University of Oulu

Elina Koppelomäki, Mira Rajala, Maria Kääriäinen, Pirjo Kaakinen, Quality of pain counselling for orthopaedic patients in the hospital: A cross-sectional study, International Journal of Orthopaedic and Trauma Nursing, Volume 46, 2022, 100954, ISSN 1878-1241,

Quality of pain counselling for orthopaedic patients in the hospital : a cross-sectional study

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Author: Koppelomäki, Elina1; Rajala, Mira2; Kääriäinen, Maria3;
Organizations: 1The Hospital District of South Ostrobothnia, Seinäjoki, Finland
2University of Oulu, Research Unit of Nursing Science and Health Management, Medical Research Center, Oulu, Finland
3University of Oulu, Research Unit of Nursing Science and Health Management, Medical Research Center University, Hospital of Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
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Language: English
Published: Elsevier, 2022
Publish Date: 2022-09-01


Background: Earlier studies demonstrate that pain counselling for orthopaedic patients benefits quality of life and adherence to care.

Aim: The aim of this study was to describe the quality of pain counselling for orthopaedic patients in a Finnish central hospital.

Methods: A cross-sectional design was used. Data were collected from orthopaedic patients (n = 71) using the Quality of Counselling Instrument (CQI) and analysed using descriptive statistics including frequencies and percentages.

Findings: Most participants were women (67%), and the mean age was 52 years. Non-pharmacological pain relief was rated as inadequate (69%). Counselling of pain treatment was satisfactory for about 38% of orthopaedic patients, but 20% of participants had not received medication counselling. Pain counselling was not always patient-centered (50%), nor was interaction (48%) and goal-oriented counselling (49%). Staff skills and knowledge of orthopaedic patients’ pain counselling was satisfactory, although there were differences between patients with/without previous experience (p = 0.047) and different education (p = 0.008).

Conclusion: Pain counselling is an important part of orthopaedic patients’ treatment and healing processes. This study identified that there is lack of use of non-pharmacological pain relief, and counselling of pain should be implemented in a more patient-centered way. Inpatient counselling should use more personalised approaches with diverse counselling methods.

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Series: International journal of orthopaedic and trauma nursing
ISSN: 1878-1241
ISSN-E: 1878-1292
ISSN-L: 1878-1241
Volume: 46
Article number: 100954
DOI: 10.1016/j.ijotn.2022.100954
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (