住院病人疼痛管理现状及相关因素分析

PRESENT SITUATION AND INFLUENCING FACTORS OF PAIN MANAGEMENT IN HOSPITALIZED PATIENTS

目的:通过对住院病人疼痛管理现状及相关影响因素进行调查分析,总结经验,完善医院疼痛规范化诊疗制度。方法:采用归档病历回顾分析法对2013年11月1日至2013年12月31日期间北京大学人民医院所有住院病人进行调查分析,内容包括:病人一般资料、疼痛发生及记录情况、镇痛药规范化使用情况。结果:两个月内共9772人次入院并出院,其中2588例曾记录有疼痛发生,112例曾出现过中、重度疼痛。女性病人疼痛发生率高于男性;60岁以上老年病人疼痛发生率高于中青年病人;手术科室病人疼痛发生率高于其他科室。结论:我院住院病人疼痛发生率及中、重度发生率均低于国内外其他研究水平,疼痛管理工作已取得一定成效,但在疼痛规范化诊疗记录及治疗效果等方面仍有不足之处。

Objective： The author conducted this survey to understand the current situation of pain management in hospitalized patients and it＇s influencing factors. They hope to identify the defects of pain management and improve it. Methods： Patients who were hospitalized between Nov.1 st., 2013 and Dec.31, 2013 were enrolled. The investigation mainly includes： the general information, the occurrence and the degree of pain and the application of analgesics. Results： Among 9772 patients, 2588 patients had been recorded pain. There were 112 patients had been recorded moderate-severe pain. Female had higher incidence of pain than male, the patients more than 60 years old had higher incidence of pain than young and middle-aged patients, patients in the the surgical departments had higher incidence of pain than other departments. Conclusion： The incidence of pain and the incidence of moderate-severe pain was lower in our hospital, compared with that described in other studies at home and abroad. Pain management in hospitalized patients had made certain achievements in our hospital. However, there were still some deficiencies needed to be improved, such as standardized record of pain diagnosis and treatment as well as an increase of the efficacy of treatment.