Investigation 0f Surgical Nurses Knowledge and Practice Levels for Multimodal Analgesia

Pain is a symptom that is felt in different parts of the body for various reasons, leading to physiological and psychological reactions and causing the individual to seek help. The perception of pain is affected by many emotional and behavioral factors, such as environment, gender, culture, education, and experiences of the individual [1]. One of the most important causes of pain that can be caused by many factors, such as accidents, traumas, and acute and chronic diseases, throughout the life is surgical interventions. Pain after surgical interventions is an acute experience that begins with tissue destruction following surgical trauma and progressively decreases and ends with tissue healing. Postoperative pain is the most important factor in the development of complications, such as pneumonia, thrombosis and ileus; conversely, long and severe pain with ineffective pain management leads to prolonged hospital stay and increased opioid use [2-4]. In the management of postoperative pain, adequate analgesia may not be achieved with a single agent [5].

[1]  A. Afonso,et al.  Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use , 2017, Plastic and reconstructive surgery. Global open.

[2]  Nazan Gürarslan Baş,et al.  Hemşirelerin Ameliyat Sonrası Ağrıya İlişkin Uygulamaları , 2016 .

[3]  Roger Chou,et al.  Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. , 2016, The journal of pain : official journal of the American Pain Society.

[4]  Sevilay Erden,et al.  Cerrahi Hemşirelerinin Ağrı Ve Ameliyat Sonrası Ağrı Yönetimine İlişkin Bilgi Düzeylerinin Saptanması: Pilot bir çalışma , 2015 .

[5]  R. Urman,et al.  Multimodal therapy in perioperative analgesia. , 2014, Best practice & research. Clinical anaesthesiology.

[6]  Todd C. Kelley,et al.  Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: a randomized, double-blinded study. , 2013, The Journal of arthroplasty.

[7]  S. Çelik Batın Ameliyatından 24-48 Saat Sonra Hastaların Ağrı Düzeyleri Ve Uygulanan Hemşirelik Girişimleri , 2013 .

[8]  A. Yılmazlar Total kalça artroplastisi ve multimodal analjezi , 2013 .

[9]  M. K. Aki,et al.  Hemşirelerin Ağrı Yönetimi İle İlgili Bilgi, Davranış ve Klinik Karar Verme Durumlarının Belirlenmesi , 2012 .

[10]  Dilek Aygi̇n,et al.  Travmalı Hastanın Ağrı Yönetimi ve Hemşirelik Yaklaşımları , 2012 .

[11]  Adem Boyaci,et al.  Multimodal Analjezi Uygulamasında Majör Jinekolojik Cerrahilerde İntravenöz Deksketoprofen ve Parasetamolün Postoperatif Analjezik Etkinliği ve Tramadol Tüketimine Etkileri , 2012 .

[12]  Yard. Doç. Dr. Hüsna Özveren Ağrı Kontrolünde Farmakolojik Olmayan Yöntemler , 2011 .

[13]  M. Yılmaz,et al.  Hastaların ameliyat sonrası yaşadıkları ağrıya yönelik hemşirelik yaklaşımları: Hasta görüşleri , 2011 .

[14]  Nurgül Bölükbaş,et al.  POSTOPERATİF DÖNEMDEKİ HASTALARIN AĞRIYI TANIMLAMALARI VE HEMŞİRELERİN AĞRILI HASTALARA YÖNELİK GİRİŞİMLERİNİN İNCELENMESİ , 2010 .

[15]  Ş. Alpar,et al.  Postoperatif ağrı ve hemşirelik uygulamaları , 2010 .

[16]  J. Kroin,et al.  Multimodal analgesia for controlling acute postoperative pain , 2009, Current opinion in anaesthesiology.

[17]  J. Keck,et al.  Foot and hand massage as an intervention for postoperative pain. , 2004, Pain management nursing : official journal of the American Society of Pain Management Nurses.

[18]  R. de Wit,et al.  A pain monitoring program for nurses: effects on nurses' pain knowledge and attitude. , 2000, Journal of pain and symptom management.

[19]  A. Lebovits,et al.  Pain knowledge and attitudes of healthcare providers: practice characteristic differences. , 1997, The Clinical journal of pain.