Evidence indicates that postoperative pain after day surgery is inadequately controlled.
Patients have different experiences and knowledge about how to deal with pain, and the need
for information and clarification may vary. The aim of this study is to enhance pain
management by academic detailing (patients' current knowledge and motivations are the basis
for information) and nurse coaching (frequent and individualized support). The study consists
of 4 phases; (1) a pilot study about patients experience with pain after surgery by a
structured telephone interview; (2) development of an intervention to improve pain
management; (3) implement and evaluate the intervention; (4) evaluate the incidence of
chronic pain after day surgery. Even if patients are prescribed sufficient doses of
analgesics, pain relief is dependent on patients' adherence with the analgesic regimen.
Psychological factors, such as catastrophizing may also contribute to patients' experience of
postoperative pain. Strategies that may be more effective than general information concerning
surgery and pain management is academic detailing and nurse coaching, and will be used as
frame for the intervention.
Over the seven days after surgery patients in the intervention group report;
- higher adherence with the analgesic regimen,
- have less pain intensity and pain interference with function and
- lower severity of side effects compared to the control group.