疼痛作为第五大生命体征——公立和私立医疗保健系统的比较。
Pain as the fifth vital sign-A comparison between public and private healthcare systems.
机构信息
Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.
Department of Histology, Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.
出版信息
PLoS One. 2021 Nov 3;16(11):e0259535. doi: 10.1371/journal.pone.0259535. eCollection 2021.
BACKGROUND
The assessment of pain as the fifth vital sign (P5VS) is of paramount importance since it leads to the management of undertreated pain, consequently reducing suffering, readmissions and emergency department visits after hospital discharge.
OBJECTIVE
To evaluate the implementation of P5VS in public and private hospitals.
METHODS
Data analysis on validated questionnaires was sent to all 171 Portuguese hospitals via an official letter.
RESULTS
When compared to private hospitals, public hospitals presented a higher adherence to the process related to the P5VS. It has demonstrated superiority in the charts properly placed to record P5VS, in the number of emergency departments recording P5VS, in the regularity of audits, and in the existence of guidelines and staff training on pain assessment and management.
CONCLUSION
The standardization of both evaluation and recording of pain intensity constitutes a measure of good clinical practice. Public hospitals demonstrated better commitment to these procedures that should be properly carried out in all health care institutions.
背景
评估疼痛作为第五大生命体征（P5VS）至关重要，因为它可以管理治疗不足的疼痛，从而减少出院后患者的痛苦、再入院和急诊就诊次数。
目的
评估公立和私立医院实施 P5VS 的情况。
方法
通过官方信函向葡萄牙的 171 家医院发送了针对经证实有效的调查问卷的数据进行分析。
结果
与私立医院相比，公立医院在与 P5VS 相关的流程方面具有更高的依从性。公立医院在正确放置用于记录 P5VS 的图表、记录 P5VS 的急诊科数量、审核的规律性以及疼痛评估和管理的指南和员工培训方面具有优势。
结论
疼痛强度评估和记录的标准化是良好临床实践的措施。公立医院对这些程序的承诺更好，这些程序应在所有医疗机构中妥善执行。
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