Journal article
Military Veterans’ Perspectives on Postoperative Opioid Use: A Secondary Analysis of Qualitative Data
Journal of perianesthesia nursing, Vol.38(3), pp.483-487
06/2023
DOI: 10.1016/j.jopan.2022.09.006
Abstract
Purpose
This qualitative analysis of interviews with surgical patients who received a brief perioperative psychological intervention, in conjunction with standard medical perioperative care, elucidates patient perspectives on the use of pain self-management skills in relation to postoperative analgesics.
Design
This study is a secondary analysis of qualitative data from a randomized controlled trial.
Methods
Participants (N = 21) were rural-dwelling United States Military Veterans from a mixed surgical sample who were randomized to receive a manual-based, telephone-based Perioperative Pain Self-management intervention consisting of a total of four pre- and postoperative contacts. Semi-structured qualitative interviews elicited participant feedback on the cognitive-behavioral intervention. Data was analyzed by two qualitative experts using MAXQDA software. Key word analyses focused on mention of analgesics in interviews.
Findings
Interviews revealed a dominant theme of ambivalence towards postoperative use of opioids. An additional theme concerned the varied ways acquiring pain self-management skills impacted postoperative opioid (and non-opioid analgesic) consumption. Participants reported that employment of pain self-management strategies reduced reliance on pharmacology for pain relief, prolonged the time between doses, took the “edge off” pain, and increased pain management self-efficacy.
Conclusions
Perioperative patient education may benefit from inclusion of teaching non-pharmacologic pain self-management skills and collaborative planning with patients regarding how to use these skills in conjunction with opioid and non-opioid analgesics. Perianesthesia nurses may be in a critical position to provide interdisciplinary postoperative patient education that may optimize postoperative pain management while minimizing risks associated with prolonged opioid use.
Details
- Title: Subtitle
- Military Veterans’ Perspectives on Postoperative Opioid Use: A Secondary Analysis of Qualitative Data
- Creators
- Mandy ConradKenda Stewart SteffensmeierJennifer Van TiemAshlie ObrechtJasmine MaresHilary J. MosherMark W Vander WegZita SibenallerLori StoutParimal PatelKatherine Hadlandsmyth
- Resource Type
- Journal article
- Publication Details
- Journal of perianesthesia nursing, Vol.38(3), pp.483-487
- DOI
- 10.1016/j.jopan.2022.09.006
- ISSN
- 1089-9472
- eISSN
- 1532-8473
- Language
- English
- Electronic publication date
- 01/2023
- Date published
- 06/2023
- Academic Unit
- Psychiatry; Psychological and Brain Sciences; Anesthesia; Injury Prevention Research Center; General Internal Medicine; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984358159502771
Metrics
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