四川省疼痛医师对疼痛基本知识掌握情况调查

A survey on pain knowledge in pain physicians in Sichuan province

目的了解四川省疼痛医师对疼痛基本知识的掌握情况及影响因素,为疼痛学科的发展及人才培养政策提供有力的科学依据。方法采用自行设计的疼痛基本知识问卷及一般情况调查表,分别从疼痛的定义及分类、疼痛评估、疼痛诊疗范围、神经阻滞、癌痛相关管理五个方面对参加四川省疼痛年会的各级医院代表进行调查。结果 69例医院代表完成了调查,疼痛医师对疼痛基本知识的掌握情况较差,问卷平均正确率为43.5%,疼痛科及疼痛门诊建立与否、微创介入治疗开展与否及不同职称的医生之间,疼痛基本知识问卷平均正确率比较,差异均无统计学意义(P>0.05),而三级医院的医生平均正确率高于二级及以下医院的医生(χ2=5.313,P=0.021);疼痛专科医生平均正确率高于非疼痛专科医生(χ2=10.089,P=0.001);开展了神经阻滞诊疗项目的医院其代表平均正确率明显高于未开展该项目的医院代表(χ2=15.091,P<0.001)。结论四川省疼痛医师对疼痛基本知识的掌握欠佳,多元化的人才培养模式及疼痛学科的重视程度有待落实与提高。

Objective To provide references for development of pain clinic and pain professional training, we carried out an exploratory survey to evaluate the status of basle pain knowledge and relative influence factor in pain physicians in Siehuan province. Methods The investigation was carried out by interviewing representatives who attended the Annual Meeting of Siehuan Association for the Study of Pain. All participants were asked to fill out a designed questionnaire which comprises of the demographic and the pain knowledge sections consisting of five parts such as the definition and the classification of pain, the assessment of pain, the category of pain management, the nerve block and the management of cancer pain. Results In total ,69 representatives completed our investigation questionnaires. The pain knowledge was poor：the average correct rate of the questionnaires was 43.5%. There was no difference in the average correct rate whether they had in-patient or out-patient department or not,whether the minimally invasive interventions were per- formed or not, and whether they hold professional titles or not. The average correct rate from tertiary hospitals was higher than that from non-tertiary hospital （x^2 = 5. 313 ,P = 0. 021 ）. The average correct rate in pain specialists was higher than that in non-specialists （x^2 = 10. 089 ,P = 0. 001 ）. The average correct rate from hospitals which performed the nerve block was higher than that from the hospitals which did not perform the nerve block （X2 = 15. 091 ,P 〈 0. 001 ）. Conclusion The basic pain knowledge in pain physicians in Sichuan province is poor, suggesting that the diversified training modes for pain professionals and the attention on pain need to be improved.