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Original Research Papers

Self-perceived pain characteristics, pain management practices and patient satisfaction in the emergency department of District General Hospital, Kalutara

Authors:

P. D. Kawiratne ,

District General Hospital Kalutara, LK
About P. D.
MD Emergency Medicine, Acting Consultant Emergency Physician, Accident & Emergency Department
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C. M. A. D. Chandrasekara

District General Hospital Kalutara, LK
About C. M. A. D.
Medical Officer, Accident & Emergency Department
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Abstract

Introduction: The incidence of admissions to Emergency Department (ED) is rising in Sri Lanka and services are being expanded to accommodate the growing demand. The pain management practices in the ED and their outcomes influencethe quality of care provided and thereby the evaluation indicators.

 

Objectives: To describe the characteristics of self-perceived pain, pain-management practices, patient-satisfaction of care and associated factors in the ED of the District General Hospital, (DGH) Kalutara.

 

Method: A descriptive cross-sectional study conducted in the ED of the DGH Kalutara from June to August 2020.  Study population included those admitted to the ED with a GCS of more than 13. Patients below the age of sixteen and pregnant mothers were excluded. Four hundred twenty -seven patients were recruited. A structured interviewer-administered questionnaire and a data extraction sheet were used as study tools.  Data were analyzed by the Statistical Package of Social Sciences (SPSS) version 26.

 

Results: Out of a total of 427 subjects the response rate was 96% with 408 participants being recruited with a male to female ratio of 3: 2. Nearly two thirds of the study sample experienced pain with more than 10% of them having a level of pain of 9-10. The median (IQR) of pain score was 4 (0 to 7). Approximately 40% had not been told that they would be given analgesics and nearly half asked for analgesics. While majority had favorable evaluations on the “information given by ED staff on pain”, “medications given” and “overall care of ED”, many were dissatisfied on the “information given on modes and side effects” of analgesics.  The median (IQR) of the pain satisfaction score was 13.0 (12.0 to 15.0) and correlated with the total satisfaction on ED care. The pain-satisfaction score increased when they were informed that analgesics is given and when the patients asked for analgesics(P<0.001), irrespective of age and gender (P>0.005).

 

Conclusions and recommendation: The pain-satisfaction score showed a diverse variation and increased with information on pain medication and with intensity of pain. It correlated with the total satisfaction on ED care. More research is encouraged in order to determine more ways of improving patient satisfaction with regards to pain management in ED care.

How to Cite: Kawiratne, P.D. and Chandrasekara, C.M.A.D., 2021. Self-perceived pain characteristics, pain management practices and patient satisfaction in the emergency department of District General Hospital, Kalutara. Sri Lanka Journal of Medicine, 30(1), pp.25–33. DOI: http://doi.org/10.4038/sljm.v30i1.204
Published on 01 Jul 2021.
Peer Reviewed

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