Jayagopal Anita, Jaju Rishita A, Tate Anupama
Pediatr Dent. 2010 Nov-Dec;32(7):546-50.
The purpose of this study was to describe the current practice and perception of pain assessment in US accredited advanced pediatric dentistry residency programs, as reported by directors of these programs.
A questionnaire was sent out to 68 accredited US pediatric dentistry residency programs. Responses were statistically analyzed to find significant correlations between the actual practice of pain assessment and the perceived usefulness of pain assessment.
Forty-four surveys (65% response rate) were completed and returned. Sixty-eight percent of program directors stated that pain is assessed at all types of appointments. A statistically significant correlation exists between program directors who regard pain assessment scales as useful and those who teach the use of such resources in their programs (chi-square = 3.73, P = .05). A statistically significant correlation exists between program directors who regard preoperative pain assessment as clinically beneficial and those who report a need to place more emphasis on pain assessment (chi-square = 6.22, P = .01).
Pediatric dentistry residency program directors generally regard pain assessment as clinically beneficial in patient treatment. Implementing increased pain assessment teaching in pediatric dentistry residency programs could improve the confidence and skills of residents in assessing the pain of young children and those with special health care needs.
本研究旨在描述美国认可的高级儿科牙科住院医师培训项目中当前疼痛评估的实践情况以及项目主任报告的对疼痛评估的看法。
向68个美国认可的儿科牙科住院医师培训项目发放了问卷。对回复进行统计分析，以找出疼痛评估的实际实践与疼痛评估的感知有用性之间的显著相关性。
共完成并返回了44份调查问卷（回复率为65%）。68%的项目主任表示在所有类型的预约中都会进行疼痛评估。认为疼痛评估量表有用的项目主任与在其项目中教授此类资源使用的主任之间存在统计学上的显著相关性（卡方 = 3.73，P = 0.05）。认为术前疼痛评估具有临床益处的项目主任与报告需要更加强调疼痛评估的主任之间存在统计学上的显著相关性（卡方 = 6.22，P = 0.01）。
儿科牙科住院医师培训项目主任普遍认为疼痛评估在患者治疗中具有临床益处。在儿科牙科住院医师培训项目中增加疼痛评估教学可以提高住院医师评估幼儿和有特殊医疗需求者疼痛的信心和技能。
