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使用格拉斯哥猫科综合疼痛量表进行有效的评估是否需要进行培训?

Is training necessary for efficacious use of the Glasgow Feline Composite Measure Pain Scale?

机构信息

Department of Animal Science, University of California Davis, Davis, USA (Moody); Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Canada (Niel); Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, Calgary, Canada (Pang); Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Montréal, Canada (Pang).

出版信息

Can Vet J. 2022 Jun;63(6):609-616.

Abstract

OBJECTIVE

The Glasgow Feline Composite Measure Pain Scale (CMPS-F) is a validated cat pain assessment tool for clinical use. No research has examined how training impacts use of this tool. Thus, we examined whether seminar-style training improves the identification of cat pain when using the CMPS-F. Veterinarians ( = 17) and non-veterinarian staff ( = 33; N = 50) were recruited to participate.

PROCEDURE

Seminars included: i) pre-training use of the CMPS-F to score cat videos with varying degrees of pain; ii) cat pain assessment training; and iii) post-training use of the CMPS-F. Participant CMPS-F ratings were compared to experts' ratings of the same videos. Average CMPS-F scores and analgesic decision ratings were compared pre-and post-training.

RESULTS

Most participants were female non-veterinarian staff who had not heard of the CMPS-F. Participant and expert analgesic decision-making did not differ pre- ( = 1.0) and post-training ( = 0.1). In addition, analgesic decision-making was similar between participants and experts for all but 3/20 videos.

CONCLUSION AND CLINICAL RELEVANCE

Seminar training may not be necessary for efficacious use of the CMPS-F. Further research is needed to explore strategies for improving awareness of cat pain assessment tools and increasing in-clinic use.

摘要

目的

格拉斯哥猫综合疼痛量表(CMPS-F)是一种经过验证的用于临床的猫疼痛评估工具。目前还没有研究探讨培训对使用该工具的影响。因此,我们研究了研讨会式培训是否能提高使用 CMPS-F 识别猫疼痛的能力。我们招募了兽医(n=17)和非兽医工作人员(n=33;共 50 人)参与研究。

过程

研讨会包括:i)在培训前使用 CMPS-F 对不同疼痛程度的猫视频进行评分;ii)猫疼痛评估培训;iii)在培训后使用 CMPS-F。将参与者的 CMPS-F 评分与专家对同一视频的评分进行比较。比较培训前后的平均 CMPS-F 评分和镇痛决策评分。

结果

大多数参与者为女性非兽医工作人员,之前没有听说过 CMPS-F。培训前后,参与者和专家的镇痛决策并无差异(分别为 1.0 和 0.1)。此外,除了 20 个视频中的 3 个之外,对于所有视频,参与者和专家的镇痛决策相似。

结论和临床相关性

研讨会培训可能不是使用 CMPS-F 进行有效治疗所必需的。需要进一步研究以探索提高对猫疼痛评估工具的认识和增加临床使用的策略。

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本文引用的文献

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The development and use of facial grimace scales for pain measurement in animals.用于动物疼痛测量的面部表情量表的开发与应用。
Neurosci Biobehav Rev. 2020 Sep;116:480-493. doi: 10.1016/j.neubiorev.2020.07.013. Epub 2020 Jul 16.

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