Exploring Pain Management Strategies and Their Influence on Patient Satisfaction After Abdominal Surgeries: A Qualitative Inquiry in Federal Teaching Hospitals, South-West Nigeria

Authors

  • Rotimi Williams Dada Department of Adult Health/ Medical-Surgical Nursing, BU, Ilishan Remo, Ogun State, Nigeria
  • Esemota Nwaomah Department of Adult Health/ Medical-Surgical Nursing, BU, Ilishan Remo, Ogun State, Nigeria
  • Wennie Jummai Department of Adult Health/ Medical-Surgical Nursing, BU, Ilishan Remo, Ogun State, Nigeria
  • Qazim Bello Department of Operating Theatre, LUTH, Lagos, Nigeria
  • Titilayo Abiodun Department of Maternal and Child Health, BU, Ilishan Remo, Ogun State, Nigeria
  • Temitope Opaleye School of Psychiatric Hospital Aro Abeokuta, Ogun State, Nigeria
  • Adebisi Ogunleye Ogun State College of Nursing Science Ilaro, Ogun State, Nigeria
  • Olusola Omitogun Department of Nursing Science, Olabisi Onabanjo University, Sagamu Campus, Ogun State, Nigeria
  • Grace Orunmuyiwa Department of Maternal and Child Health, BU, Ilishan Remo, Ogun State, Nigeria
  • Ayokunnumi Dada Department of Nursing and Midwifery, College of Medicine and Health, University of Birmingham, Birmingham B152TT, United Kingdom

DOI:

https://doi.org/10.55018/janh.v7i2.271

Keywords:

Postoperative Pain Management, Patient Satisfaction, Abdominal Surgery, Multimodal Analgesia, Qualitative Research

Abstract

Background: Patient satisfaction is a key indicator of healthcare quality, particularly about postoperative pain management. Abdominal surgery remains one of the most common major procedures performed in teaching hospitals across Nigeria. However, previous studies have reported prolonged hospital stays, delayed recovery, and increased postoperative complications due to inadequate pain control. Despite the high volume of abdominal surgeries, there is limited evidence on the most effective pain management strategies to improve patient satisfaction. Notably, many patients in federal teaching hospitals in South-West Nigeria continue to express dissatisfaction following surgery. This study examined pain management strategies that enhance patient satisfaction following abdominal surgery in selected federal teaching hospitals in South-Western Nigeria.

Methods: A qualitative research design was employed. Twelve patients undergoing postoperative abdominal surgery were purposively selected until data saturation was achieved. Semi-structured interviews were conducted using an interview guide, and the data were analyzed thematically.

Results: Six major themes emerged from the analysis: (1) patients’ experiences of abdominal surgical pain, (2) satisfaction with current pain management methods, (3) factors promoting coping mechanisms, (4) fear of drug-related adverse effects, (5) strategies adopted for pain management, and (6) patients’ suggestions for improving pain control.

Conclusion: The study concluded that the use of a combination of pain management strategies significantly enhanced patient satisfaction following abdominal surgery. It is recommended that hospital management implement policies that support the use of multimodal pain management approaches by nurses, with a focus on personalized and compassionate care, to optimize postoperative outcomes and patient satisfaction.

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References

Aljohani, D. M., Almalki, N., Adam, R., & Forget, P. (2023). Experiences and perspectives of adults on using opioids for pain management in the postoperative period: A scoping review protocol. European Journal of Anaesthesiology and Intensive Care, 2(3), e0024. https://doi.org/10.1097/EA9.0000000000000024

Bedwell, G. J., Scribante, J., Adane, T. D., Bila, J., Chiura, C., Chizombwe, P., Deen, B., Dodoli, L., Elfiky, M. M. A., Kolawole, I., Makwaza, T., M’Baluku, S. B., Mogapi, G., Musee, C., Mutua, D., Misganaw, W., Nyirenda, J., Ojewale, L., Roda, U., & Biccard, B. M. (2023). Nurses’ Priorities for Perioperative Research in Africa. Anesthesia and Analgesia, 136(1), 17–24. https://doi.org/10.1213/ANE.0000000000006060

