NON-PHARMACOLOGICAL POST-OPERATIVE PAIN MANAGEMENT PRACTICE AND ASSOCIATED FACTORS AMONG NURSES WORKING IN PUBLIC HOSPITALS OF EASTERN ETHIOPIA

Abstract

Background: Postoperative pain requires multifaceted management because it affects the patient's quality of life and recovery. Non-pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses‟ routine care and reducing the need for medication, but little is known about the level of its management practices, contributory and hindering factors. Hence, this study aimed to assess non-pharmacological post-operative pain management practice and associated factors among nurses working in public hospitals of Eastern Ethiopia from June 20 to August 20, 2022. Methods: A facility-based cross-sectional study was conducted on 330 nurses currently working in post-operative units of selected public hospitals by survey method. A pretested structured self administered questionnaire and observational checklist was used to collect data. Data was entered into Epi-data version 3.1 software and then exported to Stata MP 17 for analysis. Bivariable and multivariable ordinal logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Finally, significance was set at a p-value < 0.05. Results: Out of 320 respondents, 86 (26.9%); 95%CI (22.1–32.1%) practice nonpharmacological post-operative pain management always. Having BSc and above educational level (AOR=2.79, 95%CI:1.30 - 5.98), attending training (AOR=2.69, 95%CI:1.51 - 4.82), good knowledge (AOR=2.79,95%CI:1.51 - 5.15), having favorable attitude (AOR=4.87, 95%CI:2.61- 9.08), and having administrative support (AOR=2.75 95%CI:1.45- 5.22) were significantly and positively associated with nonpharmacological post-operative pain management practice. Conclusion: In this study, non-pharmacological post-operative pain management among nurses was low. Continuing education, training and administrative support should be considered for nurses to enhance their practice regarding nonpharmacological post-operative pain managemen