Postoperative pain experience: Results from a national survey suggest postoperative pain continues to be undermanaged
Postoperative pain experience: Results from a national survey suggest postoperative pain continues to be undermanaged
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DOI：
10.1213/01.ane.0000068822.10113.9e
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发表时间：
2003-08-01
影响因子：
5.7
通讯作者：
Gan, TJ
中科院分区：
文献类型：
--
作者：
Apfelbaum, JL;Chen, C;Gan, TJ
术后疼痛可能对患者的恢复产生重大影响。了解患者对术后疼痛的态度和担忧对于确定医疗保健专业人员改善术后护理的方法非常重要。为了评估患者术后疼痛的经历和急性疼痛管理的状况，我们通过电话问卷进行了一项全国性研究。随机抽取了250名最近在美国接受过外科手术的成年人，他们来自国家家庭意见。询问患者术后疼痛的严重程度、治疗、对止痛药的满意度、患者教育以及对术后疼痛和止痛药的看法。大约80%的患者在手术后出现急性疼痛。在这些患者中，86%有中度、重度或极度疼痛，出院后疼痛的患者多于出院前。术后疼痛是患者最常见的问题（59%）。近25%接受止痛药治疗的患者出现不良反应;然而，近90%的患者对止痛药感到满意。大约三分之二的患者报告说，医疗保健专业人员与他们谈论他们的疼痛。尽管越来越多的关注疼痛管理计划和疼痛管理的新标准的发展，许多患者继续经历手术后的剧烈疼痛。需要额外的努力来改善患者的术后疼痛体验。
Postoperative pain can have a significant effect on patient recovery. An understanding of patient attitudes and concerns about postoperative pain is important for identifying ways health care professionals can improve postoperative care. To assess patients' postoperative pain experience and the status of acute pain management, we conducted a national study by using telephone questionnaires. A random sample of 250 adults who had undergone surgical procedures recently in the United States was obtained from National Family Opinion. Patients were asked about the severity of postsurgical pain, treatment, satisfaction with pain medication, patient education, and perceptions about postoperative pain and pain medications. Approximately 80% of patients experienced acute pain after surgery. Of these patients, 86% had moderate, severe, or extreme pain, with more patients experiencing pain after discharge than before discharge. Experiencing postoperative pain was the most common concern (59%) of patients. Almost 25% of patients who received pain medications experienced adverse effects; however, almost 90% of them were satisfied with their pain medications. Approximately two thirds of patients reported that a health care professional talked with them about their pain. Despite an increased focus on pain management programs and the development of new standards for pain management, many patients continue to experience intense pain after surgery. Additional efforts are required to improve patients' postoperative pain experience.