Tawil Samah, Iskandar Katia, Salameh Pascale
Drug Information Center & Continuing Education Department, Lebanese Order of Pharmacists. Beirut (Lebanon).
Continuing Education Department. Lebanese Order of Pharmacists; & INSPECT-LB: Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University. Beirut (Lebanon).
Pharm Pract (Granada). 2018 Jul-Sep;16(3):1268. doi: 10.18549/PharmPract.2018.03.1268. Epub 2018 Sep 25.
Suboptimal pain control has been frequently reported in healthcare settings and documented to negatively impact patients' health. Patients' perception regarding pain management may influence their satisfaction regarding treatment.
This study focuses on the assessment of patients' satisfaction regarding pain therapy and defining patient-related barriers for its implication.
A cross-sectional study was conducted in two tertiary care hospitals from April till July 2017. A face-to face interview questionnaire was filled regarding pain scores and patients' attitudes regarding pain management. Both medical and post-surgical adult patients with all types of pain were eligible to participate. A descriptive analysis of patient satisfaction and perceptions regarding pain management was done.
Results from 183 participants with a mean age of 49 (SD=17.33) revealed that pain was their main reason for hospitalization (71.6% of the cases). Numeric pain scores were recorded only in 14.2% of the patient medical files. Pain intensity documentation by healthcare professionals was found in 41.5% of the cases, and 7.7% of the patients had to wait for more than 30 minutes before getting the pain medication. Around 85% of the patients were satisfied with their pain management. Patients' barriers to effective pain therapy were mainly fear of adverse effects, addiction, and additional costs (p<0.05).
Pain remains a prevalent problem that requires more efforts for improvement. Our study can effectively serve as a start for larger studies where barriers to pain management can be assessed as an independent variable affecting pain management practice.
在医疗环境中，疼痛控制不佳的情况屡见不鲜，且有记录表明这会对患者健康产生负面影响。患者对疼痛管理的认知可能会影响他们对治疗的满意度。
本研究聚焦于评估患者对疼痛治疗的满意度，并确定与患者相关的疼痛治疗障碍因素。
2017年4月至7月，在两家三级护理医院开展了一项横断面研究。通过面对面访谈问卷收集患者的疼痛评分以及他们对疼痛管理的态度。所有类型疼痛的成年内科和外科术后患者均符合参与条件。对患者对疼痛管理的满意度和认知进行了描述性分析。
183名平均年龄为49岁（标准差=17.33）的参与者的结果显示，疼痛是他们住院的主要原因（71.6%的病例）。仅14.2%的患者病历记录了数字疼痛评分。41.5%的病例有医护人员记录的疼痛强度，7.7%的患者在获得止痛药物前需等待超过30分钟。约85%的患者对其疼痛管理感到满意。患者有效疼痛治疗的障碍主要是担心不良反应、成瘾和额外费用（p<0.05）。
疼痛仍然是一个普遍存在的问题，需要更多努力加以改善。我们的研究可以有效地作为更大规模研究的起点，在这些研究中，疼痛管理障碍可作为影响疼痛管理实践的一个独立变量进行评估。