Choi, H. R., Rodgers, S., Tocher, J., & Kang, S. W. (2023). Nurse’s, physician’s and family member’s experiences of withholding or withdrawing life-sustaining treatment process in an intensive care unit. Journal of Clinical Nursing, 32(15–16), 4827–4842. https://doi.org/10.1111/jocn.16556

Cooper, K. G., Bhattacharya, S., Daniels, J. P., Cheed, V., Gennard, L., Leighton, L., Pirie, D., Melyda, M., Monahan, M., Weckesser, A., Roberts, T., Denny, E., Ocansey, L., Stubbs, C., Cox, E., Jones, G., Clark, T. J., Saridogan, E., Gupta, J. K., … Middleton, L. J. (2024). Preventing recurrence of endometriosis-related pain by means of long-acting progestogen therapy: the PRE-EMPT RCT. Health Technology Assessment (Winchester, England), 28(55), 1–77. https://doi.org/10.3310/SQWY6998

Coppola, N., Cantile, T., Adamo, D., Canfora, F., Baldares, S., Riccitiello, F., Musella, G., Mignogna, M. D. D., & Leuci, S. (2023). Supportive care and antiviral treatments in primary herpetic gingivostomatitis: a systematic review. Clinical Oral Investigations, 27(11), 6333–6344. https://doi.org/10.1007/s00784-023-05250-5

Dieu, A., Huynen, P., Lavand’homme, P., Beloeil, H., Freys, S. M., Pogatzki-Zahn, E. M., Joshi, G. P., & Van de Velde, M. (2021). Pain management after open liver resection: Procedure-Specific Postoperative Pain Management (PROSPECT) recommendations. Regional Anesthesia and Pain Medicine, 46(5), 433–445. https://doi.org/10.1136/rapm-2020-101933

Goodrich, G. W., & Lazenby, J. M. (2023). Elements of patient satisfaction: An integrative review. Nursing Open, 10(3), 1258–1269. https://doi.org/10.1002/nop2.1437

Horn, R., Hendrix, J. M., & Kramer, J. (2025). Postoperative Pain Control.

Kim, K., Rendon, I., & Starkweather, A. (2021). Patient and provider perspectives on patient-centered chronic pain management. Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses, 22(4), 470–477. https://doi.org/10.1016/j.pmn.2021.02.003

Ladjević, N., Milinić, M., Jovanović, V., Jovičić, J., Likić, I., & Ladjević, N. (2023). Chronic Postoperative Pain. Acta Clinica Croatica, 62(Suppl4), 88–96. https://doi.org/10.20471/acc.2023.62.s4.13

Lin, Y., Zhou, Y., & Chen, C. (2023). Interventions and practices using Comfort Theory of Kolcaba to promote adults’ comfort: an evidence and gap map protocol of international effectiveness studies. Systematic Reviews, 12(1), 33. https://doi.org/10.1186/s13643-023-02202-8

Lin, Y., Zhou, Y., Chen, C., Yan, C., & Gu, J. (2024). Application of Kolcaba’s Comfort Theory in healthcare promoting adults’ comfort: a scoping review. BMJ Open, 14(10), e077810. https://doi.org/10.1136/bmjopen-2023-077810

Liu, B., Liu, S., Wang, B., Liu, W., Chen, L., Zheng, T., Lu, D., Ma, T., & He, S. (2023). Effectiveness and safety of implementing an enhanced patient comfort programme for elective neurosurgical patients: a randomised controlled trial protocol. BMJ Open, 13(4), e063534. https://doi.org/10.1136/bmjopen-2022-063534

Melum, T. A., Årnes, A. P., Stigum, H., Stubhaug, A., Steingrímsdóttir, Ó. A., Mathiesen, E. B., & Nielsen, C. S. (2023). Pain tolerance after stroke: The Tromsø study. European Journal of Pain (London, England), 27(7), 912–921. https://doi.org/10.1002/ejp.2124

Mühlbacher, A., & Stolk, E. (2023). Patient-Reported Satisfaction, Experiences, and Preferences: Same but Different? In Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research (Vol. 26, Issue 1, pp. 1–3). https://doi.org/10.1016/j.jval.2022.10.005

Nnagbo, J. E., Dim, C. C., Eze, M. I., & Mba, S. G. (2023). Effects of misoprostol in reducing blood loss during abdominal myomectomy in Nigeria. Nigerian Journal of Clinical Practice, 26(4), 454–462. https://doi.org/10.4103/njcp.njcp_526_22

