Clinical Assistant Professor, Pharmacy Practice Department, Lebanese American University, School of Pharmacy, Byblos, Lebanon Assistant Professor, Basic Science Department, Lebanese American University, School of Pharmacy, Byblos, Lebanon Student, Lebanese American University, School of Pharmacy, Byblos, Lebanon.
J Eval Clin Pract. 2013 Oct;19(5):833-9. doi: 10.1111/j.1365-2753.2012.01860.x. Epub 2012 May 29.
Pain assessment and treatment is influenced by subjective perception of pain. Despite the international efforts to implement guidelines and protocols for pain management, pain continues to be regarded as a complication rather than a primary problem. The literature pertaining to the adequacy of pain management in the Middle East is frail. This study focuses on revealing the implemented practices of initial pain assessment, follow-up and re-evaluation of pain treatment in Lebanese hospitals.
The objective of this study is to evaluate the presence and effectiveness of acute pain management and its impact on the quality of life in hospitals throughout Lebanon, in both cancer and non-cancer populations.
A Lebanese multi-centre, prospective, chart review study was conducted over a period of 3 months. Data on demographics, pain medication, dose, route, duration and adjunct pain management were collected. Appropriateness of pain management was determined as per World Health Organization guidelines. Institutional Review Board approvals were obtained from each hospital.
Results from 582 participants revealed that 50% of initial pain assessment intensity scores were based on the assumptions of health care professionals. Furthermore, as pain severity scores increased, the adequacy of pain management decreased. Only 22% of the patients had a daily follow-up, and the majority of those continued to receive inappropriate therapy.
This study reflects the lack of a well-structured system for pain management in Lebanese hospitals. It underlines the need for pain research in the region. It also highlights the need for implementing the recommendations discussed to minimize risk and optimize pain management.
疼痛评估和治疗受到疼痛主观感知的影响。尽管国际社会努力实施疼痛管理指南和方案，但疼痛仍然被视为一种并发症，而不是主要问题。关于中东地区疼痛管理充分性的文献很少。本研究旨在揭示黎巴嫩医院在初始疼痛评估、疼痛治疗的随访和再评估方面的实施情况。
本研究的目的是评估黎巴嫩医院在癌症和非癌症人群中急性疼痛管理的存在情况和效果及其对生活质量的影响。
进行了一项为期 3 个月的黎巴嫩多中心、前瞻性病历回顾研究。收集了人口统计学数据、疼痛药物、剂量、途径、持续时间和辅助疼痛管理的数据。根据世界卫生组织的指南确定疼痛管理的适当性。每个医院都获得了机构审查委员会的批准。
来自 582 名参与者的结果表明，50%的初始疼痛评估强度评分是基于医护人员的假设。此外，随着疼痛严重程度评分的增加，疼痛管理的充分性降低。只有 22%的患者每天接受随访，其中大多数人仍接受不适当的治疗。
本研究反映了黎巴嫩医院疼痛管理缺乏完善的结构化系统。它强调了该地区进行疼痛研究的必要性。它还突出了实施所讨论的建议的必要性，以最大限度地降低风险并优化疼痛管理。
