Exploring Pain Management Strategies and Their Influence on Patient Satisfaction After Abdominal Surgeries: A Qualitative Inquiry in Federal Teaching Hospitals, South-West Nigeria
DOI:
https://doi.org/10.55018/janh.v7i2.271Keywords:
Postoperative Pain Management, Patient Satisfaction, Abdominal Surgery, Multimodal Analgesia, Qualitative ResearchAbstract
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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rotimi Williams Dada, Esemota Nwaomah, Wennie Jummai, Qazim Bello, Titilayo Abiodun, Temitope Opaleye, Adebisi Ogunleye, Olusola Omitogun, Grace Orunmuyiwa, Ayokunnumi Dada

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.














