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ORIGINAL RESEARCH ARTICLE

Conformity of post-operative analgesia prescription and patients’ satisfaction: A pilot cross-sectional study among cardiovascular and orthopedic patients

Lara Kaaki1 ,  Georges Hatem1,2,3,4* ,  Salam Zein1 ,  Imad Chokr5 ,  Amal Al-Hajje1,6 ,  Sanaa Awada1
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1 Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy, Lebanese University, Hadat, Lebanon
2 Department of Environmental Health, National Institute of Health Dr Ricardo Jorge, Porto, Portugal
3 EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal
4 Laboratory for Integrative and Translational Research in Public Health (ITR), Porto, Portugal
5 Department of Pediatrics and Neonatology, Rafic Hariri University Hospital, Beirut, Lebanon
6 National Institute of Public Health, Clinical Epidemiology and Toxicology (INSPECT-LB), Beirut, Lebanon
JCBP, 025330061 https://doi.org/10.36922/JCBP025330061
Received: 11 August 2025 | Revised: 25 November 2025 | Accepted: 4 December 2025 | Published online: 15 December 2025
© 2025 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
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Abstract

Post-operative pain (POP) is a common adverse event following surgery, requiring the use of single or multimodal analgesia for its management. Poor pain management can influence both the physical and psychological functions of patients undergoing surgery, such as satisfaction, physical function, quality of life, recovery time, hospitalization, post-operative opioid use, and the risks of chronic pain. This study mainly aimed to assess the impact of POP management on patients’ satisfaction following cardiovascular and orthopedic surgery and to evaluate the influence of non-medical support on perceived POP. A pilot cross-sectional study was conducted from July to September 2019 among adult Lebanese patients undergoing elective cardiovascular or orthopedic surgery in a single public hospital in Beirut, using a convenience sample of 50 participants. High levels of physicians’ conformity (94% and 96% for the choice of the drug and the duration of treatment, respectively) and patient satisfaction (78% and 18% expressed high and moderate satisfaction, respectively) were observed throughout the perioperative period. A low satisfaction score was significantly associated with gender, increased pain intensity, and encouragement to use non-medical treatment options to manage pain. Patients’ education on self-management of their pain and adequate pain management is crucial to improving their quality of life following their hospitalization. Although POP remains a major challenge faced by healthcare professionals and patients, regular pain assessment is essential, considering different patient satisfaction predictors.

Keywords
Pain
Post-operative
Acute pain
Pain measurement
Pain management
Funding
None.
Conflict of interest
The authors declare they have no competing interests.
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