关键词: DCSH Dessie Ethiopia postoperative pain

来  源:   DOI:10.1097/MS9.0000000000001724   PDF(Pubmed)

Abstract:
UNASSIGNED: Postoperative pain is poorly studied in developing countries. Severe pain after surgery remains a major problem, occurring in 50-70% of the patients. Differences exist across countries. Despite numerous published studies, the degree of pain following many types of surgery in everyday clinical practice is unknown. To improve postoperative pain-treatment and develop procedure-specific, optimized pain-treatment protocols, the prevalence and severity of postoperative pain must first be identified.
UNASSIGNED: This study aimed to determine the prevalence and intensity of acute postoperative pain and the practice of postoperative pain management.
UNASSIGNED: A total of 180 patients were enrolled in the study, with 160 calculated using a single population proportion formula and a 10% attrition rate added, with proportionate stratification according to the size of each ward to obtain the number of participants from each specialty ward. A multistage sampling with stratified proportionate at the initial stages and a simple random sampling technique at the final stage was used. The patients completed a numerical pain rating scale for pain immediately after surgery for the first 72 h after surgery. The prevalence of mild, moderate, or severe pain was calculated. The evaluation was performed at eight time points including immediately after surgery: T2, T4, T8, T12, T24, T48, and T72.
UNASSIGNED: The prevalence of severe pain in patients who underwent elective surgery in the study period measured by numeric rating scale was 21.6, 43.9, 45.6, 28.9, 39.4, 10.5, and 13.4% at 2nd, 4th, 8th, 12th, 24th, 48th and 72 h, respectively.
UNASSIGNED: The prevalence of moderate-to-severe pain within 72 h postoperatively was slightly lower than that other studies conducted in Ethiopia reported. This was still high, indicating better pain management in the postoperative period. Involvement of the anesthetist in pain management is crucial for better patient management.
摘要:
在发展中国家对术后疼痛的研究很少。手术后严重的疼痛仍然是一个主要问题,发生在50-70%的患者。各国之间存在差异。尽管发表了许多研究,在日常临床实践中,许多类型的手术后的疼痛程度尚不清楚。为了改善术后疼痛治疗并开发特定程序,优化疼痛治疗方案,必须首先确定术后疼痛的发生率和严重程度.
本研究旨在确定急性术后疼痛的患病率和强度以及术后疼痛管理的实践。
本研究共纳入180名患者,用单一人口比例公式计算160,加上10%的流失率,根据每个病房的规模按比例分层,以获得每个专业病房的参与者人数。在初始阶段使用分层比例的多阶段抽样,在最后阶段使用简单的随机抽样技术。患者在手术后的第一个72小时内完成了手术后立即疼痛的数字疼痛评分量表。轻度的患病率,中度,或计算出剧烈疼痛。评估在八个时间点进行,包括手术后即刻:T2、T4、T8、T12、T24、T48和T72。
在研究期间接受择期手术的患者中,严重疼痛的患病率为21.6、43.9、45.6、28.9、39.4、10.5和13.4%。第四,8th,12th,24日,第48和72小时,分别。
术后72小时内中度至重度疼痛的患病率略低于在埃塞俄比亚进行的其他研究报告。这仍然很高,表明术后疼痛管理更好。麻醉师参与疼痛管理对于更好的患者管理至关重要。
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