外科急诊科疼痛的处理——影响疼痛产生的潜在因素

D. Grenman, L. Niemi-Murola, E. Kalso
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引用次数: 14

摘要

背景疼痛是急诊科的一个重要症状。本研究的目的是评估外科急诊科疼痛管理可能存在的障碍。方法对100例在此时间段内就诊的急诊科患者进行访谈。从患者记录中提取有关药物、患者病史和疼痛强度的信息。此外,还向50名医生和82名护士发放了一份包含6个人口学统计和31个疼痛相关项目的问卷。结果西班牙是最重要的症状,占60.3% (N = 46)。45.8%的患者报告剧烈疼痛。46.6%的受访者(N = 34)使用了镇痛药。所有患者均未接受非甾体抗炎镇痛药(NSAIDs)治疗。男性、低文化程度和高年龄与不愿接受镇痛药相关。疼痛体验和医疗系统与不愿谈论疼痛相关。护士对疼痛测量更积极(p <p <0.001)。与护士相比,内科医生更不关心镇痛药的问题(p <0.01)。结论应鼓励患者谈论疼痛。急诊科人员需要接受关于疼痛测量和止痛药的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of pain in a surgical emergency unit—Underlying factors affecting its delivery

Background

Pain is an important symptom in emergency departments. The purpose of this study was to evaluate possible obstacles to pain management in a surgical emergency department.

Methods

All patients arriving in the ED (N = 100) during the time period were asked to participate in an interview. Information about medication, patient history, and documented pain intensity were extracted from patient records. In addition, a questionnaire with six demographic and 31 pain-related items was distributed to 50 physicians and 82 nurses.

Results

Pain was the most important symptom of 60.3% (N = 46) of the respondents. Severe pain was reported by 45.8% of the patients. Analgesics were administered to 46.6% of the respondents (N = 34). None of the patients received nonsteroidal anti-inflammatoric analgesics (NSAIDs). Male gender, lower educational level and high age correlated with reluctance to accept analgesics. Experience of pain and the healthcare system correlated with unwillingness to talk about pain. The nurses were more positive towards measurement of pain (p < 0.05) and encouragement (p < 0.001) than the physicians. The physicians were less concerned about problems with analgesics than the nurses (p < 0.01).

Conclusion

The patients should be encouraged to talk about their pain. The emergency department personnel needs education about measurement of pain and pain medication.

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