Campagna Sara, Antonielli D'Oulx Maria Delfina, Paradiso Rosetta, Perretta Laura, Re Viglietti Silvia, Berchialla Paola, Dimonte Valerio
School of Nursing, Department of Clinical and Biological Science, University of Torino, Via San Giacomo 2, Beinasco, 10092 Torino, Italy.
General Surgery, Hospital Evangelico Valdese, Via Pellico 19, 10135 Torino, Italy.
Pain Res Manag. 2016;2016:6104383. doi: 10.1155/2016/6104383. Epub 2016 Dec 28.
Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. . To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). . The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. . At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge.
由于经济原因，许多国家的日间手术率稳步上升，目前的趋势是约70%的外科手术采用日间手术方式。文献表明，在骨科和普通外科患者等多个领域，术后疼痛治疗仍未得到充分满足。在意大利，日间手术项目尚未由政府部门管理，而是由地方医疗机构进行区域管理。为了调查疼痛强度的趋势及其与手术类型和疼痛治疗方案的关系，我们对意大利西北部（皮埃蒙特地区）三家不同日间手术中心出院的术后患者进行了研究。本研究纳入了276例接受不同门诊手术的患者。患者每天记录两次术后疼痛评分、对处方药的依从性以及因疼痛联系医院的相关原因。监测持续7天。出院时，72%的患者使用弱阿片类药物，12%的患者因副作用中断治疗，17%的患者需要额外用药，15%的患者因疼痛问题联系医院。约50%的患者在术后第一天经历中度疼痛。我们的研究结果表明，大多数患者出院后经历了可避免的疼痛。
