Objective. We aimed to assess the level of patient’s satisfaction and associated factors regarding postoperative pain management. Methods. An institution-based cross-sectional study was conducted from April to May 2018 at the University of Gondar, and comprehensive specialized hospital data were collected through semistructured questionnaire and chart review. Level of satisfaction was measured using five-point Likert scale. Statistical analysis was done using SPSS software version 23. Both bivariable and multivariable logistic regression analyses were done. Variables of value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A value ≤0.05 was considered as significantly associated with patient’s level of satisfaction at 95% CI. Results. A total of 418 patients were included in this study with a response rate of 98.58%. The overall proportion of patients who were satisfied with pain management services was 72.2% (95% CI: 67.7–76.6). ASA1 (AOR = 3.55: 95% CI = 1.20–10.55) and ASA2 patients (AOR = 3.72: 95% CI = 1.04–13.28), absence of postoperative pain (AOR = 1.86: 95% CI = 1.02–3.39), peripheral nerve block done (AOR = 9.14: 95% CI = 3.93 20.86), received analgesic before request (AOR = 6.90: 95% CI = 3.72–12.83), and received systemic analgesics (AOR = 6.10: 95% CI = 1.17–33.91) were significantly associated with the level of satisfaction. Conclusion. The level of patient satisfaction with postoperative pain management was considerably low. Hence, it is vital to implement time-interval pain assessment method during the first 24 hours of postoperative period and treat accordingly based on the WHO pain ladder. Moreover, we suggested that all patients who underwent major surgery should receive peripheral nerve block as part of multimodal analgesia to decrease the incidence and severity of post op pain.

中文翻译：

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埃塞俄比亚西北部贡达大学压缩性专科医院患者对术后疼痛管理的满意度和相关因素的评估

目标。我们旨在评估患者满意度以及有关术后疼痛管理的相关因素。方法。2018年4月至2018年5月，在贡德尔大学进行了一项基于机构的横断面研究，并通过半结构化问卷和图表审查收集了全面的专业医院数据。满意度水平使用五点李克特量表进行测量。使用SPSS软件版本23进行统计分析。完成了双变量和多变量logistic回归分析。在双变量分析中，值≤0.2的变量是多变量逻辑回归的候选者。一个值≤0.05被认为是与95％CI满意的病人的水平显著相关。结果。本研究共纳入418例患者，缓解率为98.58％。对疼痛管理服务满意的患者总比例为72.2％（95％CI：67.7-76.6）。ASA1（AOR = 3.55：95％CI = 1.20–10.55）和ASA2患者（AOR = 3.72：95％CI = 1.04–13.28），无术后疼痛（AOR = 1.86：95％CI = 1.02–3.39），周围神经阻滞完成（AOR = 9.14：95％CI = 3.93 20.86），在请求前接受镇痛药（AOR = 6.90：95％CI = 3.72–12.83），并接受全身镇痛药（AOR = 6.10：95％CI = 1.17–33.91 ）与满意度水平显着相关。结论。病人对术后疼痛处理的满意度很低。因此，至关重要的是在术后最初的24小时内实施时间间隔疼痛评估方法，并根据WHO的阶梯阶梯进行相应的治疗。此外，我们建议所有接受大手术的患者均应接受周围神经阻滞作为多式联用镇痛的一部分，以降低术后疼痛的发生率和严重程度。