急診病患對自我的疼痛感受及接受疼痛處置滿意度之探討

A Study of Patients’ Perceptions of Pain and Satisfaction with Pain Management in an Emergency Department

本研究目的在評估急診病患疼痛的感受、接受處置後疼痛減輕程度以及對疼痛處置之滿意度。採描述相關性研究設計，以0～10分視覺類比疼痛量表(VAS)和結構式問卷，訪談60位主訴急性疼痛為其求診最主要原因的急診內科病患，於病患離開急診前進行訪談。結果顯示，病患抵達急診時平均疼痛強度為7.90分，離開急診前疼痛強度為3.46分；接受處置後疼痛減輕者佔78.3%，疼痛減輕程度達顯著性(p< .01)。病患對疼痛處置的整體滿意度為中上程度3.87分（5分法），其與自覺疼痛是否減輕(r= .52, p< .01)、感受護理人員對其疼痛問題關心的程度 (r= .57, p< .01)及感受醫師對其疼痛問題關心的程度(r= .84, p< .01) 均有顯著的正相關。本研究結果可提供急診醫護人員對病患疼痛問題評估和處理的參考，進而提升急診疼痛處置之照護品質。

The purposes of this study were to explore the patients’ perceptions of pain, the levels of pain relief and satisfaction with pain management in the emergency department (ED). A convenience sample of 60 medical ED patients who presented with chief complaint of acute pain was interviewed by using a structured questionnaire and a 0-10cm Visual Analog Scale (VAS) before leaving the ED. Results indicated that the average pain scores were 7.90 on arrival and 3.46 before leaving. About 78% of the patients perceived pain relief after receiving pain management and the improvement achieved significant difference (p< .01). The score of patient satisfaction with pain management was 3.87 on a 5-point Likert Scale. The patient satisfaction with pain management was positively associated with the perceived pain relief (r= .52, p< .01), the caring by nurses (r= .57, p< .01), and the caring by doctors (r= .84, p< .01). The results of this study could serve as references for healthcare providers to assess and manage patients’ pain in the ED to improve the quality of pain management.