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提库尔·安贝萨专科医院手术患者对术后疼痛管理的满意度及相关因素:横断面研究

Patient satisfaction with post-operative pain management and associated factors among surgical patients at Tikur Anbessa Specialized Hospital: Cross-sectional study.

作者信息

Buli Bekele, Gashaw Amanu, Gebeyehu Geresu, Abrar Meron, Gerbessa Bayisa

机构信息

Department of Anesthesia, College of Medicine and Health Sciences, Hawassa University, Ethiopia.

Department of Anesthesia, College of Medicine and Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Ann Med Surg (Lond). 2022 Jul 2;79:104087. doi: 10.1016/j.amsu.2022.104087. eCollection 2022 Jul.

Abstract

BACKGROUND

Patient satisfaction with postoperative pain management is a vital tool for measuring the quality of care in health centers, which associated with the care process and care outcome. There is still few evidence on factor for patient satisfaction with postoperative pain management.

OBJECTIVE

These study aimed to assess magnitude of Patient satisfaction with post-operative pain management and associated factors among surgical patients at Tikur Anbessa Specialized Hospital, from Feb 1- Apr 30, 2021.

METHOD

Institutional based cross-sectional study was conducted among 335 adult patients using a systematic random sampling technique. Data were collected through structured questionnaires based on the modified APS-POQ to obtain responses from the patients. Both bivariable and multivariable logistic regression analysis was done to evaluate the association. P-value less than 0.05 was considered as statistically significant.

RESULT

The find of this study revealed that 74.5% of patients were satisfied with overall pain management services. Patients with ASA I (AOR = 2.3; 95%CI: (1.06-5.08), received multimodal analgesics (AOR 4.30; 95% CI: (2.02-9.18), no perceived pain (AOR = 6.7; 95% CI: (1.54-29.7), had pain discussion (AOR = 8.9; 95% CI: (3.67-21.90) and waiting for analgesia service less than 30 min (AOR = 6.3; 95% CI: (1.34-29.58) were more satisfied.

CONCLUSION

The study shows that patient satisfaction with postoperative pain management was low in our setup compared to many studies. Thus, there is a need to improve the quality of pain management services in the study area.

摘要

背景

患者对术后疼痛管理的满意度是衡量健康中心护理质量的重要工具,它与护理过程和护理结果相关。关于患者对术后疼痛管理满意度的影响因素,目前仍缺乏证据。

目的

本研究旨在评估2021年2月1日至4月30日期间,提库尔·安贝萨专科医院手术患者对术后疼痛管理的满意度及其相关因素。

方法

采用系统随机抽样技术,对335名成年患者进行基于机构的横断面研究。通过基于改良APS-POQ的结构化问卷收集数据,以获取患者的回答。采用双变量和多变量逻辑回归分析来评估相关性。P值小于0.05被认为具有统计学意义。

结果

本研究结果显示,74.5%的患者对总体疼痛管理服务满意。美国麻醉医师协会(ASA)分级为I级的患者(调整后比值比[AOR]=2.3;95%置信区间[CI]:[1.06-5.08])、接受多模式镇痛的患者(AOR 4.30;95%CI:[2.02-9.18])、无疼痛感知的患者(AOR=6.7;95%CI:[1.54-29.7])、进行过疼痛讨论的患者(AOR=8.9;95%CI:[3.67-21.90])以及等待镇痛服务时间少于30分钟的患者(AOR=6.3;95%CI:[1.34-29.58])满意度更高。

结论

该研究表明,与许多研究相比,我们机构中患者对术后疼痛管理的满意度较低。因此,有必要提高研究区域内疼痛管理服务的质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1281/9289483/7b470cfd3a76/gr1.jpg

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