Pain intensity, interference and patient pain management strategies the first 12 weeks after coronary artery bypass graft surgery

BackgroundPain is a distressing and often undertreated symptom of cardiac surgery. Little is known about pain levels, interference and treatment strategies beyond the 9 week period.AimThe purpose of this study was to describe pain intensity, interference and strategies used to manage pain in post-operative CABG patients.MethodsBaseline data were collected by interview in the hospital after CABG surgery using the Modified Brief Pain Inventory. One to 12 weeks after discharge, weekly telephone interviews were conducted to collect data.ResultsPain levels and interference with activities of daily living were greatest during hospitalization and decreased over 12 weeks. Pain interfered the most with coughing and sleep. Once opioid medications ran out, activity modification was primarily used to manage pain.ConclusionsActivity modification below recommended levels was reported as a pain management strategy. Patients reported pain lasting longer than they expected and the need for more education about activity and pain management strategies.