Carr E C
Institute of Health & Community Studies, Bournemouth University, Dorset, England.
J Adv Nurs. 1999 Jan;29(1):194-200. doi: 10.1046/j.1365-2648.1999.00875.x.
The adequacy of postoperative pain management in British hospitals appears insufficient to improve patient care, and much of the research and clinical audit in postoperative pain has failed to seek the patient's perspective. This paper reports on the findings from a semi-structured telephone interview survey which formed part of a hospital-wide audit on postoperative pain at a district general hospital in the south of England. Of a total of 360 completed audit questionnaires, 114 patients left their telephone number and 29 were interviewed. Content analysis revealed five main themes: inadequate information, pain at home, staff attitudes, expectations of pain, and ward atmosphere. Several patients identified insightful strategies that potentially could improve pain management. The telephone interview generated a richness of data that had not been reported before in this important area. Some authors view clinical audit and research as having different characteristics but this work raises important questions for both approaches when using the semi-structured telephone interview. The ethical issues pertaining to collection of audit data using the telephone interview are discussed.
英国医院术后疼痛管理的充分性似乎不足以改善患者护理，而且术后疼痛方面的许多研究和临床审计都未能从患者的角度进行探讨。本文报告了一项半结构化电话访谈调查的结果，该调查是英格兰南部一家地区综合医院全院术后疼痛审计的一部分。在总共360份完成的审计问卷中，114名患者留下了他们的电话号码，其中29人接受了访谈。内容分析揭示了五个主要主题：信息不足、在家中的疼痛、工作人员的态度、对疼痛的期望以及病房氛围。几位患者提出了可能改善疼痛管理的有见地的策略。电话访谈产生了丰富的数据，这在这一重要领域之前尚未有过报道。一些作者认为临床审计和研究具有不同的特点，但这项工作在使用半结构化电话访谈时对这两种方法都提出了重要问题。文中还讨论了使用电话访谈收集审计数据所涉及的伦理问题。
