Table 5.
Nursing Interventions Used in POP Management.
Interventions/measures | Always |
Sometimes |
Never |
Not available |
||||
---|---|---|---|---|---|---|---|---|
No. | % | No. | % | No. | % | No. | % | |
I provide clean, calm, and a well-ventilated ward environment for POP management. | 130 | 77.4 | 34 | 20.2 | 3 | 1.8 | 1 | 0.6 |
I lay patients on neat, well-laid bed postoperatively. | 152 | 90.5 | 15 | 8.9 | 0 | 0.0 | 1 | 0.6 |
I use patient distraction, relaxation, and guided imagery postoperatively to reduce pain. | 51 | 35.1 | 78 | 46.4 | 25 | 14.9 | 6 | 3.6 |
I use music therapy to reduce pain. | 20 | 11.9 | 52 | 31.0 | 74 | 44.0 | 22 | 13.1 |
I use massaging and stretching to reduce POP. | 21 | 12.5 | 75 | 44.7 | 58 | 34.5 | 14 | 8.3 |
I apply heat and cold compresses to manage POP. | 42 | 25.0 | 91 | 54.1 | 30 | 17.9 | 5 | 3.0 |
I encourage prayer or meditation by patient or religious leader postoperatively. | 32 | 19.0 | 83 | 49.4 | 45 | 26.8 | 8 | 4.8 |
I encourage use of transcutaneous electrical nerve stimulator | 2 | 1.2 | 4 | 2.4 | 82 | 48.8 | 80 | 47.6 |
I encourage use of acupuncture. | 2 | 1.2 | 10 | 6.0 | 85 | 50.5 | 71 | 42.3 |
I encourage early ambulation/exercise with analgesia. | 115 | 68.4 | 48 | 28.6 | 1 | 0.6 | 4 | 2.4 |
I dress, bandage, splint, and reinforce wound sites postoperatively. | 122 | 72.6 | 43 | 25.6 | 2 | 1.2 | 1 | 0.6 |
I give opioids on a regular schedule. | 61 | 36.3 | 85 | 50.6 | 20 | 11.9 | 2 | 1.2 |
I give opioids to pediatric patients as well as adult patients postoperatively. | 30 | 17.9 | 93 | 55.4 | 37 | 22.0 | 8 | 4.8 |
I give patients sterile water by injection (placebo) to determine if the pain is real. | 17 | 10.1 | 83 | 49.4 | 53 | 31.6 | 15 | 8.9 |
I combine opioids with NSAID's rather than single analgesic agents when managing POP as suggested by World Health Organization. | 21 | 12.5 | 75 | 44.7 | 53 | 31.5 | 19 | 11.3 |
I give analgesics for postoperative pain only when the patient asks for the medication. | 15 | 8.9 | 54 | 32.1 | 90 | 53.6 | 9 | 5.4 |
I give pethidine frequently to manage pain in children. | 7 | 4.2 | 35 | 20.8 | 117 | 69.6 | 9 | 5.4 |
After I have given opioid analgesic, I administer subsequent doses to suit individual patient's response. | 22 | 13.1 | 62 | 36.9 | 72 | 42.9 | 12 | 7.1 |
POP = postoperative pain; NSAID = non-steroidal anti-inflammatory drugs.