在住院儿科患者中评估疼痛管理的充分性:基于机构的横截面研究
Asmamaw Emagn Kasahun1, Ashenafi Kibret Sendekie2, Rahel Belete Abebe2
1Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, University of Gondar, Gondar, Ethiopia.
Frontiers in pediatrics
|August 18, 2023
概括
大多数住院儿童接受不充分的止痛药,疼痛管理不匹配严重程度. 这突显了儿科疼痛治疗的关键差距,需要改进治疗方案以获得更好的患者结果.
科学领域:
- 儿科医学 儿科医学
- 疼痛管理 疼痛管理
- 医疗保健的质量 医疗保健的质量
背景情况:
- 儿童疼痛的评估和治疗往往是不充分的,尽管它对儿童有很大的影响.
- 在研究环境中缺乏关于疼痛治疗充足性的证据.
研究的目的:
- 评估住院儿科患者疼痛管理的充分性.
- 这项研究是在埃塞俄比亚的冈达尔大学综合专门医院进行的.
主要方法:
- 在2021年6月至8月期间,进行了一项基于机构的跨部门研究.
- 通过问卷和医疗记录审查收集数据,并使用疼痛管理指数 (PMI) 评分来评估疼痛管理的充分性.
- 后勤回归分析被用来识别不足的疼痛管理的预测因素.
主要成果:
- 在422名儿科患者中,63.3%接受了不充分的止痛药,止痛药与疼痛的严重程度不匹配.
- 年龄较小的儿童 (1岁以下) 和患有严重或中度疼痛的儿童更有可能接受不充分的止痛药.
- 62.8%的参与者被处方了止痛药.
结论:
- 住院儿科患者的疼痛管理在很大程度上是不充分的,并且与疼痛严重程度不一致.
- 大约三分之二的儿科患者没有得到足够的止痛药,这表明适当的止痛治疗失败了.
- 这些发现强调了在儿科卫生保健机构需要改进疼痛管理策略的必要性.
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