疼痛科住院病人对使用镇痛药物的态度及影响因素分析

AN INVESTIGATION ABOUT THE RELATED INFLUENCING FACTORS AND ATTITUDES TOWARDS THE USE OF ANALGESIC DRUGS AMONG INPATIENTS IN DEPARTMENT OF PAIN

摘要:

目的：了解疼痛科住院病人对使用镇痛药物的态度,分析其对使用镇痛药物持负面态度原因及影响因素。方法：于2017年1～6月对我院疼痛科住院病人开展问卷调查,收集并统计分析165例患者基本信息,疼痛程度,对使用镇痛药物持负面态度的比例及其原因等情况。结果：165名就患者中有113名(73.41%)患者对使用镇痛药持负面态度；多因素logistic回归分析显示曾经使用过镇痛药者,接受过医务人员镇痛药介绍者,月均可支配收入较高者,公职人员,文化程度高中及以上者,年龄小于60岁者,VAS分数为7～10分及疼痛持续时间一年以上者更倾向于对使用镇痛药持正面态度；113名患者对使用镇痛药持负面态度的原因分别为担心镇痛药物会成瘾(39,33.63%),担心影响术后恢复(27,23.89%),担心副作用(22,19.47%),认为在疼痛无法忍受时才需服用止痛药(15,13.27%),担心费用太贵(10,8.85%)；不同人群对使用镇痛药持负面态度的原因不同。结论：大部分疼痛科住院病人对应用镇痛药物的态度是负面的、消极的,应针对不同特征及不同原因对使用镇痛药物持负面态度的患者进行针对性的健康教育和相关知识的宣传。

Abstract:

Objective: To investigate the related influencing factors and reasons that had a negativeSview about the use of analgesic drugs among inpatient in department of pain. Methods: A total of 165 inpatients were recruited from department of pain and a questionnaire survey was performed between January and March, 2017, with rates of a rejecting counted, the general information, pain degree, attitudes towards the use of analgesic drugs and reasons had a negativeSview about the use of it from the completed questionnaires were statistically analyzed. Results Among 165 inpatients, 113 had a negativeSview about the use of analgesic drugs, data from the multiple logistic regression analysis indicated that those used to use analgesic drugs, had received introduce of analgesic drugs, from medical staff, had a higher monthly disposable income, being public officer, with higher educational background, less thanS60Syears"Sage, VAS score 7～10 and the pain lasts more than one year were more likely had a positiveSview about the use of analgesic drugs; the reasons that had a negativeSview about the use of analgesic drugs among 113 inpatients including: drug addiction(39, 33.63%), affect postoperative recovery(27, 23.89%), medicationSside effect (22, 19.47%), when the pain is unbearable use only (15, 13.27%), expensive(10, 8.85%); reasons for had a negativeSview about the use of analgesic drugs would vary by different groups. Conclusion Most of inpatient in department of pain had a negativeSand passive view about the use of analgesic drugs, it was urgently needed to enhance health education programs tailored for those patients according to different characteristics and reasons for had a negative attitudes.