Nonpharmacologic pain management for patients in ambulatory extended recovery after minimally invasive gynecologic and urologic surgery Journal Article
| Authors: | Ehinger, L. M.; Marte, M. K.; Kozachik, S. L. |
| Article Title: | Nonpharmacologic pain management for patients in ambulatory extended recovery after minimally invasive gynecologic and urologic surgery |
| Abstract: | PURPOSE: To determine the effectiveness of an evidence-based postoperation nonpharmacologic pain management bundle for patients recovering from minimally invasive gynecologic and urologic surgeries. PARTICIPANTS & SETTING: This study focused on patients recovering from minimally invasive gynecologic and urologic surgery at a comprehensive cancer center. The first cohort consisted of patients three months preimplementation (n = 96) and the second consisted of those three months postimplementation (n = 86). METHODOLOGIC APPROACH: The project used a preand postintervention design and deployed the bundle as a nursing order. Nurses and patients were educated about the bundle and comprehensive postoperation pain management strategies. FINDINGS: Postimplementation, the documented use of nonpharmacologic pain management interventions significantly increased and postoperation opioid use significantly decreased without negatively affecting pain scores or lengths of stay. IMPLICATIONS FOR NURSING: Nonpharmacologic pain interventions can decrease the need for postoperation opioids, and ordering a bundle of interventions alongside analgesia is an effective way patients can manage pain. |
| Keywords: | aged; data analysis software; quality of health care; quality improvement; descriptive statistics; funding source; middle age; alternative therapies; mann-whitney u test; postoperative pain -- therapy; analgesics, opioid -- therapeutic use; fisher's exact test; treatment outcomes -- evaluation; nursing practice, evidence-based; pretest-posttest design; minimally invasive procedures -- adverse effects; human; male; female; nurses -- education; pain management -- methods; surgery, gynecologic -- adverse effects; surgery, urologic -- adverse effects; pain management -- education; drug utilization -- evaluation |
| Journal Title: | Oncology Nursing Forum |
| Volume: | 50 |
| Issue: | 1 |
| ISSN: | 0190-535X |
| Publisher: | Oncology Nursing Society (ONS) |
| Date Published: | 2023-01-01 |
| Start Page: | 47 |
| End Page: | 57 |
| Language: | English |
| DOI: | 10.1188/23.Onf.47-57 |
| PROVIDER: | EBSCOhost |
| PROVIDER: | cinahl |
| PUBMED: | 37677790 |
| DOI/URL: | |
| Notes: | MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- Accession Number: 160912039 -- Entry Date: 20221229 -- Revision Date: 20221229 -- Publication Type: Article; research; tables/charts -- Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA -- Special Interest: Evidence-Based Practice; Pain and Pain Management -- NLM UID: 7809033. -- Source: Cinahl |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work