SYSTEMIC ASSESSMENT OF POSTOPERATIVE PAIN AS A PREDICTOR OF PAIN MANAGEMENT

Sa？etak Introduction:Acute pain is an indicator of unconditioned action because pain is triggered by triggers, therefore patient behavior is not influenced by the environment. Modern pain relief involves constant analgesia, determined by the severity of pain, the balanced use of medications and methods with the least number of complications. Objective: to examine the pain intensity of operated patients in the Intensive Care Unit by applying the pain assessment scale over three time periods: upon admission to the ICU, 8 hours after surgery and 16 hours after surgery. The specific objectives of the study are to examine the application of pharmacological and non-pharmacological pain management methods. Methods: the study was conducted on 104 subjects of both sexes, over 18 years of age, hospitalized at the ICU of the Po？ega General County Hospital. All patients had undergone surgery. Patients were divided into three groups based on the type of surgery they underwent: orthopedic, abdominal and gynecological. Pain was measured at three intervals: upon admission, 8 hours after surgery and 16 hours after surgery. Non-opioid analgesics, low opioid analgesics and heavily opioid analgesics have been used as pharmacological methods. Non-pharmacological pain management methods had also been used (change of positions, apparatus). Results: Most of the respondents had an average age of 69.3 years, mostly female (p = 0.019). The highest mean value of the Pain Assessment Scale at admission is (M = 6.68), while the lowest after 16 hours (M = 2.99). in all degrees of measurement. It is evident that the most ketonal (p = 0.000) is applied to orthopedic surgeries of non-opioid analgesics, while there is no statistically significant difference in the use of non-opioid analgesics for abdominal (p = 0.606) and gynecological (p = 0.052). Non-pharmacological measures are significantly higher in orthopedic surgery (p = 0.000). Conclusion: The results of the study emphasize the importance of the continuous assessment of the postoperative pain in order for patients to get effective analgesia in time