Kiang Wu Nursing College of Macau, China.
University of North Carolina at Chapel Hill, USA.
Clin Nurs Res. 2021 Nov;30(8):1290-1300. doi: 10.1177/10547738211012832. Epub 2021 May 17.
To compare pain management outcomes in postoperative patients from an American hospital and a Chinese hospital. A convenience sample of 244 patients in the United States and 268 patients in China with similar surgical sites completed the American Pain Society Patient Outcome Questionnaire-Revised (APS-POQ-R) and the Pain Management Index (PMI) was calculated on their first postoperative day. Patients in the United States reported a higher score on the "perception of pain management" subscale of the APS-POQ-R and a higher proportion of adequate treatment as measured by the PMI (85.2% vs. 39.0%, < .001). Patient education and degrees of pain relief predicted patient satisfaction with pain management (item in APS-POQ-R) in patients from both countries. A higher level of compliance with pain management guidelines has contributed to a higher level of perception in patients in the United States. Establishing procedure-specific protocols and clinical pathways may improve pain management outcomes for Chinese patients.
比较中美两国医院术后患者的疼痛管理效果。本研究采用便利抽样法，选取美国 244 例和中国 268 例手术部位相似的患者，在术后第 1 天完成美国疼痛协会患者结局问卷修订版（APS-POQ-R）和疼痛管理指数（PMI）的评估。美国患者在 APS-POQ-R 的“疼痛管理感知”分量表上的得分更高，且根据 PMI 评估，接受充分治疗的比例更高（85.2%比 39.0%， < .001）。两国患者的教育程度和疼痛缓解程度均能预测其对疼痛管理的满意度（APS-POQ-R 中的条目）。美国患者对疼痛管理指南的依从性更高，因此对疼痛管理的感知度也更高。建立特定于操作程序的协议和临床路径可能会提高中国患者的疼痛管理效果。
