Situation of postoperative pain and satisfaction to pain nursing in patients with ONFH after FVFG

Objective To know the situation of postoperative pain and the satisfaction with pain management in patients who suffered osteonecrosis of the femoral head (ONFH) and accepted free vascularized fibular grafting (FVFG), and analyze the influencing factors of satisfaction with pain management. Methods By convenience sampling method, 140 inpatients who underwent FVFG for 72 hours were recruited in this study. These patients were admitted in the orthopedic department of the Sixth People′s Hospital of Shanghai from January to October 2016, and were investigated by the general information questionnaire, the brief pain inventory, and the pain treatment satisfaction scale. The influencing factors of satisfaction with pain nursing were analyzed. Results The score of the most severe pain intensity of the 140 patients reached (4.92±1.36). The total score of patients′ satisfaction with pain management was (81.81±9.09), among which, the dimension of professional skills earned the highest average score of (4.00±0.61), followed by the dimension of trust, which was up to (3.90±0.53). The dimension of the relation of education got the lowest score of (3.77±0.30). The analysis of single factor showed that the age and the education levels affected the satisfaction of pain management (P<0.05). The stepwise multiple regression analysis reviewed that there were five factors having influences on the satisfaction of pain management, and they were: the most severe pain intensity after FVFG, the influences of pain on functional exercise, the degree of pain relief, the education level of patients, and the influences of pain on patients′ sleeping. These can successfully explain 70.8% of the variation of the satisfaction (R2=0.708). Conclusions Patients are overall satisfied with postoperative pain treatment. Factors such as the most severe pain intensity after FVFG, the influences of pain on functional exercise, the degree of pain relief, the education level of patients, and the influences of pain on patients′ sleeping will affect the degree of satisfaction. Key words: Osteonecrosis of the femoral head; Pain, postoperative; Nursing; Free vascularized fibular grafting; Influencing factors