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爱尔兰共和国教学医院急性疼痛服务调查。

A survey of acute pain services in teaching hospitals in the Republic of Ireland.

作者信息

Hu P, Owens T, Harmon D

机构信息

Department of Anaesthesia and Intensive Care Medicine, St Vincent's University Hospital, Elmpark, Dublin 4, Ireland.

出版信息

Ir J Med Sci. 2007 Sep;176(3):225-8. doi: 10.1007/s11845-007-0037-7. Epub 2007 Apr 26.

DOI:10.1007/s11845-007-0037-7
PMID:17458583
Abstract

BACKGROUND

Acute Pain Services (APS) evolved in response to the desire for improved management of postoperative pain.

AIMS

To assess the status of APS in teaching hospitals in Ireland. This information has not previously been available.

METHODS

Postal questionnaires were sent to all teaching hospitals in the Republic of Ireland (n = 40). The questionnaire dealt with current and future APS.

RESULTS

Thirty-one out of the 40 teaching hospitals returned a completed questionnaire (78% response). Seventy-one per cent of respondents had formalised APS of which 85% were established after 1990. Ninety percent of respondents selected postoperative pain as their primary target. Pain was included in quality assurance in 73% of hospitals and 87% of clinicians believed the trend in pain consultations is increasing.

CONCLUSIONS

Despite a growing trend in pain management and publication of guidelines, only 71% (22/31) of teaching hospitals in the Republic of Ireland have such services. Further resources are needed to address this deficiency.

摘要

背景

急性疼痛服务(APS)是应改善术后疼痛管理的需求而发展起来的。

目的

评估爱尔兰教学医院中急性疼痛服务的现状。此前尚无此类信息。

方法

向爱尔兰共和国所有教学医院(共40家)邮寄调查问卷。问卷涉及急性疼痛服务的现状及未来。

结果

40家教学医院中有31家返回了完整问卷(回复率78%)。71%的受访者拥有正式的急性疼痛服务,其中85%是在1990年之后设立的。90%的受访者将术后疼痛作为主要目标。73%的医院将疼痛纳入质量保证,87%的临床医生认为疼痛会诊的趋势在增加。

结论

尽管疼痛管理呈增长趋势且有相关指南发布,但爱尔兰共和国只有71%(22/31)的教学医院提供此类服务。需要进一步的资源来弥补这一不足。

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本文引用的文献

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Rhetoric and reality on acute pain services in the UK: a national postal questionnaire survey.英国急性疼痛服务的言辞与现实:一项全国性邮寄问卷调查
Br J Anaesth. 2004 May;92(5):689-93. doi: 10.1093/bja/aeh130. Epub 2004 Mar 19.
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Acute pain management services have progressed, albeit insufficiently in Canadian academic hospitals.
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Reg Anesth Pain Med. 2002 Mar-Apr;27(2):125-31. doi: 10.1053/rapm.2002.29258.
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Acute pain services revisited--good from far, far from good?再探急性疼痛服务——远看不错,实则不佳?
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Eur J Anaesthesiol. 1998 May;15(3):354-63. doi: 10.1046/j.1365-2346.1998.00306.x.
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The value of "multimodal" or "balanced analgesia" in postoperative pain treatment.“多模式”或“平衡镇痛”在术后疼痛治疗中的价值。
Anesth Analg. 1993 Nov;77(5):1048-56. doi: 10.1213/00000539-199311000-00030.