Lege Artis Medicinae

[Options for assessing the quality of postoperative pain relief: multidimensional measurement tools]

LOVASI Orsolya1, GAÁL Péter2, LÉBER Andrea3, LÁM Judit2

MAY 26, 2022

Lege Artis Medicinae - 2022;32(04-05)

DOI: https://doi.org/10.33616/lam.32.017

Review

[Inadequat treatment of postoperative pain may have several adverse consequences. Its effective and efficient management requires regular pain assessments with valid and re­liable pain assessment tools. The main features of unidimensional pain assessment scales were discussed in our previous paper. Their most important disadvantage is that they measure only the pain intensity, which did not necessarily provide sufficient and re­liable basis for clinical decision making. The main goal of this paper is to review multi­dimensional measurement tools for assessment of postoperative pain, their main components, and applications based on summary of the relevant literature. While using the PICO (population, intervention, control, and outcomes) technique of systematic literature research, we identified 396 accessible and evaluable articles in total, from which we summarize the results of the most important 41 English and 4 Hungarian publications. Among the multi­dimensional pain assessment tools we discussed thoroughly the American Pain So­ciety Pa­tient Outcome Questionnaire (APS-POQ-R), the Swedish Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP) questionnaire, and the characteristics of the patient outcome questionnaire of the German Quality Im­provement in Postoperative Pain Mana­ge­ment Project (QUIPS). Contrasted to unidimensional scales, multidimensional measurement tools do not evaluate only the intensity of pain, but its other dimensions, and psychosocial aspects. Thus they give a more accurate picture of its nature, however, their application of specific scales requires more time and diligence, and the scope of patients is more restricted. Consequently, unidimensional scales are more suitable for supporting the clinical practice, in cases where the multidimensional questionnaires cannot be used. In contrast, whenever the circumstances permit, multidimensional scales should be used, especially for quality improvement and research purposes.]

AFFILIATIONS

  1. Semmelweis Egyetem, Dr. Rácz Károly Doktori Iskola
  2. Semmelweis Egyetem, Egészségügyi Menedzserképző Központ
  3. Dombóvári Szent Lukács Kórház

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