资源匮乏地区的疼痛管理：尼泊尔西部医疗保健专业人员对疼痛管理的知识、态度和实践
Managing Pain in Low Resource Settings: Healthcare Professionals' Knowledge, Attitude and Practice Regarding Pain Management in Western Nepal.
作者信息
Thapa Parbati, Kc Bhuvan, Lee Shaun Wen Huey, Dujaili Juman Abdulelah, Gyawali Sudesh, Mohamed Ibrahim Mohamed Izham, Alrasheedy Alian A
机构信息
School of Pharmacy, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.
College of Public Health, Medical, and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
出版信息
J Pain Res. 2022 Jun 2;15:1587-1599. doi: 10.2147/JPR.S360243. eCollection 2022.
BACKGROUND
Pain is a public health problem and affects millions of people globally. Effective pain management is possible through comprehensive pain management guidelines, adequate facilities, and trained healthcare professionals. Therefore, this study aims to analyze the healthcare professionals' knowledge, attitude, and practice regarding pain management in Western Nepal.
METHODS
A cross-sectional study was carried out in hospitals of Pokhara, Nepal. Healthcare professionals, including doctors, pharmacists, and nurses, were enrolled. Tools for the study were "The Knowledge and Attitudes Survey Regarding Pain (KASRP)" and a validated practice-based questionnaire. Frequencies and descriptive statistics were used to describe the outcomes. Kruskal-Wallis -test and Mann-Whitney -test were used to analyze the association between the mean rank of KASRP score and sample characteristics. A p-value of <0.05 was considered significant for all statistical tests.
RESULTS
A total of 336 healthcare professionals were enrolled in this study (108 medical doctors, 150 nurses, and 78 pharmacists). The mean KASRP scores (% ± SD) obtained by doctors, pharmacists, and nurses were 58.48±8.98, 53.01±7.80, and 52.26±6.39, respectively. A significant difference was found between the KASRP score and sample characteristics (p<0.001). The pain assessment tool is used by 96 (29%) healthcare professionals every time they meet the patients. Doctors and nurses used it more frequently as compared to pharmacists. Many of the pharmacists, 40 (51%), reported that they counsel the patients on the prescribed medicine (analgesics, NSAIDs, and opioids) every time. As only few participants had already attended a training on pain management, most healthcare professionals, 110 (33%), agreed and 198 (59%) strongly agreed that training related to pain management is needed in Nepal.
CONCLUSION
Adequate training and support are required to enhance the knowledge, attitude and ultimately better practice for healthcare professionals regarding pain management in Nepal.
背景
疼痛是一个公共卫生问题，全球数百万人受其影响。通过全面的疼痛管理指南、充足的设施以及训练有素的医疗专业人员，可以实现有效的疼痛管理。因此，本研究旨在分析尼泊尔西部医疗专业人员在疼痛管理方面的知识、态度和实践。
方法
在尼泊尔博卡拉的医院开展了一项横断面研究。纳入了包括医生、药剂师和护士在内的医疗专业人员。研究工具为“疼痛知识与态度调查问卷（KASRP）”以及一份经过验证的基于实践的问卷。使用频率和描述性统计来描述结果。采用Kruskal-Wallis检验和Mann-Whitney检验分析KASRP得分的平均秩与样本特征之间的关联。所有统计检验中，p值<0.05被认为具有统计学意义。
结果
本研究共纳入336名医疗专业人员（108名医生、150名护士和78名药剂师）。医生、药剂师和护士获得的KASRP平均得分（%±标准差）分别为58.48±8.98、53.01±7.80和52.26±6.39。KASRP得分与样本特征之间存在显著差异（p<0.001）。96名（29%）医疗专业人员每次见到患者时都会使用疼痛评估工具。与药剂师相比，医生和护士使用得更频繁。许多药剂师，40名（51%）报告称他们每次都会就处方药（镇痛药、非甾体抗炎药和阿片类药物）向患者提供咨询。由于只有少数参与者已经参加过疼痛管理培训，大多数医疗专业人员，110名（33%）同意且198名（59%）强烈同意尼泊尔需要开展与疼痛管理相关的培训。
结论
需要提供充分的培训和支持，以提高尼泊尔医疗专业人员在疼痛管理方面的知识、态度，并最终改善其实践。
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