外伤性损伤院前护理阶段疼痛缓解实践中的不足、障碍和问题分析

V. Sharipova, R. Akalaev, A. T. Eshboev, А. А. Stopnitskiy
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引用次数: 0

摘要

学习目标。通过询问,找出伴随性损伤患者实施疼痛缓解的不足、障碍和问题。材料和方法。对400名急诊医生进行了调查。问卷由18个问题组成,答案为多项选择。完成调查的医生平均年龄为53.5±3.4岁,男性为- 275岁(67.5%),女性为- 130岁(32.5%)。对医生的询问显示急诊医生对院前镇痛的现代方面的知识不足,对疼痛评定量表在实践中的使用。80%的应答者首选用metamisol缓解疼痛,17%的人首选阿片类药物。95%的受访医生认为使用麻醉性镇痛药会给进一步诊断意识障碍带来困难。综合损伤患者院前镇痛的实施存在问题和不足,需要完善培训方案,包括针对综合损伤患者的镇痛问题和护理方面的专题讲座和实践练习。
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Analysis of shortcomings, obstacles and problems in the practice of pain-reliaf at the prehospital stage of care for patients with traumatic injuries
Goal of study. Identification of shortcomings, obstacles and problems in the implementation of pain-relief in patients with concomitant injuries by questioning.Material and methods. A survey of 400 emergency physicians was conducted. The questionnaire consisted of 18 questions with multiple choice of answers. The average age of doctors who completed the survey was 53,5±3,4 years, men — 275 (67,5%), women — 130 (32,5%).Results. Questioning of doctors revealed insufficient knowledge of emergency medical doctors about modern aspects of prehospital pain-relief, about the use of pain rating scale in practice. 80% of the respondent’s preferred pain-relief with metamisol, 17% preferredopioids. 95% of doctors surveyed believe that the use of narcotic analgesics will take in difficult to further diagnose impaired consciousness.Conclusion. There are problems and shortcomings in implementation of pain-relief at the prehospital stage in patients with a combined injury, requiring improvement of the training program, including special lectures and practical exercises on the problem of pain-relief and aspects of care for patients with a combined injury.
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来源期刊
Sklifosovsky Journal Emergency Medical Care
Sklifosovsky Journal Emergency Medical Care Medicine-Emergency Medicine
CiteScore
0.90
自引率
0.00%
发文量
83
审稿时长
8 weeks
期刊介绍: The Journal "Neotlozhnaia meditsinskaia pomoshch" (parallel titles: Zhurnal im. N.V. Sklifosovskogo "Neotlozhnai︠a︡ medit︠s︡inskai︠a︡ pomoshch", "Sklifosovsky Journal of Emergency Medical Care") seeks to publish original research articles, literature reviews, case reports, brief reports on clinical practice, and other suitable material submitted by professionals involved in the diagnosis and treatment of acute medical and surgical conditions.
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