article · Tanzania journal of health research/Tanzania Journal of Health Research
This study investigated patient satisfaction with pain management and its associated factors among hospitalised orthopaedic patients at the Muhimbili Orthopedic Institute in Dar es Salaam, Tanzania. Researchers conducted a cross-sectional study with 321 patients, using questionnaires and logistic regression analysis. Findings revealed that just over half of the patients (53.8%) were satisfied with their pain management, while over a third experienced moderate to severe pain during the interview. Key factors predicting higher satisfaction were a shorter duration of hospitalisation and the perception of receiving respectful care. The study highlights significant dissatisfaction and the importance of respectful, culturally sensitive care, particularly for patients with longer hospital stays.
Effective pain management is vital for patient recovery and well-being, particularly in orthopaedics. This research identifies specific factors, such as respectful care and hospital stay duration, that influence patient satisfaction in resource-limited settings. Understanding these factors can help healthcare providers improve care quality and patient outcomes.
The abstract does not indicate an application pathway, a specific user, or a readiness level for commercialisation. It focuses on identifying factors influencing patient satisfaction with existing pain management services within a hospital setting.
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Introduction: Pain presents a significant challenge in the management of orthopedic cases. Despite the available pain management approaches, suboptimal pain management remains a notable issue in resource-limited settings, affecting patient satisfaction. This study aimed to assess pain management satisfaction and its associated factors among hospitalized patients at the Muhimbili Orthopedic Institute (MOI). Materials and Methods: We conducted a hospital-based cross-sectional analytical study, employing stratified sampling techniques to recruit participants. Data were collected using a structured self-administered questionnaire and analyzed using IBM SPSS version 25. The mean and standard deviation were calculated to present continuous variables, while categorical variables were presented as frequency-specific percentages. Variable associations were determined using logistic regression analysis, and the level of statistical significance was set at p < 0.05. Results: A total of 321 patients were enrolled between February and August 2023. Among them, 176 (53.8%) were satisfied with pain management. More than one-third (115, 35.8%) experienced moderate to severe pain at the time of the interview. Significant predictors of pain management satisfaction were a shorter duration of hospitalization (adjusted odds ratio [AOR]: 2.207; 95% CI: 1.170, 4.161; p = 0.014) and perceived respectful care (AOR: 3.431; 95% CI: 1.580, 7.448; p = 0.002). Conclusion: A significant number of orthopedic patients reported dissatisfaction with pain management services, with satisfaction influenced by the perceived respect shown in care provision and the length of hospital stay. These findings underscore the importance of respecting the cultural background and interests of individual patients in orthopedic care to improve satisfaction and overall well-being. It is particularly important to focus on patients who experience prolonged hospital stays.
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DOI: 10.4314/thrb.v26i4.7
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