Education Importance and Pain Belief Differences Among Patients Who Underwent Orthopedic Surgery

Determining the Effect of Preoperative Education on Orthopedic Surgery Patients on Pain Beliefs and Pain-Related Care Needs in the Postoperative Period

The assessment of pain plays a crucial role in pain management. Nurses are instrumental in the identification, evaluation, and initiation of pain management strategies. In the literature, it is strongly recommended to provide education about postoperative pain management to patients, their families, and those responsible for patient care. Additionally, the development of a pain management plan and goals is advocated.

The optimal timing, content, and objectives of patient education depend on the type of pain (acute or chronic), the availability and effectiveness of treatment, and the patient's level of education and literacy. Educating individuals undergoing elective surgery or outpatient treatment about the likelihood and magnitude of acute pain they may experience, as well as informing them about available methods to prevent or alleviate this pain, is critical for pain management. Shindo et al. conducted a study suggesting that perioperative pain education significantly reduces postoperative opioid use.

According to the Health Belief Model, an individual's perception of health is influenced by their perception of the value of health, beliefs about illness, and beliefs about the consequences of illness. Therefore, when a patient's health beliefs and attitudes are determined, health education and treatment planning can be tailored more appropriately.

Study Overview

• Status: Completed
• Conditions: Orthopedic Disorder; Post Operative Pain
• Intervention / Treatment: Other: education

Detailed Description

The assessment of pain plays a crucial role in pain management. Nurses are instrumental in the identification, evaluation, and initiation of pain management strategies. In the literature, it is strongly recommended to provide education about postoperative pain management to patients, their families, and those responsible for patient care. Additionally, the development of a pain management plan and goals is advocated.

The optimal timing, content, and objectives of patient education depend on the type of pain (acute or chronic), the availability and effectiveness of treatment, and the patient's level of education and literacy. Educating individuals undergoing elective surgery or outpatient treatment about the likelihood and magnitude of acute pain they may experience, as well as informing them about available methods to prevent or alleviate this pain, is critical for pain management. Shindo et al. conducted a study suggesting that perioperative pain education significantly reduces postoperative opioid use.

According to the Health Belief Model, an individual's perception of health is influenced by their perception of the value of health, beliefs about illness, and beliefs about the consequences of illness. Therefore, when a patient's health beliefs and attitudes are determined, health education and treatment planning can be tailored more appropriately.

Preoperative education is a significant component of the surgical process. Preoperative patient education is known to contribute to reduced postoperative pain and anxiety, as well as early discharge. Grä Sjöling et al. (2003) demonstrated in their study that preoperative education/information had an impact on postoperative pain scores. Furthermore, another study indicated that the majority of patients' greatest concern was the pain they might experience in the postoperative period. The information provided to patients about pain is associated with a high level of satisfaction. In this study, the aim is to determine the beliefs about postoperative pain and pain scores of patients undergoing orthopedic surgery following preoperative education. In this context, the study also aims to highlight the importance of involving patients in pain management and the preoperative patient education in the literature.

In this regard, the objective of the study is to examine the effects of postoperative mobilization times on patients' recovery status, pain levels, quality of life, and the development of complications after spinal surgery. By reporting the results of the study, it is anticipated that contributions will be made to the literature and that it will serve as a source for future research.

• Study Type: Interventional
• Enrollment (Actual): 122
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Düzce
    • Duzce, Düzce, Turkey, 81000
      • Duzce University Faculty of Health Science

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• being over 18 years old.
• being conscious
• there have not any auditory and understanding problem
• being an elective surgery patient

Exclusion Criteria:

• Being under 18 years of age,
• being unconscious,
• Rheumatoid arthritis patients,
• Patients with mental illness,
• Patients using psychiatric drugs,
• Patients with a known history of cancer
• Patients requiring urgent surgery

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: control group; The patient who assign to control group, they will give standard ward care before surgery and we measure their pain beliefs and pain level. After operation we will asses their pain beliefs and pain level. the last measure will be carried out after 30 days operation.
Experimental: experimental group; The patient who assign to experimental group, we will measure their pain beliefs and pain level before surgery. After that a researcher will give an education before operation to these patients about pain, potential pain and pain management after surgery. we will asses these patients pain beliefs and pain level after surgery and 30 days later again.	Other: education; we will give an education to experimental group about pain and pain management.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain level	we will use to measure patient pain level Numeric Pain Scale (NPS) several times. The intensity of pain will measure the area in which the individual mark between 0 (no pain) and 10 (worst pain i felt in my life).	before operation and after surgery in the 30 days process
Pain Beliefs	we will use to measure patient' pain belief with Pain Beliefs Questionnaire. Edwards and coworkers developed this survey to measure patients' pain beliefs in 1992. the survey has 12 questions. Likert-type scale items range from 1. (never) to 6 (always). An increase in the score obtained from the scale sub-dimension indicates a high pain belief in the sub-dimension, and a decrease in the score indicates a low pain belief in the relevant sub-dimension. Thanks to this survey we can measure both psychological and organic pain beliefs of patients. we will use the survey several times in different stages.	before operation and after surgery in the 30 days process

Collaborators and Investigators

• Sponsor: Duzce University

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2023
• Primary Completion (Actual): February 15, 2024
• Study Completion (Actual): May 15, 2024

Study Registration Dates

• First Submitted: October 23, 2023
• First Submitted That Met QC Criteria: October 23, 2023
• First Posted (Actual): October 27, 2023

Study Record Updates

• Last Update Posted (Actual): June 27, 2024
• Last Update Submitted That Met QC Criteria: June 26, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: patient education; post operative pain; pain beliefs
• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Pain, Postoperative; Musculoskeletal Diseases
• Other Study ID Numbers: ismailasatir

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No