Messeri A, Scollo Abeti M, Guidi G, Simonetti M
Pain Service, A. Meyer Children Hospital, Florence, Italy.
Minerva Anestesiol. 2008 Apr;74(4):113-8.
The purpose of this investigation was to get an overview of the understanding of doctors and nurses on pain experienced by patients in the hospitals of Tuscany in order to plan education in the weakest areas.
A questionnaire was distributed to assess the knowledge of pain: it included 13 questions intended for 3631 nurses and 1281 doctors throughout all the hospitals and sanitary concerns in Tuscany. The total percentage of right answers corresponded to 70.2% with a variability among questions ranging between 30.5% and 95.6%.
There is a statistically significant difference between the mean number of correct answers of doctors (9.57/13) and nurses (8.87/13). For doctors working in critical areas, the mean is statistically significant in comparison with other areas. For nurses, those working in the surgical and critical areas show a statistically significant difference in comparison to the nurses of the general practice and other areas.
The data show that general knowledge of patient pain is good (86.5%), but that great gaps exist in the field of opiates (51.4%). Thus, education should focus on this area, as well as on prejudices concerning pain reported from 50.9% of healthcare providers.
本调查旨在全面了解托斯卡纳地区医院的医生和护士对患者疼痛的认知情况，以便在薄弱领域开展相关培训。
发放一份调查问卷以评估疼痛知识：问卷包含13个问题，面向托斯卡纳地区所有医院及卫生机构的3631名护士和1281名医生。正确答案的总百分比为70.2%，各问题的百分比在30.5%至95.6%之间波动。
医生（9.57/13）和护士（8.87/13）正确答案的平均数量存在统计学显著差异。对于在关键领域工作的医生，其平均值与其他领域相比具有统计学显著性。对于护士而言，在外科和关键领域工作的护士与普通科室及其他领域的护士相比存在统计学显著差异。
数据表明，对患者疼痛的总体认知良好（86.5%），但在阿片类药物领域存在较大差距（51.4%）。因此，培训应聚焦于该领域，以及50.9%的医疗服务提供者所报告的有关疼痛的偏见。
