Clinical attitudes towards pain treatment post-orthopedic surgery： a multicenter study in Beijing

Background Pain is a common post-operative complication. Incidence of pain directly affects patients＇ quality of life in terms of patient physiology, psychology, and social characteristics. This study was to understand clinical attitudes with regards to Beijing surgeons, and patients＇ attitude towar...

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Bibliographic Details
Published in:Chinese medical journal 2012-07, Vol.125 (14), p.2499-2504
Main Authors: Wang, Zhi-Qiang, Zhan, Si-Yan, Fransen, Marlene, Lin, Jian-Hao
Format: Article
Language:English
Subjects:
Adult
Cross-Sectional Studies
Female
Humans
Male
Orthopedics
Pain, Postoperative - drug therapy
Postoperative Period
Surveys and Questionnaires
Tramadol - therapeutic use
Young Adult
临床
北京
多中心
治疗
生活质量
疼痛
综合性医院
骨科手术
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Summary:Background Pain is a common post-operative complication. Incidence of pain directly affects patients＇ quality of life in terms of patient physiology, psychology, and social characteristics. This study was to understand clinical attitudes with regards to Beijing surgeons, and patients＇ attitude towards pain treatment after orthopedic surgery. Methods A hospital-based cross-sectional and cluster sample survey of 40 hospitals in Beijing was conducted, including 20 level III （tier three） and 20 level II （tier two） general hospitals. Enrolled subjects completed a specifically designed interview-questionnaire. Results The prevalence of pain 2 weeks post-orthopedic surgery was high in Beijing （96.1%）. Meanwhile, collected data indicated most subjects in Beijing suffered moderate to severe pain, 45.1% and 41.4%, respectively, post-surgery. And for the concern of patients before surgery, most subjects chose full recovery from surgery （78.6%）, as well as, the pain after operation was 39.2% ranked the third. According to the data from the study, Tramadol use was more common in Level III hospitals, where Somiton was preferred in Level II hospitals. When it came to the education of pain before and after operation, more patients get educated before operation than after it. In our study, case physicians or attending physicians enacted education before and after surgery. Related to the sense of patients, among the surgeons preferring post-operative analgesia, 67.6% considered administration when receiving complaints of moderate level pain, 50.0% indicated they will terminate analgesic treatment once pain degree scale wise decreases to benign pain. Conclusions The majority of orthopedic patients experience post-operative pain. Identification of post-operative pain will facilitate future awareness on pain treatment and nursing care in Beijing hospitals, with pain relief through regulated improvements in strategic pain management.
ISSN:0366-6999
2542-5641
DOI:10.3760/cma.j.issn.0366-6999.2012.14.019