A Review of Pain Management Strategies in Postoperative Nursing Care
Keywords:
Pain Management Strategies, Postoperative, Nursing Care, Hospitals, Multimodal Analgesia (MMA), Opioids, AnalgesiaAbstract
The control of postoperative pain has a major impact on postoperative patient care. In order to minimize discomfort, encourage early mobilization, reduce complications, and improve overall recovery, effective pain management is crucial. Review the many studies on postoperative pain treatment techniques in this area. This review highlights the importance of multimodal analgesia (MMA) as a cornerstone of effective postoperative pain management in nursing care. By integrating pharmacologic options like opioids, NSAIDs, paracetamol, and adjuvants with regional techniques, MMA significantly reduces pain scores, opioid consumption, and associated side effects. Tailoring strategies to individual patient needs, surgical type, and cultural factors ensures optimal outcomes. MMA enhances patient comfort, shortens hospital stays, and promotes faster recovery, improving overall satisfaction. These findings underscore the need for flexible, patient-centered pain management protocols in nursing practice to achieve safer, more effective, and holistic postoperative care.
References
[1] Y. Liu et al., "Postoperative pain-related outcomes and perioperative pain management in China: a population-based study," Lancet Reg. Heal. - West. Pacific, 2023,https://doi.org/10.1016/j.lanwpc.2023.100822
[2] N. S. A. P. Marina, I. M. D. B. A. Serengga, D. P. Lestari, K. F. Nurhidayah, and Y. S. Dewi, "The Role of Nursing Intervention in Postoperative Pain Management: A Scoping Review," Indones. J. Glob. Heal. Res., vol. 7, no. 3, 2025,https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5591
[3] P. Kshatriya and P. Richhariya, "Enhancing Diabetes Detection Accuracy using an Ensemble Model of Random Forest and SVM," Int. J. Innov. Sci. Eng. Manag., vol. 2, no. 3, pp. 30-38, 2023.
[4] Y. Liu et al., "Postoperative pain-related outcomes and perioperative pain management in China: a population-based study," Lancet Reg. Heal. - West. Pacific, vol. 39, pp. 1-12, 2023,https://doi.org/10.1016/j.lanwpc.2023.100822
[5] S. J. Hyland, A. M. Wetshtein, S. J. Grable, and M. P. Jackson, "Acute Pain Management Pearls: A Focused Review for the Hospital Clinician," Healthc., vol. 11, 2023,https://doi.org/10.3390/healthcare11010034
[6] W. Meissner et al., "Improving the management of post-operative acute pain: Priorities for change," Curr. Med. Res. Opin., vol. 31, no. 11, pp. 2131-2143, 2015,https://doi.org/10.1185/03007995.2015.1092122
[7] L. Köse Tamer and G. Sucu Dağ, "The Assessment of Pain and the Quality of Postoperative Pain Management in Surgical Patients," SAGE Open, vol. 10, no. 2, 2020,https://doi.org/10.1177/2158244020924377
[8] J. Gupta and P. Agrawa, "AI-Driven Innovations and Their Role in Transforming Indian Industries," Int. J. Innov. Sci. Eng. Manag., vol. 3, no. 2, 2024,doi: 10.69968/ijisem.2024v3si247-51.
[9] W. Meissner et al., "Management of acute pain in the postoperative setting: the importance of quality indicators," Curr. Med. Res. Opin., vol. 34, no. 1, 2018,https://doi.org/10.1080/03007995.2017.1391081
[10] M. M. Toro, S. John, and A. R. Faruqui, "Pattern of use of analgesics in post-operative pain management in adults undergoing laparotomy surgery: a prospective observational study," Int. Surg. J., vol. 5, no. 2, p. 662, 2018,https://doi.org/10.18203/2349-2902.isj20180372
[11] P. Youngcharoen and S. A.- Ue, "A cross- sectional study of factors associated with nurses' postoperative pain management practices for older patients," Nurs. Open, vol. 10, 2023.https://doi.org/10.1002/nop2.1281
[12] J. Atthayasai, M. Chatchumni, H. Eriksson, and M. Mazaheri, "Surgical Nurses' Perceptions of Strategies to Enhance Pain Management Proficiency: A Qualitative Study," Nurs. Reports, vol. 13, 2023,https://doi.org/10.3390/nursrep13020081
[13] H. Samara, L. O'Hara, and K. Singh, "Nurses' Knowledge and Attitudes about Adult Post-Operative Pain Assessment and Management: Cross Sectional Study in Qatar," Nurs. Reports, vol. 14, no. 3, 2024,https://doi.org/10.3390/nursrep14030153
[14] O. Lovasi, J. Lám, K. Frank, R. Schutzmann, and P. Gaál, "The First Comprehensive Survey of the Practice of Postoperative Pain Management in Hungarian Hospitals: A Descriptive Study," Pain Manag. Nurs., vol. 24, 2023,https://doi.org/10.1016/j.pmn.2022.12.001
[15] R. Chou et al., "Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Commi," J. Pain, vol. 17, 2016,https://doi.org/10.1016/j.jpain.2015.12.008
[16] T. A. Ehwarieme, U. Josiah, and O. O. Abiodun, "Postoperative pain assessment and management among nurses in selected hospitals in Benin City, Edo State, Nigeria," J. Integr. Nurs., vol. 5, no. 3, pp. 203-209, 2023,https://doi.org/10.4103/jin.jin_54_23
[17] N. Amena, A. Dechasa, A. Kurke, D. Abdisa, and Y. G. Dugasa, "Postoperative pain management practice and associated factors among nurses working at public hospitals, in Oromia region, Ethiopia, 2021: an institution-based cross-sectional study," BMJ Open, vol. 14, no. 11, pp. 1-9, 2024,https://doi.org/10.1136/bmjopen-2023-080252
[18] Y. Jain, R. Lanjewar, Y. Lamture, and D. Bawiskar, "Evaluation of Different Approaches for Pain Management in Postoperative General Surgery Patients: A Comprehensive Review," Cureus, vol. 15, no. 11, 2023,https://doi.org/10.7759/cureus.48573
[19] C. Small and H. Laycock, "Acute postoperative pain management," Br. J. Surg., vol. 107, 2020,https://doi.org/10.1002/bjs.11477
[20] A. Menlah, I. Garti, S. A. Amoo, C. A. Atakro, C. Amponsah, and D. F. Agyare, "Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana," SAGE Open Nurs., vol. 4, pp. 1-11, 2018,https://doi.org/10.1177/2377960818790383
[21] Samina Ismail, A. S. Siddiqui, and A. Rehman, "Postoperative pain management practices and their effectiveness after major gynecological surgery: An observational study in a tertiary care hospital," J. Anaesthesiol. Clin. Pharmacol., vol. 34, no. 3, 2018,https://doi.org/10.4103/joacp.JOACP_387_17
[22] A. Gautam, C. Pande, and M. Pande, "Postoperative Pain Management: Evaluating the Role of Multimodal Analgesia," J. Pharm. Bioallied Sci., vol. 7, 2017,doi: 10.4103/jpbs.JPBS.
[23] K. H. Al Huraiz and S. H. Alhuraiz, "Pain Management Strategies and Patient Satisfaction in Post-Operative Care," Saudi J. Med. Pharm. Sci., vol. 1, no. 4, 2015.
