Faponle A F, Soyannwo O A
Department of Anaesthesia, Obafemi Awolowo University, Ile-Ife.
Niger J Med. 2002 Oct-Dec;11(4):180-2.
In order to evaluate doctors prescriptions in post-operative pain management, a precoded, structured and pretested questionnaire was administered to resident doctors working in the department of surgery in two teaching hospitals in Nigeria. The questionnaires were completed voluntarily by all the doctors involved. Fifty-five completed questionnaires were analysed. Fifty-three per cent of the doctors aimed at relieving just enough pain for the patient to be comfortable. The others aimed at complete pain relief. Drug availability was the most important factor determining what the doctors prescribed. Anaesthetists had little or no influence on their choice of drugs. Forty-five per cent of the doctors thought that they had been adequately educated in pain control. However, the level of training did not influence the response (p > 0.05). Intramuscular opioid, 6-8 hourly, was the most preferred route of drug administration. It was concluded that prescribing patterns for post-operative pain therapy in Nigeria has changed little in the last decade. The new treatment modalities, which are being utilized in developed countries, are still not being used in this country.
为了评估医生在术后疼痛管理方面的处方情况，对尼日利亚两家教学医院外科的住院医生进行了一份预先编码、结构化且经过预测试的问卷调查。问卷由所有参与的医生自愿填写。对55份完整的问卷进行了分析。53%的医生旨在缓解疼痛以使患者感到舒适即可，其他医生则旨在完全缓解疼痛。药物可得性是决定医生开何种处方的最重要因素。麻醉师对他们的药物选择几乎没有影响。45%的医生认为他们在疼痛控制方面接受了充分的教育。然而，培训水平并未影响回答结果（p>0.05）。每6 - 8小时一次的肌肉注射阿片类药物是最常用的给药途径。得出的结论是，在过去十年中，尼日利亚术后疼痛治疗的处方模式变化不大。发达国家正在使用的新治疗方式在该国仍未得到应用。
