A prospective blinded study on emergency pain assessment and therapy
A prospective blinded study on emergency pain assessment and therapy
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DOI：
10.1016/0736-4679(95)00055-f
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发表时间：
1995-01-01
影响因子：
1.5
通讯作者：
Barber, Charlene
中科院分区：
文献类型：
--
作者：
Ducharme, James;Barber, Charlene
进行了一项前瞻性盲法观察性研究，以记录学术急诊科的急性疼痛评估和管理。在2个月的时间里，研究了42名主诉疼痛的患者。医生和护士没有记录患者住院期间的疼痛程度或疼痛变化。42名患者中有11人在抵达时出现严重疼痛，其中5人接受了药物治疗，只有1人获得良好缓解。没有其他患者接受药物治疗，尽管另外五名患者接受了一些疼痛干预。38名出院回家的患者中有11名在出院时有严重疼痛。尽管疼痛缓解最小，但患者对疼痛管理的满意度相对较高。疼痛评估和治疗可能比以前的回顾性研究表明的更差。
A prospective blinded observational study was carried out to document acute pain assessment and management in an academic emergency department. Over a 2-month period, 42 patients with a primary complaint of pain were studied. Physicians and nurses did not document levels of pain or changes in pain during patient stays. Eleven of 42 patients had severe pain upon arrival, 5 of whom received medications, only 1 obtaining good relief. No other patient received medication, although five others received some intervention for their pain. Eleven of 38 patients who were discharged home had severe pain on discharge. Despite minimal pain relief, patient satisfaction with pain management was relatively high. Pain assessment and treatment may be poorer than previous retrospective studies have indicated.