Assessing the relationship between the level of pain control and patient satisfaction

Shay Phillips, Maja Gift, Shyam Gelot, Minh Duong, Hazel Tapp, Shay Phillips, Maja Gift, Shyam Gelot, Minh Duong, Hazel Tapp

Abstract

Purpose: The primary assessment tool used by hospitals to measure the outcomes of pain management programs is the 0-10 numerical pain rating scale. However, it is unclear if this assessment should be used as the sole indicator of positive outcomes by pain management programs. Although it is assumed that pain intensity scores would be correlated with patient satisfaction, few studies have evaluated the association between pain intensity scores and patient satisfaction.

Methods: In this pilot study, we investigated the relationship between pain intensity and patient satisfaction by evaluating 88 patients who received opioid analgesics at a 1018-bed acute care institution. A 14-question survey was adapted from a questionnaire developed by the American Pain Society to assess patient pain control and overall satisfaction with our institution's pain management strategies.

Results: This study found no association between pain intensity score and patient satisfaction with overall pain management (Spearman's rank correlation coefficient = -0.31; 95% confidence interval = -0.79 to 0.39). The majority of the surveyed patients were satisfied or very satisfied with their overall pain management, regardless of their pain intensity score.

Conclusion: These findings contribute to the general understanding that institutions should use pain intensity scores together with a measure of patient pain satisfaction when assessing regulatory and quality control programs.

Keywords: HCAHPS survey; measurement; pain assessment; pain intensity scores; pain management; perception.

Figures

Figure 1
Figure 1
Distribution of the pain scores reported for the previous 24-hour period (n = 78). Note: Average pain score = 5.6 ± 2.3. Abbreviation: n, number.
Figure 2
Figure 2
Overall patient satisfaction with pain treatment (n = 76). Abbreviation: n, number.
Figure 3
Figure 3
Relationship between patient satisfaction and pain control (n = 76). Note: Spearman correlation (95% CI): −0.31 (−0.79 to 0.39). Abbreviations: n, number; CI, confidence interval.
Figure 4
Figure 4
Factors contributing to patient satisfaction.

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Source: PubMed

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