Lin Richard J, Reid M Carrington, Liu Lydia L, Chused Amy E, Evans Arthur T
Department of Medicine, Weill Cornell Medical College, New York, NY, USA
Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Am J Hosp Palliat Care. 2015 Sep;32(6):594-9. doi: 10.1177/1049909114530491. Epub 2014 Apr 11.
The current literature suggests deficiencies in the quality of acute pain management among general medical inpatients. The aim of this qualitative study is to identify potential barriers to high-quality acute pain management among general medical inpatients at an urban academic medical center during a 2-year period. Data are collected using retrospective chart reviews, survey questionnaires, and semistructured, open-ended interviews of 40 general medical inpatients who have experienced pain during their hospitalization. Our results confirm high prevalence and disabling impacts of pain and significant patient- and provider-related barriers to high-quality acute pain management. We also identify unique system-related barriers such as time delay and pain management culture. Efforts to improve the pain management experience of general medical inpatients will need to address all these barriers.
当前文献表明，普通内科住院患者的急性疼痛管理质量存在缺陷。这项定性研究的目的是确定在两年时间内，城市学术医疗中心普通内科住院患者在高质量急性疼痛管理方面可能存在的障碍。通过回顾性病历审查、调查问卷以及对40名在住院期间经历过疼痛的普通内科住院患者进行半结构化开放式访谈来收集数据。我们的研究结果证实了疼痛的高发生率和致残影响，以及在高质量急性疼痛管理方面存在的与患者和医护人员相关的重大障碍。我们还发现了与系统相关的独特障碍，如时间延迟和疼痛管理文化。改善普通内科住院患者疼痛管理体验的努力需要克服所有这些障碍。
