First Surgical Clinic, Tirana University Hospital Center -Mother Teresa-, Tirana, Albania.
J Biol Regul Homeost Agents. 2012 Jul-Sep;26(3):539-44.
There is no or little evidence on postoperative pain assessment and treatment in Albanian hospitals. This study is based on our every day work and aims to highlight our experience. We conducted a descriptive drug utilization study which implied data collection over 6 months. Evidence of the enrolled patients was kept by maintaining records and the completed structured questionnaires. Postoperative pain was assessed through a five-category verbal rating scale (VRS). Metamizole was the most prescribed and administered analgesic drug as single therapy and in combination therapy, and acetaminophen was the least prescribed drug. The compliance between the prescribed dosages and those administered was higher in patients treated with a single analgesic compared to multiple therapies. A few patients reported adverse events (4.2 percent). There is much variability in postoperative pain management methods used by medical staff within the Tirana University Hospital. In Albania to date there is no standard protocol for postoperative pain treatment. This study shows that there are no essential differences in patient outcomes in terms of efficacy of analgesic treatment. This leads to the conclusion that a postoperative protocol/guideline for pain management should be prepared, based on our local study findings and also on international experience. Moreover, the guidelines should consider use of balanced analgesia.
在阿尔巴尼亚医院，几乎没有或没有术后疼痛评估和治疗的证据。本研究基于我们的日常工作，旨在突出我们的经验。我们进行了一项描述性的药物利用研究，其中包括 6 个月的数据收集。通过保存记录和完成的结构化问卷来保存入组患者的证据。术后疼痛通过五级言语评定量表（VRS）进行评估。作为单一疗法和联合疗法，扑热息痛的应用最广泛，而对乙酰氨基酚的应用最少。与接受多种疗法的患者相比，单一镇痛剂治疗的患者在规定剂量和实际使用剂量之间的一致性更高。少数患者报告了不良反应（4.2%）。在地拉那大学医院，医务人员在术后疼痛管理方法上存在很大差异。到目前为止，阿尔巴尼亚还没有术后疼痛治疗的标准方案。本研究表明，在镇痛治疗效果方面，患者的结果没有明显差异。这得出的结论是，应根据我们的本地研究结果和国际经验，制定术后疼痛管理方案/指南。此外，该指南应考虑使用平衡镇痛。
