斯洛文尼亚兽医对犬猫疼痛的认知和治疗的调查研究。

A survey study on the recognition and treatment of pain in dogs and cats by Slovenian veterinarians.

机构信息

Small Animal Clinic, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia.

Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Vet Anaesth Analg. 2021 May;48(3):334-343. doi: 10.1016/j.vaa.2020.11.007. Epub 2021 Feb 5.

DOI:10.1016/j.vaa.2020.11.007

PMID:33741262

Abstract

OBJECTIVE

To obtain information on pain management in dogs and cats by Slovenian veterinarians, and to compare it with reports from other countries.

STUDY DESIGN

Prospective online survey.

METHODS

The questions were uploaded using open source survey software and pertained to demographic data, self-evaluation of acquired and current knowledge, attitude towards pain and evaluation of actual knowledge, assessment of chronic and acute pain and pain due to surgery or medical conditions, and the use of analgesics. Descriptive statistics were used to summarize frequency distribution. Wilcoxon signed rank test, Mann-Whitney U test and Spearman's rho were applied where appropriate.

RESULTS

The response rate was 11%. From 680 registered members of the Veterinary Chamber of Slovenia, 73 veterinarians completed the survey. Most of the respondents were women (71.2%) working in small (60.3%) or mixed (21.9%) animal practices. A more recent year of graduation was positively correlated to the self-reporting of knowledge acquired during undergraduate studies (r = 0.339, p = 0.003) and to current knowledge about the topic (r = 0.293, p = 0.012). Cats were assigned higher scores than dogs for signs of acute (p < 0.001) pain. Female respondents assigned higher scores than male respondents for chronic pain in dogs. Dogs were assigned higher pain scores than cats for surgical procedures and medical conditions. The most frequently used non-steroidal anti-inflammatory drugs (NSAIDs) in dogs and cats were meloxicam and carprofen, and butorphanol was the most commonly used opioid. The choice of NSAID was influenced by perceived effectiveness, experience with use and anti-inflammatory effect. Opioid use was influenced by experience with use and perceived effectiveness.

CONCLUSIONS AND CLINICAL RELEVANCE

Slovenian veterinarians acknowledged the importance of pain management as reported for other European countries. However, the use of multimodal analgesia is limited, and inadequacies remain in the pain management of cats.

摘要

目的

了解斯洛文尼亚兽医在犬猫疼痛管理方面的信息，并与其他国家的报告进行比较。

研究设计

前瞻性在线调查。

方法

使用开源调查软件上传问题，涉及人口统计学数据、对获得和当前知识的自我评估、对疼痛的态度以及对实际知识的评估、对慢性和急性疼痛以及手术或医疗状况引起的疼痛的评估，以及镇痛药的使用。使用描述性统计数据总结频率分布。在适当的情况下应用 Wilcoxon 符号秩检验、Mann-Whitney U 检验和 Spearman's rho。

结果

响应率为 11%。在斯洛文尼亚兽医协会的 680 名注册会员中，有 73 名兽医完成了调查。大多数受访者是女性（71.2%），在小型（60.3%）或混合（21.9%）动物诊所工作。毕业时间较新与自我报告的本科期间获得的知识呈正相关（r = 0.339，p = 0.003），与当前对该主题的知识呈正相关（r = 0.293，p = 0.012）。与狗相比，猫被分配了更高的急性疼痛评分（p < 0.001）。与男性受访者相比，女性受访者为狗的慢性疼痛分配了更高的分数。与猫相比，狗的手术和医疗状况被分配了更高的疼痛评分。在狗和猫中最常使用的非甾体抗炎药（NSAIDs）是美洛昔康和卡洛芬，而布托啡诺是最常用的阿片类药物。NSAID 的选择受有效性感知、使用经验和抗炎作用的影响。阿片类药物的使用受使用经验和有效性感知的影响。