Key result
A preoperative pain education booklet did not significantly reduce overall pain-related interference with activities or improve pain management outcomes across 5 days after CABG surgery compared to standard care.
Why the study?
Does a preoperative pain education booklet reduce pain-related activity interference in patients undergoing their first uncomplicated CABG surgery?
RCT (n=406)
Single-blind (research assistant and health professional staff blinded)
Computer-generated randomization table
No
Does a preoperative pain education booklet reduce pain-related activity interference in patients undergoing their first uncomplicated CABG surgery?
A preoperative pain education booklet did not result in clinically significant improvements in overall pain management outcomes after CABG surgery, though it modestly reduced interference with deep breathing and coughing.
Answers are grounded in this paper and cite their sources.
Does not support routine preoperative pain education booklets in CABG; confirms lack of overall benefit on activity interference.
Cardiovascular diseases cause more disability and economic loss in industrialized nations than any other group of diseases. In previous work [Nurs Res 49 (2000a) 1], most coronary artery bypass graft patients (CABG, N=225 ) reported unrelieved pain and received inadequate analgesics. This study proposed to evaluate a preadmission education intervention to reduce pain and related activity interference after CABG surgery. Patients (N=406) were randomly assigned to (a) standard care or (b) standard care+pain booklet group. Data were examined at the preadmission clinic and across days 1-5 after surgery. Outcomes were pain-related interference (BPI-I), pain (MPQ-SF), analgesics (chart), concerns about taking analgesics (BQ-SF), and satisfaction (American Pain Society-POQ). The impact of sex was explored related to primary and secondary outcomes. The intervention group did not have better overall pain management although they had some reduction in pain-related interference in activities ( t(355)=2.54, P<0.01) and fewer concerns about taking analgesics ( F(1,313)=2.7, P<0.05) on day 5. Despite moderate 24-h pain intensity across 5 days, patients in both groups received inadequate analgesics (i.e. 33% prescribed dose). Women reported more pain and pain-related interference in activities than men. The booklet was rated as helpful, particularly by women. In conclusion, the intervention did not result in a clinically significant improvement in pain management outcomes. In future, an intervention that considers sex-specific needs and also involves educating the health professionals caring for these patients may influence these results.
No takes yet. Share an insight, caveat, or question.
Watt‐Watson et al. (2004) conducted an RCT in Coronary artery bypass graft (CABG) surgery (n=406). Preoperative pain education booklet (Pain Relief After Surgery) vs. Standard care (standard cardiovascular education booklet and video) was evaluated on Overall pain-related interference with activities across days 3 and 5 (BPI-I) (p=0.49). A preoperative pain education booklet did not significantly reduce overall pain-related interference with activities or improve pain management outcomes across 5 days after CABG surgery compared to standard care.
Synapse has enriched 10 related papers. Consider them for comparative context: