Correlation Pain on Fatigue in Post Operation Patients

Abstract

Background: Uncontrolled postoperative pain causes prolonged fatigue in the patient which hinders wound healing, hinders the recovery of the patient's functions and activities to a normal state, causes frustration, depression and hopelessness, and risks increasing treatment costs. Purpose: to determine the relationship between pain and fatigue in postoperative patients. Methods: the research design is cross-sectional. A total of 57 postoperative patient samples at Baladhika Husada III Hospital Jember. The study used a consecutive sampling technique with a Numerical Rating Scale instrument with a score of 0 (no pain), 1-3 (mild pain), 4-6 (moderate pain), 7-10 (severe pain). Instrument Fatigue Severity Scale with a score of <36 (not tired) and ≥36 (tired). Research analysis using Spearman correlation test with p value = 0.05. Results: Most of the respondents experienced moderate pain (57.1%), most of the respondents experienced fatigue (55.6%). The results of the Spearman test p value = 0.001 (<0.05) means that there is a significant relationship between pain and fatigue in postoperative patients. The correlation strength value is 0.540 which means that it is moderately correlated and the direction of the correlation (+) indicates the higher the pain score, the higher the fatigue score. Discussion: Pain has a complex relationship with fatigue in postoperative patients. Pain is a predictive factor of postoperative fatigue that can interfere with physiological recovery, decrease functional status, and impede control over motor activity and body functions. Conclusions: Postoperative pain increases fatigue and has an impact on the patient's postoperative recovery. By reducing postoperative pain, it can prevent or eliminate postoperative fatigue.