{"title":"探索手术后疼痛的经历和决定因素:加纳腹部手术患者的定性分析","authors":"Philip Abu , Eric Tornu , Lydia Aziato","doi":"10.1016/j.ijans.2024.100741","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Post-surgical pain can have a major impact on patients’ postoperative recovery. An in-depth exploration of patients’ post-surgical pain experiences can contribute to improving the quality of postoperative care. This study aimed to explore the post-surgical pain experiences and determinants (related factors) among patients who had undergone abdominal surgeries within Dormaa, Ghana.</p></div><div><h3>Methods</h3><p>An exploratory, descriptive qualitative study was conducted among 13 adult postoperative patients who were purposively sampled at a health facility in Dormaa, Ghana. Data were collected through individual face-to-face semi-structured interviews. Data were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Postoperative patients experienced severe pain after their surgical interventions, which they attributed to previous experience, fear, sadness and excessive thinking. Patients felt mild to severe pain, mainly at the incision site, yet utilised verbal and non-verbal means to express their post-surgical pains. Although nurses responded to patients’ pains through pharmacological and non-pharmacological interventions, some patients resolved not to express pain due to social, cultural, and religious factors related to their age, sex, financial status and faith in God or Allah.</p></div><div><h3>Conclusion</h3><p>Healthcare professionals should consider postoperative patients’ pain experiences and manage them effectively according to their sociocultural contexts and religious preferences.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000866/pdfft?md5=dfc958c6dce912355e582f9901c66d83&pid=1-s2.0-S2214139124000866-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Exploring post-surgical pain experiences and determinants: A qualitative analysis among Ghanaian abdominal surgery patients\",\"authors\":\"Philip Abu , Eric Tornu , Lydia Aziato\",\"doi\":\"10.1016/j.ijans.2024.100741\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Post-surgical pain can have a major impact on patients’ postoperative recovery. An in-depth exploration of patients’ post-surgical pain experiences can contribute to improving the quality of postoperative care. This study aimed to explore the post-surgical pain experiences and determinants (related factors) among patients who had undergone abdominal surgeries within Dormaa, Ghana.</p></div><div><h3>Methods</h3><p>An exploratory, descriptive qualitative study was conducted among 13 adult postoperative patients who were purposively sampled at a health facility in Dormaa, Ghana. Data were collected through individual face-to-face semi-structured interviews. Data were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Postoperative patients experienced severe pain after their surgical interventions, which they attributed to previous experience, fear, sadness and excessive thinking. Patients felt mild to severe pain, mainly at the incision site, yet utilised verbal and non-verbal means to express their post-surgical pains. Although nurses responded to patients’ pains through pharmacological and non-pharmacological interventions, some patients resolved not to express pain due to social, cultural, and religious factors related to their age, sex, financial status and faith in God or Allah.</p></div><div><h3>Conclusion</h3><p>Healthcare professionals should consider postoperative patients’ pain experiences and manage them effectively according to their sociocultural contexts and religious preferences.</p></div>\",\"PeriodicalId\":38091,\"journal\":{\"name\":\"International Journal of Africa Nursing Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2214139124000866/pdfft?md5=dfc958c6dce912355e582f9901c66d83&pid=1-s2.0-S2214139124000866-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Africa Nursing Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214139124000866\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Africa Nursing Sciences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214139124000866","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
Exploring post-surgical pain experiences and determinants: A qualitative analysis among Ghanaian abdominal surgery patients
Background
Post-surgical pain can have a major impact on patients’ postoperative recovery. An in-depth exploration of patients’ post-surgical pain experiences can contribute to improving the quality of postoperative care. This study aimed to explore the post-surgical pain experiences and determinants (related factors) among patients who had undergone abdominal surgeries within Dormaa, Ghana.
Methods
An exploratory, descriptive qualitative study was conducted among 13 adult postoperative patients who were purposively sampled at a health facility in Dormaa, Ghana. Data were collected through individual face-to-face semi-structured interviews. Data were analysed using thematic analysis.
Results
Postoperative patients experienced severe pain after their surgical interventions, which they attributed to previous experience, fear, sadness and excessive thinking. Patients felt mild to severe pain, mainly at the incision site, yet utilised verbal and non-verbal means to express their post-surgical pains. Although nurses responded to patients’ pains through pharmacological and non-pharmacological interventions, some patients resolved not to express pain due to social, cultural, and religious factors related to their age, sex, financial status and faith in God or Allah.
Conclusion
Healthcare professionals should consider postoperative patients’ pain experiences and manage them effectively according to their sociocultural contexts and religious preferences.
期刊介绍:
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.