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Post-operative pain prevalence, predictors, management practices and satisfaction among operated cases at a Regional referral hospital in Dar es Salaam, Tanzania

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dc.creator Mwashambwa, Masumbuko Y.
dc.creator Yongolo, Isaya Maleva
dc.creator Kapalata, Secilia Ng'weshemi
dc.creator Meremo, Alfred Jackson
dc.date 2021-05-21T09:09:52Z
dc.date 2021-05-21T09:09:52Z
dc.date 2018
dc.date.accessioned 2022-10-20T14:01:47Z
dc.date.available 2022-10-20T14:01:47Z
dc.identifier Mwashambwa, M. Y., Yongolo, I. M., Kapalata, S. N. W., & Meremo, A. J. (2018). Post-operative pain prevalence, predictors, management practices and satisfaction among operated cases at a regional referral hospital in Dar es Salaam, Tanzania. Tanzania Journal of Health Research, 20(2).
dc.identifier URL: https://www.ajol.info/index.php/thrb/article/view/155145
dc.identifier http://hdl.handle.net/20.500.12661/3174
dc.identifier.uri http://hdl.handle.net/20.500.12661/3174
dc.description Abstract. Full text article available at https://www.ajol.info/index.php/thrb/article/view/155145
dc.description Post-operative pain is an essential component of good surgical patient care plan. In developing countries however, the prevalence of post-operative pain is relatively very high and pain control strategies are not very promising. The objective of this study was to assess post-operative pain prevalence, predictors, management practices and satisfaction among operated cases at a regional referral hospital in Dar es Salaam, Tanzania. Prospective hospital based descriptive observational study of operated cases at a Temeke Regional Referral Hospital in Dar es Salaam, Tanzania. Data was collected using a pre-constructed questionnaire and a visual pain intensity scale. A total of 136 patients were recruited with mean age of 37.1±15 years (range= 14–80 years). The prevalence of pain was 100%, 83.9%, and 36% at 12, 24 and 48 hours, respectively. At 12 hours moderate to worst pain was reported in 95.6% of cases. The main prediction factor for severe to worst pain at 12 hours was orthopaedic procedures (p=0.05, AOR=3.456), while widow/divorced marital status and female sex were negatively correlated to severity of pain (p=0.005, AOR=0.0230 and p=0.000, AOR=0.034, respectively). The commonest drugs prescribed post-operatively were injection pethidine (50.5%) and tramadol (48.9%) and oral tramadol (47.6%). Pain management satisfaction rate was paradoxically high (74.3%), with male sex being the main predictor. The prevalence of early post-operative pain is very high. Male sex and orthopaedic procedures are associated with severe pain. Surgeons therefore need to prioritize analgesic prescription at early hours following operation to minimize pain and suffering to patients focusing on orthopaedic procedures
dc.language en
dc.publisher National Institute for Medical Research
dc.subject Post-operative pain
dc.subject Pain management
dc.subject Tanzania
dc.subject Post-operative
dc.subject Surgical patient care plan
dc.subject Surgical patient care
dc.subject Prevalence
dc.subject Predictors
dc.subject Satisfaction
dc.title Post-operative pain prevalence, predictors, management practices and satisfaction among operated cases at a Regional referral hospital in Dar es Salaam, Tanzania
dc.type Article


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