Wójcik Michał, Rogalska Anna
Emergency Department, Regional Hospital, 43-316 Bielsko-Biala, Poland.
Department of Economics and Management in Health Care, School of Health Sciences in Bytom, Medical University of Silesia, 40-055 Katowice, Poland.
Healthcare (Basel). 2022 Mar 25;10(4):623. doi: 10.3390/healthcare10040623.
Aim: The aim of the study was to analyze whether a patient’s opinion is related to the effect of analgesic treatment. Methods: The study was conducted using a survey questionnaire among adult patients admitted to the hospital emergency department in March 2021. The Numerical Rating Scale (NRS) was used to assess pain. Patients were asked to rate the intensity of pain during their stay in the emergency department in three situations: (1) at admission; (2) during the stay; and (3) upon discharge. The relationships between qualitative variables were assessed by the chi-squared test. Significance was set at p < 0.05. Results: There was no statistical dependence between the patient’s opinion about the medical institution and results of the effectiveness of analgesic treatments (p = 0.056). The highest percentage of patients satisfied with the received treatment were those who did not feel pain during ED discharge (94.12%), and the lowest were those who complained of severe pain during ED discharge (63.91%). The average mark for the functioning and organization of the emergency department was 7.44 (±2.04). Only 54 patients (29.83%) had taken pain medication before deciding to visit ED. Conclusions: No statistical dependency between the effect of the analgesic treatment and the patient’s opinion has been observed. The majority of patients with pain discomfort visit emergency departments without looking for consultation in other locations or without taking analgesics. In the considered institution, patients were satisfied with the analgesic treatment, staff performance, and with the organization of the department.
本研究旨在分析患者的意见是否与镇痛治疗效果相关。方法：本研究采用调查问卷对2021年3月入住医院急诊科的成年患者进行。采用数字评分量表（NRS）评估疼痛程度。要求患者对在急诊科停留期间三种情况下的疼痛强度进行评分：（1）入院时；（2）停留期间；（3）出院时。采用卡方检验评估定性变量之间的关系。显著性设定为p < 0.05。结果：患者对医疗机构的意见与镇痛治疗效果之间不存在统计学相关性（p = 0.056）。对所接受治疗满意的患者比例最高的是那些在急诊科出院时没有疼痛感觉的患者（94.12%），最低的是那些在急诊科出院时抱怨疼痛严重的患者（63.91%）。急诊科功能和组织的平均评分是7.44（±2.04）。只有54名患者（29.83%）在决定前往急诊科之前服用过止痛药物。结论：未观察到镇痛治疗效果与患者意见之间存在统计学相关性。大多数有疼痛不适的患者前往急诊科时没有在其他地方寻求咨询或未服用镇痛药。在所研究的机构中，患者对镇痛治疗、工作人员表现和科室组织感到满意。
