Carroll M, Day F, Hennessy A, Buggy D, Cooney C
Department of Anaesthesia, Meath Hospital, Dublin.
Ir J Med Sci. 1996 Oct-Dec;165(4):286-8. doi: 10.1007/BF02943092.
Four hundred surgical patients were questioned preoperatively to ascertain their attitudes to suppository analgesia. Given a choice, 82 per cent of patients expressed a preference for intramuscular administration of diclofenac, with 18 per cent choosing a suppository. Males were more likely than females to choose an intramuscular injection. Males choosing a suppository were more likely to belong to a higher socio-economic group while females choosing a suppository were more likely to be married. Twenty-three per cent of patients who initially opted for intramuscular administration changed to suppository administration when the possibility of pain or discomfort at the injection site was explained. Females who changed to suppository administration were more likely to belong to a higher socio-economic group and to be married. Twenty-seven per cent of patients choosing an intramuscular injection expressed concern if a suppository were to be inserted without consent. Eleven per cent of patients choosing a suppository expressed similar concern. There is an overall reluctance, particularly within the male population to accept suppository analgesia. Patients from higher socio-economic groups may be more willing to accept what they perceive to be less traditional forms of treatment.
对400名外科手术患者进行了术前询问，以确定他们对栓剂镇痛的态度。在有选择的情况下，82%的患者表示更喜欢肌内注射双氯芬酸，18%的患者选择栓剂。男性比女性更倾向于选择肌内注射。选择栓剂的男性更有可能属于社会经济地位较高的群体，而选择栓剂的女性更有可能已婚。当向最初选择肌内注射的患者解释注射部位可能出现疼痛或不适的情况后，有23%的患者改为栓剂给药。改为栓剂给药的女性更有可能属于社会经济地位较高的群体且已婚。选择肌内注射的患者中有27%表示，如果未经同意插入栓剂会感到担忧。选择栓剂的患者中有11%也表达了类似的担忧。总体而言，尤其是男性群体不太愿意接受栓剂镇痛。社会经济地位较高的患者可能更愿意接受他们认为不太传统的治疗方式。
