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    Predictors of patient satisfaction with pain management and improvement 3 months after burn injury

    Access Status
    Fulltext not available
    Authors
    Andrews, R.
    Browne, Allyson
    Wood, F.
    Schug, S.
    Date
    2012
    Type
    Journal Article
    
    Metadata
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    Citation
    Andrews, R. and Browne, A. and Wood, F. and Schug, S. 2012. Predictors of patient satisfaction with pain management and improvement 3 months after burn injury. Journal of Burn Care and Research. 33 (3): pp. 442-452.
    Source Title
    Journal of Burn Care and Research
    DOI
    10.1097/BCR.0b013e31823359ee
    ISSN
    1559-047X
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/41799
    Collection
    • Curtin Research Publications
    Abstract

    Very little is known about what influences patient satisfaction with burn pain management. The aim of this prospective study was to examine predictors of patient satisfaction with pain management following burn injury. Methods: Participants were 97 adult burn patients admitted to Royal Perth Hospital, Western Australia between June 2007 and February 2009. Key patient satisfaction domains were: pain treatment in hospital, pain medication provided, and improvement since hospitalisation. Acute pain medication use, pain severity, psychological symptoms, and patient expectations were assessed as potential predictors of patient satisfaction. Results: Patients reported moderate to high levels of satisfaction across all domains. Whether treatment matched patients' expectations was a significant predictor of satisfaction with pain treatment, pain medication and improvement (p < .001, p < .001, p < .05 respectively). Current pain at follow-up was a significant predictor of satisfaction with pain treatment and improvement (p < .01, p < .001 respectively). Acute pain medication use, depressive symptoms and reductions in average pain at three months were not significant independent predictors of patient satisfaction with pain management and improvement in this sample (p > .35). Yet, severity of posttrauma symptoms at three months was a significant predictor of satisfaction with pain medication and was moderately and positively associated with satisfaction with pain treatment (p < .05, p = .07, respectively). Discussion: These findings suggest that acute medication use and reductions in perceived pain symptoms are less closely related to patient satisfaction compared with treatment expectations, current pain and posttrauma symptoms. Collectively, these findings indicate a need to proactively address treatment expectations about pain management, and manage current pain and psychological distress following burn injury in order to improve patient satisfaction with care received. Copyright © 2012 by the American Burn Association.

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