Juhl I U, Christensen B V, Bülow H H, Wilbek H, Dreijer N C, Egelund B K
Anaestesiafdelingen, Centralsygehuset i Nykøbing Falster.
Ugeskr Laeger. 1994 Aug 8;156(32):4580-4.
One hundred and ninety-one patients were interviewed before and after surgery about their attitude toward and the quality of received pain relief. The nurses working in the same surgical units answered a questionnaire covering attitudes to postoperative pain and pain treatment. Forty-seven percent of the patients were in pain at the time of the postsurgical interview, 10% had not any analgesic prescribed at all, and 15% had received less than prescribed. Fifty-one nurses (71% of the total nursing staff) answered the questionnaire. Of these, 63% were sometimes in doubt about the physicians' prescriptions, 55% would occasionally refuse to give analgesics for various reasons, and 37% were not satisfied with the routines of pain control in their ward. Knowledge of pain treatment and communication between surgeons, anaesthesiologists, nurses and patients must be improved to make postsurgical pain relief adequate.
191名患者在手术前后接受了关于他们对所接受疼痛缓解的态度和质量的访谈。在同一外科病房工作的护士回答了一份涵盖对术后疼痛和疼痛治疗态度的问卷。47%的患者在术后访谈时仍感到疼痛，10%的患者根本没有开具任何止痛药物，15%的患者所接受的药物剂量低于医嘱剂量。51名护士（占护理人员总数的71%）回答了问卷。其中，63%的护士有时会对医生的处方表示怀疑，55%的护士偶尔会因各种原因拒绝给予止痛药物，37%的护士对其病房的疼痛控制常规不满意。必须加强疼痛治疗知识以及外科医生、麻醉医生、护士和患者之间的沟通，以使术后疼痛缓解更加充分。
