Lacasse Anaïs, Choinière Manon, Connelly Judy-Ann
Département des sciences de la santé, Université du Québec en Abitibi-Témiscamingue, Rouyn-Noranda, QC, Canada.
Quebec Pain Research Network (QPRN), Université de Sherbrooke, Sherbrooke, QC, Canada.
Can J Pain. 2017 Oct 24;1(1):151-160. doi: 10.1080/24740527.2017.1369849. eCollection 2017.
: Many chronic pain (CP) awareness and educational initiatives have been achieved, but it is time to take stock of where we are today. : The aim of this study was to describe and identify determinants of knowledge, beliefs, and attitudes of different subgroups of the Quebec population regarding CP and especially toward people suffering from this condition. : A web-based, cross-sectional study was conducted between May and June 2014. : A total of 1958 participants responded, among whom 70.9% reported suffering from CP and 14.4% reported being a health care professional (HCP). Almost half of the participants were not aware that the risk of developing CP is increased after undergoing surgery or that CP affects approximately one in five adults. A minority (10.30%) agreed that HCP are well trained in CP treatment. The two most frequent negative beliefs were that people suffering from CP become dependent on their medications as do drug addicts (16.7%) and that consulting a psychologist is useless unless the person with CP is depressed (16.9%). Multiple regression analysis showed that being a woman, being born in Canada, being unemployed, suffering from CP, and being an HCP were predictors of better knowledge and more positive attitudes toward people suffering from CP (all values < 0.05). Older age and residing in a remote region were associated with poorer knowledge and more negative attitudes. : Our results underline the importance of continuing the efforts and the need for more education programs, awareness campaigns, and stigma reduction activities about CP for HCP, patients, and the general public.
许多慢性疼痛（CP）认知和教育倡议已经取得成效，但现在是时候评估一下我们目前的状况了。本研究的目的是描述和确定魁北克不同人群亚组对CP的知识、信念和态度的决定因素，特别是对患有这种疾病的人的态度。2014年5月至6月进行了一项基于网络的横断面研究。共有1958名参与者做出回应，其中70.9%报告患有CP，14.4%报告是医疗保健专业人员（HCP）。几乎一半的参与者不知道手术后患CP的风险会增加，也不知道CP影响大约五分之一的成年人。少数人（10.30%）认为HCP在CP治疗方面训练有素。最常见的两种负面信念是，患有CP的人会像吸毒者一样对药物产生依赖（16.7%），以及除非患有CP的人抑郁，否则咨询心理医生是无用的（16.9%）。多元回归分析表明，女性、在加拿大出生、失业、患有CP以及是HCP是对患有CP的人有更好知识和更积极态度的预测因素（所有p值<0.05）。年龄较大和居住在偏远地区与知识较差和态度较消极有关。我们的结果强调了继续努力的重要性，以及针对HCP、患者和公众开展更多关于CP的教育项目、提高认知运动和减少污名化活动的必要性。
