Vijayan R, Tay K H, Tan L B
Department of Anaesthesiology, University Hospital, Kuala Lumpur, Malaysia.
Singapore Med J. 1994 Oct;35(5):502-4.
One hundred and eighty-three patients undergoing surgery were interviewed twenty-four hours following surgery to assess the quality of pain relief they received in the immediate postoperative period. Interviews were conducted using a standard questionnaire for all patients. They were asked to (1) rate the quality of pain relief they obtained on a Visual Pain Analogue Scale (VPAS-0 being no pain and 10 being the worst imaginable pain); (2) state whether they were happy and satisfied with the pain relief they received; (3) if dissatisfied, they were asked to give their reasons. 37.7% (69 patients) had moderate to severe pain--pain score greater than 6 on the VPAS. Most of these patients had undergone abdominal or major orthopaedic surgery. 32.7% (60 patients) were unhappy with their postoperative pain control. The main reasons for complaint from the patients were that analgesic injections were either not given promptly or were not given at all. The survey also highlighted the inadequate under-administration of narcotic injections in the postoperative period despite orders being written up. It showed there is an urgent need for setting up an Acute Pain Service for better postoperative pain control. An anaesthesiology based Acute Pain Service was started in October 1992.
183名接受手术的患者在术后24小时接受了访谈，以评估他们在术后即刻所获得的疼痛缓解质量。所有患者均使用标准问卷进行访谈。他们被要求：（1）在视觉疼痛模拟量表上对所获得的疼痛缓解质量进行评分（VPAS，0分为无疼痛，10分为所能想象的最严重疼痛）；（2）说明他们对所获得的疼痛缓解是否满意；（3）如果不满意，要求他们给出理由。37.7%（69名患者）有中度至重度疼痛——在VPAS上疼痛评分大于6分。这些患者大多数接受了腹部手术或大型骨科手术。32.7%（60名患者）对术后疼痛控制不满意。患者投诉的主要原因是镇痛注射要么没有及时给予，要么根本没有给予。该调查还突出了术后尽管已下达医嘱，但麻醉剂注射用药不足的情况。结果表明，迫切需要设立急性疼痛服务以更好地控制术后疼痛。基于麻醉学的急性疼痛服务于1992年10月启动。
