Ramia Elsy, Nasser Soumana C, Salameh Pascale, Saad Aline Hanna
Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, P.O. Box 36 (S23), Byblos, Lebanon.
Pain Res Manag. 2017;2017:7459360. doi: 10.1155/2017/7459360. Epub 2017 Mar 28.
. The primary objectives of this study were to assess patients' description of their acute pain intensity; patients' attitude towards their pain management during hospitalization; and their overall satisfaction with pain treatment. . A cross-sectional questionnaire-based study was conducted between October 2014 and March 2015 in three medical centers in Lebanon. All participants' responses were reported using descriptive statistics. The association between categorical variables was evaluated using Pearson test or Fisher's exact test where the expected cell count was < 5. . A total of 119 women on the maternity services and 177 patients on the orthopedic services were surveyed. Around 50% of obstetric and 37% of orthopedic patients reported pain to be severe at its highest intensity. In maternity and orthopedic patients, respectively, unfavorable practices included pain not being assessed prior to pain medication administration (19.3% and 30.5%), having to wait for ≥30 minutes before getting the pain medication (14.2% and 11.3%), and pain score not being documented on medical chart (95% and 93.2%). Surprisingly, 94.1% of the maternity and 89.2% of orthopedic patients were satisfied to strongly satisfied with their pain management. . Pre- and postoperative pain remain a prevalent problem that requires a consensus and joint efforts for improvement.
本研究的主要目的是评估患者对其急性疼痛强度的描述；患者在住院期间对疼痛管理的态度；以及他们对疼痛治疗的总体满意度。2014年10月至2015年3月期间，在黎巴嫩的三个医疗中心进行了一项基于问卷调查的横断面研究。所有参与者的回答均采用描述性统计进行报告。分类变量之间的关联使用Pearson检验或Fisher精确检验进行评估，其中预期单元格计数<5。共对119名产科服务患者和177名骨科服务患者进行了调查。约50%的产科患者和37%的骨科患者报告疼痛在最高强度时为重度。在产科和骨科患者中，不良做法分别包括在给予止痛药物之前未对疼痛进行评估（19.3%和30.5%）、在获得止痛药物之前必须等待≥30分钟（14.2%和11.3%）以及疼痛评分未记录在病历上（95%和93.2%）。令人惊讶的是，94.1%的产科患者和89.2%的骨科患者对其疼痛管理感到满意至非常满意。术前和术后疼痛仍然是一个普遍存在的问题，需要达成共识并共同努力加以改善。
