Mengistu Negashu Dadi, Obsa Mohammed Suleiman, Gemeda Leulayehu Akalu
Department of Anesthesia, Wolaita Sodo University, Wolaita Soddo, Ethiopia.
Department of Anesthesia, Jimma University, Jimma, Ethiopia.
Pain Res Treat. 2018 Jul 4;2018:1092650. doi: 10.1155/2018/1092650. eCollection 2018.
Burn pain is a unique and complex challenge for all health professionals and the patients. The only way to insure quality burn pain relief is the patient's self-report. Thus, assessment of severity of pain and its associated factors are important in treatment plan.
To assess severity of burn pain and associated factors in Yekatit 12 Hospitals burn unit from January 1, 2017, to March 30, 2017.
Hospital based cross sectional study design was conducted. Data was collected by using structural questionnaires from all eligible patients, those admitted to burn unit of Yekatit 12 Hospital during the study period. Severity of burn pain was assessed by using numerical, facial, and behavioral pain scale measurement tools. Pain assessment scale was deployed for patients by data collectors before medication and dressing change. Multivariate logistic regression analysis was conducted to identify significant predictors based on p value less than 0.05 with 95% confidence interval.
A total of 62 burn patients were included in the study. 87.1% of the patients feel severe pain and 12.9% of the patients feel moderate pain. Pediatrics age groups were about 11 times more likely to feel severe pain than adults, and patients with TBSA ≥ 25% were about 8 times more likely to feel severe burn pain than those with TBSA < 25% [AOR = 7.773; CI 1.184, 51.043] (P = 0.033).
Majorities of burn patients had severe pain and burn pain was not appropriately treated. Therefore, appropriate pain management was strongly recommended.
烧伤疼痛对所有医护人员和患者来说都是一个独特而复杂的挑战。确保烧伤疼痛得到高质量缓解的唯一方法是患者的自我报告。因此，评估疼痛的严重程度及其相关因素对治疗方案很重要。
评估2017年1月1日至2017年3月30日耶卡提特12医院烧伤科烧伤疼痛的严重程度及其相关因素。
采用基于医院的横断面研究设计。通过使用结构化问卷从所有符合条件的患者中收集数据，这些患者是在研究期间入住耶卡提特12医院烧伤科的。使用数字、面部和行为疼痛量表测量工具评估烧伤疼痛的严重程度。数据收集者在给患者用药和换药前使用疼痛评估量表。进行多因素逻辑回归分析，以确定基于p值小于0.05且95%置信区间的显著预测因素。
共有62名烧伤患者纳入研究。87.1%的患者感到重度疼痛，12.9%的患者感到中度疼痛。儿科年龄组感到重度疼痛的可能性比成人高约11倍，烧伤总面积（TBSA）≥25%的患者感到重度烧伤疼痛的可能性比TBSA<25%的患者高约8倍[AOR = 7.773；CI 1.184，51.043]（P = 0.033）。
大多数烧伤患者有重度疼痛，且烧伤疼痛未得到适当治疗。因此，强烈建议进行适当的疼痛管理。