Ofor, I. J., Enebe, J. T., Ofor, N. E., Onyia, C. N., Omeke, C. A., Nevo, C. O., Enyinna, P. C., Awkadigwe, F. I., Eleje, G. U., & Ezugwu, F. O. (2022). Pentazocine with rectal diclofenac versus pentazocine alone for pain relief following caesarean delivery in Enugu, Nigeria: A randomized controlled trial. The Journal of International Medical Research, 50(5), 3000605221102092. https://doi.org/10.1177/03000605221102092

Ogbuanya, A. U.-O., Ugwu, N. B., Kwento, N., Enyanwuma, E. I., Anyigor, F. F., & Oko, U. (2023). Abdominal Injuries from Civilian Conflicts: An Emerging Global Health Challenge in Rural Southeast Nigeria. Annals of Global Health, 89(1), 4. https://doi.org/10.5334/aogh.3973

Osaheni, O., Idehen, H. O., & Imarengiaye, C. O. (2020). Analgesia for postoperative myomectomy pain: A comparison of ultrasound-guided transversus abdominis plane block and wound infiltration. Nigerian Journal of Clinical Practice, 23(11), 1523–1529. https://doi.org/10.4103/njcp.njcp_162_19

Seyi-Olajide, J. O., Ezidiegwu, U., & Ameh, E. A. (2020). Burden of Complicated Intra-Abdominal Infections in Children in Nigeria: Recent Experience and Systematic Review. Surgical Infections, 21(6), 501–508. https://doi.org/10.1089/sur.2020.118

Shanthanna, H., Eldabe, S., Provenzano, D. A., Bouche, B., Buchser, E., Chadwick, R., Doshi, T. L., Duarte, R., Hunt, C., Huygen, F. J. P. M., Knight, J., Kohan, L., North, R., Rosenow, J., Winfree, C. J., & Narouze, S. (2023). Evidence-based consensus guidelines on patient selection and trial stimulation for spinal cord stimulation therapy for chronic non-cancer pain. Regional Anesthesia and Pain Medicine, 48(6), 273–287. https://doi.org/10.1136/rapm-2022-104097

Tufegdzic, B., Lobo, C., & Kumar, A. (2024). Postoperative pain management after abdominal transplantations. Current Opinion in Anaesthesiology, 37(5), 504–512. https://doi.org/10.1097/ACO.0000000000001389

Waelkens, P., Alsabbagh, E., Sauter, A., Joshi, G. P., & Beloeil, H. (2021). Pain management after complex spine surgery: A systematic review and procedure-specific postoperative pain management recommendations. European Journal of Anaesthesiology, 38(9), 985–994. https://doi.org/10.1097/EJA.0000000000001448

Wong, W. K., Lee, M., & Ong, C. W. (2022). Postoperative pain after transcanal endoscopic ear surgery: A systematic literature review. American Journal of Otolaryngology, 43(2), 103355. https://doi.org/10.1016/j.amjoto.2021.103355

Xuan, C., Yan, W., Wang, D., Li, C., Ma, H., Mueller, A., Chin, V., Houle, T. T., & Wang, J. (2022). Efficacy of preemptive analgesia treatments for the management of postoperative pain: a network meta-analysis. British Journal of Anaesthesia, 129(6), 946–958. https://doi.org/10.1016/j.bja.2022.08.038

Zimpel, S. A., Torloni, M. R., Porfírio, G. J., Flumignan, R. L., & da Silva, E. M. (2020). Complementary and alternative therapies for post-caesarean pain. The Cochrane Database of Systematic Reviews, 9(9), CD011216. https://doi.org/10.1002/14651858.CD011216.pub2

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Published

2025-07-08

How to Cite

Dada, R. W., Nwaomah, E., Jummai, W., Bello, Q., Abiodun, T., Opaleye, T., Ogunleye, A., Omitogun, O., Orunmuyiwa, G. ., & Dada, A. (2025). Exploring Pain Management Strategies and Their Influence on Patient Satisfaction After Abdominal Surgeries: A Qualitative Inquiry in Federal Teaching Hospitals, South-West Nigeria. Journal of Applied Nursing and Health, 7(2), 72–82. https://doi.org/10.55018/janh.v7i2.271