Department of Radiotherapy, All India Institute of Medical Sciences, Bhubaneswar, India.
Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India.
Pain Manag Nurs. 2020 Jun;21(3):299-303. doi: 10.1016/j.pmn.2019.06.005. Epub 2019 Jul 11.
Pain has a great impact on the physical and mental condition of hospitalized patients, reduces quality of life, and increases economic burden.
The study aimed to determine pain prevalence, its characteristics, analgesic treatment, and associated factors for severity and chronicity of pain in hospitalized patients.
A cross-sectional study was carried out including 847 eligible adult in-patients, aged ≥18 years, admitted to the All India Institute of Medical Sciences, Bhubaneswar, India, from June to August 2018. Pain severity was evaluated by visual analog scale (VAS) at the time of interview and after 1 week/completion of pain treatment.
The prevalence of pain during the 24 hours preceding the interview was 70.6%. The duration of pain was ≥4 weeks in 162 (27.1%) patients and severe (VAS ≥ 7) in 144 (24.1%) patients. The mean VAS score was 6.27 ± 1.97 at the time of interview and 3.31 ± 1.89 after 1 week/completion of pain treatment (p < .001). Use of opioid analgesics (adjusted odds ratio [aOR]: 3.18; confidence interval [CI]: 2.23-4.55) was significantly related to pain severity, whereas patients ≥60 years (aOR: 1.64; CI: 0.99-2.70), patients in a nonsurgical ward (aOR: 1.78; CI: 1.21-2.60), and patients using opioid analgesics (aOR: 2.63; CI: 1.73-3.98) had prolonged pain, defined as ≥4 weeks.
Pain prevalence and intensity in this Indian hospital were high and pain treatment was adequate in many cases. Timely assessment and appropriate management of pain in hospitalized patients is needed to prevent further pain and its complications in these patients.
疼痛对住院患者的身心状况有很大影响，降低生活质量，并增加经济负担。
本研究旨在确定疼痛的发生率、特征、镇痛治疗以及与疼痛严重程度和慢性程度相关的因素。
这是一项横断面研究，纳入了 2018 年 6 月至 8 月期间在印度奥里萨邦布巴内斯瓦尔全印度医学科学研究所住院的 847 名年龄≥18 岁的成年患者。在访谈时和 1 周后/疼痛治疗结束时，使用视觉模拟评分法（VAS）评估疼痛严重程度。
在访谈前 24 小时内，疼痛的发生率为 70.6%。162 名（27.1%）患者的疼痛持续时间≥4 周，144 名（24.1%）患者的疼痛严重（VAS≥7）。访谈时的平均 VAS 评分为 6.27±1.97，1 周后/疼痛治疗结束时为 3.31±1.89（p<0.001）。使用阿片类镇痛药（调整后的优势比[aOR]：3.18；置信区间[CI]：2.23-4.55）与疼痛严重程度显著相关，而≥60 岁的患者（aOR：1.64；CI：0.99-2.70）、非手术病房的患者（aOR：1.78；CI：1.21-2.60）和使用阿片类镇痛药的患者（aOR：2.63；CI：1.73-3.98）的疼痛持续时间延长，定义为≥4 周。
本研究中印度医院的疼痛发生率和强度较高，许多情况下疼痛治疗是充分的。需要及时评估和适当管理住院患者的疼痛，以防止这些患者进一步发生疼痛及其并发症。
