[是什么决定了术后疼痛管理的整体质量?视角问题]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-10-08 DOI:10.1007/s00482-024-00839-5
Paula Thomas, Thomas Weiss, Winfried Meissner, Philipp Baumbach
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引用次数: 0

摘要

背景:疼痛强度、疼痛相关干扰、副作用、(治疗)信息、参与度和个人互动等结果领域都被认为是围手术期疼痛管理的相关因素。目的:本横断面研究使用了一份新开发的调查问卷,以评估这些领域与患者的相关性,并比较与医护人员(HCP)的相关性:患者调查(n = 40)在德国耶拿大学医院术后第一天进行。为了调查群体差异,还招募了 63 名医护人员(学科:麻醉科 n = 15,外科 n = 17,护理部 n = 31)。调查问卷主要包括术后疼痛管理总体质量各领域之间的配对比较。每个领域的总分是主要的结果测量指标,使用广义估计方程对其进行分析:结果:在患者群体中,六个结果领域的优先级存在显著差异,个人互动的评分最高,其次是强度和干扰。患者和保健医生以及保健医生本身对各领域的看法也存在明显差异:研究表明,人际互动、减轻疼痛强度和干扰是患者术后疼痛管理体验的三个重要因素。然而,这三个因素与医护人员重视的因素之间的协调在多大程度上会对术后疼痛管理产生积极影响仍不清楚,应进一步研究。
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[What determines the overall quality of postoperative pain management? A question of perspective].

Background: The outcome domains pain intensity, pain-related interference, side effects, (treatment) information, participation and personal interaction have all been identified as relevant factors in the management of perioperative pain. However, it is not yet clear which of these are particularly significant for the subjectively perceived overall quality of postoperative pain management.

Aim: A newly developed questionnaire was used in this cross-sectional study to assess the relevance of these domains for patients and compare the relevance to healthcare professionals (HCP).

Methods: The patient survey (n = 40) was conducted on the first postoperative day at Jena University Hospital, Germany. In order to investigate group differences, 63 HCP (disciplines: n = 15 anaesthesiology, n = 17 surgery, n = 31 nursing) were recruited. The questionnaire primarily included all pairwise comparisons between the domains with regard to the overall quality of postoperative pain management. The resulting sum scores for each domain were the primary outcome measure, which were analysed using generalized estimating equations.

Results: Within the group of patients, there were significant differences in the prioritization of the six outcome domains, with personal interaction followed by intensity and interference having received the highest ratings. There were also significant differences within the domains between the perspectives of patients and HCP, as well as between the HCP themselves.

Conclusions: The study demonstrates that personal interaction and the reduction of pain intensity and interference are three key factors that are significant for patients' experience of postoperative pain management. However, the extent to which the harmonisation of these three factors with those given prominence by HCP would positively impact postoperative pain management remains unclear and should be investigated further.

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
期刊最新文献
Mitteilungen der Deutschen Schmerzgesellschaft e.V. Mitteilungen der Österreichischen Schmerzgesellschaft. [Emotions in chronic pain : Changes in the course of day clinic interdisciplinary multimodal pain therapy]. [Pain-related stigma in patients with breast, colon, prostate or lung cancer : Results of a bicentric register-based cross-sectional study]. [Concept-dependent and -independent care effects of site-specific care concepts using "pain" as an example].
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