Patients' Perceptions of Postoperative Analgesic Monitoring in Elective General Surgery

NCT07389330 | Completed

• 1 other identifier: PSAM-SEM-2026
• Study Type: observational
• Target: 312
• Locations: 1 country
• Sites: 1

Brief Summary

This study examines how patients perceive postoperative analgesic monitoring during routine care in elective general surgery. Postoperative pain monitoring is a standard nursing practice, but patients may experience it as either supportive or stressful. These perceptions may influence patients' trust in nursing care, anxiety related to monitoring, and willingness to report pain accurately. The study uses a mixed-methods observational design. In the quantitative phase, patients complete questionnaires about their experiences with pain monitoring, communication with nurses, trust, anxiety, and pain reporting during the first days after surgery. In the qualitative phase, selected patients participate in interviews to further explain and contextualize the survey findings. No changes are made to standard care, and no experimental treatments are used.

Conditions

Postoperative Pain; Pain Management

Keywords

postoperative analgesic monitoring; elective general surgery; pain disclosure; trust in nursing care; structural equation modeling

Outcome Measures

Primary Outcomes (1)

• Pain Disclosure Behavior

  Pain disclosure behavior is measured using the Pain Disclosure Behavior Scale (PDB), a self-report questionnaire consisting of 3 items. Each item is rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Total scores range from 3 to 15, with higher scores indicating greater willingness to report pain accurately and to request analgesia when needed.

  Postoperative days 1 to 3

Secondary Outcomes (5)

• Trust in Nursing Care

  Postoperative days 1 to 3

• Monitoring-Related Anxiety

  Postoperative days 1 to 3

• Perceived Surveillance-Oriented Analgesic Monitoring

  Postoperative days 1 to 3

• Perceived Supportive Analgesic Monitoring

  Postoperative days 1 to 3

• Perceived Nursing Communication Quality

  Postoperative days 1 to 3

Other Outcomes (1)

• Patient Experiences of Postoperative Analgesic Monitoring

  Up to 48 hours following surgery

Study Arms (1)

Elective General Surgery Patients

Adult patients undergoing elective general surgery who receive routine postoperative analgesic monitoring as part of standard clinical care.

Other: No intervention (observational study)

Interventions

No intervention (observational study) OTHER

No intervention is applied in this study. Participants receive standard postoperative care, including routine analgesic monitoring, as part of usual clinical practice.

Elective General Surgery Patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of adult patients undergoing elective general surgery who are hospitalized postoperatively and receive routine analgesic monitoring as part of standard nursing care in a tertiary university hospital.

You may qualify if:

• Adults aged 18 years or older
• Undergoing elective general surgery requiring postoperative inpatient care
• Receiving routine postoperative analgesic monitoring as part of standard clinical care
• Clinically stable during the postoperative data collection period
• Able to read and communicate in Turkish
• Able and willing to provide written informed consent

You may not qualify if:

• Emergency or urgent surgical procedures
• Postoperative admission to an intensive care unit
• Requirement for mechanical ventilation
• Documented cognitive impairment, acute delirium, or severe psychiatric illness
• Inability or unwillingness to complete study questionnaires or interviews

Sponsors & Collaborators

• Agri Ibrahim Cecen University: lead

Study Sites (1)

Ağrı Training and Research Hospital

AĞRI, Merkez, 04100, Turkey (Türkiye)

Location

Related Publications (4)

• Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin. 2014 Jan;30(1):149-60. doi: 10.1185/03007995.2013.860019. Epub 2013 Nov 15.

  PMID: 24237004 BACKGROUND

• Salmon P, Manyande A. Good patients cope with their pain: postoperative analgesia and nurses' perceptions of their patients' pain. Pain. 1996 Nov;68(1):63-68. doi: 10.1016/S0304-3959(96)03171-5.

  PMID: 9251999 BACKGROUND

• Ip HY, Abrishami A, Peng PW, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: a qualitative systematic review. Anesthesiology. 2009 Sep;111(3):657-77. doi: 10.1097/ALN.0b013e3181aae87a.

  PMID: 19672167 BACKGROUND

• Qaddumi J, Arda AM, Alkhawaldeh A, ALBashtawy M, Abdalrahim A, ALBashtawy S, Al Omari O, Bashtawi M, Masa'deh R, ALBashtawy Z, Mohammad KI, ALBashtawy B, Aljezawi M, Khatatbeh H, Ta'an W, Suliman M, Al Dameery K, Bani Hani S. Preoperative anxiety, postoperative pain tolerance and analgesia consumption: A prospective cohort study. J Perioper Pract. 2025 Oct;35(10):426-436. doi: 10.1177/17504589241253489. Epub 2024 Aug 6.

  PMID: 39104294 BACKGROUND

MeSH Terms

Conditions

Pain, Postoperative; Agnosia

Interventions

Observation

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: January 25, 2026
• First Posted: February 5, 2026
• Study Start: February 15, 2026
• Primary Completion: April 15, 2026
• Study Completion: April 30, 2026
• Last Updated: June 2, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)