Evaluation of the Practices of Anesthesiologists in the city of Kinshasa on the Management of Post-Operative Pain

Réunilde Sifa Wabuza, Augustin Kadiata Bukasa, Michaelle Mambwe Kalungwishi, Chantal Nyemba Tshitala, Félicien Tshimungu Kandolo
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Abstract

Introduction: The management of Postoperative Pain represents a public health problem. Throughout the world, this subject is the subject of numerous studies which emphasize the need to treat pain and evaluate practices. However, despite the progress made in the understanding of pain mechanisms, analgesic techniques, and the multiple recommendations made by learned societies in many countries, Post-Operative Pain is insufficiently addressed. The objective of our work was to evaluate the practices of anesthesiologists in the field of postoperative pain management in two health institutions in the city province of Kinshasa which are the Saint Joseph Hospital of Limeté and the Ngaliema Clinic. Method: The population of our study consisted of 23 anesthesiologists, 14 of whom were the subject of our occasional sample. To collect the data, we used the survey method supported by the techniques of direct observation, interviews and documentary analysis. At the end of our survey, the data was processed using descriptive analysis by calculating percentages and the average. Results: Regarding socio-demographic characteristics, the majority of subjects surveyed were male at level A1 (graduate, equivalent of bacc+3) and with professional experience of 10 years or more. Concerning the management of Post-Operative Pain, 48.5% provided the actual management of Post-Operative Pain; 17.1% provided pre-anesthetic information. Overall, the management of postoperative pain was achieved at 32.8%. Conclusion: Referring to our acceptability threshold set at 80%, we can affirm that the management of Postoperative Pain is not provided satisfactorily by the anesthesiologists of the two hospital institutions selected for the study.
金沙萨市麻醉师对术后疼痛处理方法的评估
导 言术后疼痛的处理是一个公共卫生问题。在全世界范围内,这一问题是众多研究的主题,这些研究强调了治疗疼痛和评估实践的必要性。然而,尽管对疼痛机制和镇痛技术的认识取得了进展,许多国家的学术团体也提出了多项建议,但对术后疼痛的处理仍然不足。我们的工作目标是评估金沙萨市利梅特圣约瑟医院和 Ngaliema 诊所这两家医疗机构的麻醉医师在术后疼痛管理方面的实践情况。研究方法我们的研究对象包括 23 名麻醉师,其中 14 人是我们的不定期抽样调查对象。为了收集数据,我们采用了调查法,并辅以直接观察、访谈和文献分析等技术。调查结束后,我们使用描述性分析法对数据进行了处理,计算了百分比和平均值。结果在社会人口学特征方面,大多数调查对象为男性,学历为 A1 级(研究生,相当于学士学位+3),拥有 10 年或以上的专业经验。关于术后疼痛的处理,48.5%的受访者提供了术后疼痛的实际处理方法;17.1%的受访者提供了麻醉前信息。总体而言,32.8%的人实现了对术后疼痛的管理。结论:根据我们设定的 80% 的可接受性阈值,我们可以肯定,被选中进行研究的两家医院的麻醉医师对术后疼痛的处理并不令人满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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