an issue in nursing practice. Purpose: This study were to assess pain scores on postoperative day 1 to day 5, to examine patients' satisfaction on pain management, and to ascertain nurses' satisfaction on the implementation of a CPG. Methods: 42 samples from surgical units of a hospital in Thailand were randomly assigned into the intervention group (21 participants received the CPG) and control group (21 participants received usual treatment).The CPG consisted of four stages including, pre-operative, peri-operative, postoperative at a recovery room, and postoperative at surgical units. Data were gathering by using the Numeric Pain Red Color Scale, the Patient's Satisfaction Questionnaire, and the Nurses' Satisfaction Questionnaire. Descriptive statistics, t-test, and repeated measure ANOVA were conducted to analyze data. Results: The results were as follows: 1. Pain scores were significantly reduced in the intervention group compared with control group over five days after surgery (p < .05). 2. The experimental group had more significantly satisfaction on pain management than those in the control group (p < .05). 3. 96.09 % of health care providers satisfied with the CPG at a highest level and decided to continue practice following the CPG. Conclusion: Results of the study are evidence-based practice in postoperative pain management for patients with orthopedic surgery. Application the evidence-based CPG and the Diffusion of Innovation Model can reduce postoperative pain, enhance patients' satisfaction, increase nurses' satisfaction, and promote nursing quality of care on postoperative pain management.