FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN
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Case Western Reserve University School of Graduate Studies / OhioLINK
2010
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=case1264081658 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-case12640816582021-08-03T05:33:33Z FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN Kless, Jack Robert Nursing secondary analysis postoperative pain factors moderate and severe Postoperative pain continues to be a serious consequence of surgical intervention. Understanding the predictive factors of postoperative pain would allow nurses to identify those at increased risk and to better direct resources to ameliorate significantly high levels of postoperative pain. Based on the theory of unpleasant symptoms, the purpose of this research was to identify the factors correlated with moderate and severe postoperative pain. Using a predictive correlational design, this study was a secondary analysis of a randomized controlled trial of nonpharmacological interventions for the treatment of postoperative pain (Good et al., 1999). The sample consisted of 292 participants from the primary study who had pain scores on the first day after major abdominal surgery. Two levels of moderate to severe pain, moderate30 (30 to 100 mm) and moderate50 (50 to 100 mm), and one level of severe postoperative pain (70 to 100 mm) were studied. Logistic regression was used to examine the relationship of eight independent variables on on moderate and severe postoperative pain: gender, age, chronic preoperative pain, acute preoperative pain, physical status, surgical procedure, length of surgery, and length of incision. The model accounted for 10% of the variance at moderate30 postoperative pain and predicted 70% of the cases. At moderate50 postoperative pain only 6% of variance was explained and 60% of cases were correctly classified. At severe70 postoperative pain, 12% of variance was explained, and 79% of cases were correctly classified. Age and ASA physical status were significant predictors at all three levels of postoperative pain. The model was more accurate at moderate30 andxsevere70 postoperative pain, but explained variance was low, and -2 log likelihoods were relatively high. The theory of unpleasant symptoms was partially supported by finding that age and ASA physical status were predictive of postoperative pain levels and the major implication for nursing is to increase nurses’ effort to uncover untreated postoperative pain, and to better direct resources to ameliorate it. 2010-07-06 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1264081658 http://rave.ohiolink.edu/etdc/view?acc_num=case1264081658 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Nursing secondary analysis postoperative pain factors moderate and severe |
| spellingShingle |
Nursing secondary analysis postoperative pain factors moderate and severe Kless, Jack Robert FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN |
| author |
Kless, Jack Robert |
| author_facet |
Kless, Jack Robert |
| author_sort |
Kless, Jack Robert |
| title |
FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN |
| title_short |
FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN |
| title_full |
FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN |
| title_fullStr |
FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN |
| title_full_unstemmed |
FACTORS ASSOCIATED WITH MODERATE AND SEVERE POSTOPERATIVE PAIN |
| title_sort |
factors associated with moderate and severe postoperative pain |
| publisher |
Case Western Reserve University School of Graduate Studies / OhioLINK |
| publishDate |
2010 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=case1264081658 |
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AT klessjackrobert factorsassociatedwithmoderateandseverepostoperativepain |
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1719421699171024896 |