Jairoun Ammar Abdulrahman, Al-Hemyari Sabaa Saleh, Shahwan Moyad, Jairoun Maimona, Kurdi Amanj, Godman Brian
School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Gelugor 11800, Malaysia. Health and Safety Department, Dubai Municipality, Dubai, UAE.
School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Gelugor 11800, Malaysia. Pharmacy Department, Emirates Health Services, Dubai, UAE.
Pharm Pract (Granada). 2022 Apr-Jun;20(2):2664. doi: 10.18549/PharmPract.2022.2.2664. Epub 2022 May 3.
There are concerns with the optimal management of pain in children, with sub-optimal management negatively impacting on physical, emotional social functioning, exacerbated by pain in children being multi-modal. Community pharmacists across countries play an important role in managing pain in patients including children's pain. Consequently, the objective of this study is to assess knowledge, attitudes and practices (KAP) of pain management in children among community pharmacists in UAE.
A cross-sectional study was conducted using a structured questionnaire that was developed and piloted. The final questionnaire, which comprised two parts, had acceptable validity and internal consistency.
867 out of 922 community pharmacists took part in UAE (94% response rate) and were visited by trained researchers. The most from independent pharmacies (53.9%) and having more than 10 years of experience (68.9%). The overall KAP score was 70%, with gender, pharmacy type, years of experience, educational level and position significantly associated with KAP. Encouraging knowledge areas included pain is one of the vital signs in children (88.6%), the intensity of pain should be rated by a pharmacist before discussing treatment options (92.2%) and the choice of treatment should depend on issues including intensity and duration (87.2%). Areas of concern included the contents of the WHO analgesic ladder (32.0%) and children may sleep in spite of severe pain (42.9%).
There were areas of good knowledge of pain management among community pharmacists in UAE. Areas of concern including knowledge of the WHO analgesic ladder need to be addressed as part of future educational input during training and post qualification.
儿童疼痛的最佳管理备受关注，管理欠佳会对身体、情感和社交功能产生负面影响，而儿童疼痛具有多模式性，这使情况更加恶化。各国的社区药剂师在管理包括儿童疼痛在内的患者疼痛方面发挥着重要作用。因此，本研究的目的是评估阿联酋社区药剂师对儿童疼痛管理的知识、态度和实践（KAP）。
采用一份经过开发和预试验的结构化问卷进行横断面研究。最终问卷由两部分组成，具有可接受的效度和内部一致性。
阿联酋922名社区药剂师中有867名参与了研究（应答率为94%），由经过培训的研究人员进行访问。其中大多数来自独立药店（53.9%），且有超过10年的工作经验（68.9%）。KAP总得分是70%，性别、药店类型、工作年限、教育水平和职位与KAP显著相关。令人满意的知识领域包括疼痛是儿童的生命体征之一（88.6%）、在讨论治疗方案之前药剂师应评估疼痛强度（92.2%）以及治疗选择应取决于疼痛强度和持续时间等因素（87.2%）。令人担忧的领域包括世界卫生组织镇痛阶梯的内容（32.0%）以及儿童可能即使剧痛仍能入睡（42.9%）。
阿联酋社区药剂师在疼痛管理方面有一些知识掌握得较好。包括对世界卫生组织镇痛阶梯知识在内的令人担忧的领域，需要作为培训期间和资格认证后未来教育投入的一部分加以解决。
