The Results of the Development of Clinical Practice Guidelines for Post-Operation Pain Management in Postpartum Women Undergoing Tubal Sterilization of Chiang Yuen Hospital, Maha Sarakham Province

Abstract

Effective post operation of Sterilization pain management is essential to early ambulation and prevention of postoperative complications. This action research aims to develop and evaluate the clinical practice guideline (CPG) for post-operation pain management in post-partum women undergoing Sterilization. The study had two sections; the first was developing the CPG. The samples were 43 cases of post-partum women. The second section was an evaluation of the CPG. The samples were 36 cases of post-partum women and 10 nurses. Data was collected by questionnaire, operation record, and nursing record. A numeric rating scale determined the pain scores. The researcher collected data from 1 October 2021 to 30 September 2023. Descriptive statistics, standard deviation, and T-test were used to analyze data.

The result revealed that the pain score before and after using CPG is significantly different (P< 0.001). The satisfaction of post-partum women and nurses is considerably higher than that of non-using CPG. Nurses are practicing following CPG about 93.25 percent.

There is a suggestion of using the CPG for Obstetrics-Gynecology surgery, but there should be a concern that the type of surgery and choice of anesthesia would affect the pain score.