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Introduction: Doing research about routine patient care, so-called Routine to Research or R2R, can increase both the quantity of articles and quality of care. Objective: To determine the number of R2R-related articles by anesthesia providers at the Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, and their utilization.Study Design: descriptive studyMethods: Questionnaires to the corresponding authors of papers published between 2002 and 2005. We excluded case reports from the study and focused on basic data of researchers, number of articles that received funding, the number of R2R-related articles and their utilization. The data were analyzed and presented using descriptive statistics.Results: All 40 questionnaires were returned, representing 22 anesthesiologists’ articles (55%) and 18 nurse anesthetists’ articles (45%). Eighteen articles (45%) received funding. Thirty-six articles (90%) were classified as R2R-related articles: 12% have already been applied to routine patient care; 6 had potential for application provided they received suitable encouragement; 10% had less potential for application; and, 8% were non-applicable because of an unavailability of medications or equipment.Conclusion: Based on articles published by anesthesia providers at the Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, between 2002 and 2005, R2R-related articles comprised 90%, but only one-third have been applied to routine patient care while another 16.7% (or 15% of all articles) have potential for applications were they to receive suitable encouragement.
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Introduction: The adequate treatment of acute pain after surgery is a humanitarian obligation for heath care professionals. Analgesia plays an important role in speeding the patient’s recovery, in reducing and limiting morbidity, as well as probably improving clinical outcomes. Significant knowledge deficit regarding currently accepted principles of pain management practice as well as beliefs that could interfere with optimal care, mandate a need for educational interventions.Objective: To assess the pain knowledge and attitudes toward postoperative pain management by acute pain service (APS) of healthcare providers in Srinagarind HospitalDesign: Descriptive \& prospective research Setting: The surgical, obstetrics \& gynecological, orthopaedics and otorhinolaryngology wards in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University Population: All physicians and nurses work at those wards in Srinagarind Hospital Material and methods: The total 286 questionnaires from physicians and nurses were collected during August to October 2005. The informed consents were obtainedfrom all subjects. The demographic data, previous pain education, clinical experience, pain knowledge scores, level of satisfaction to APS and other variables were analysed. The data were analyzed using, and presented as, descriptive statistics. The Chi-square test was used to test for significant difference variables. A p-value of less than 0.05 was considered statistically significant.Results: The response rate of questionnaire in physicians and nurses were 99.2% and 77.5%, respectively. The physicians’ knowledge scores were moderate to high and higher in nurse groups. The level of physicians’ knowledge significantly associated with previous pain education (p= 0.001). Attitudes toward postoperative pain management by APS of healthcare providers in term of physicians and nurses on satisfaction level were satisfied and highly satisfied, respectively. This survey suggests that our healthcare providers need the continuing organization and education in pain management and consultation system.Conclusion: Most physicians and nurses were satisfactory in attitudes towards postoperative pain management by APS. Practical recommendations are presented for increasing physicians and nurses’ knowledge about pain management. The continuing education and good consultation system might be useful in order to improve the quality of postoperative pain management in our hospital.Keywords: knowledge, Attitude, Acute pain service
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Background: Recently, the proportion of elderly persons is rising worldwide leading to increase amount of surgical patients of this age group. The evidences about pain control clearly supported that elderly persons received under-treatment. Whatever, data from our institute is limited and needs to be determined.Objective: To survey postoperative pain management and its outcomes in elderly patients at Srinagarind Hospital. Study design: Cross-sectional descriptive study.Setting: Post anesthesia care unit (PACU) and surgical wards, Srinagarind Hospital.Materials and Methods: Pain management and its outcomes were evaluated in patients over 65 years old underwent elective general surgery for a two months period. Data were collected from medical records and from patient assessment including method of pain treatment, pain intensity (at rest), pain relief, patient’s satisfaction and side effects of the treatment.Results: Ninety-one patients with the mean age of 72.0 + 5.7 years were evaluated. Most of them (72.5%) received general anesthesia and 56.1% underwent intra-abdominal surgery. Intravenous injection was the most common technique used for pain control (63.8%) while PCA pump was used about 20.9%. Pain assessment usingNRS was achieved in between 62-95.6% (average 75.5%). The proportion of patients experienced moderate to severe pain during arrival at the PACU, at discharged from the PACU and at 24 hours after operation were 29.4%, 23.1% and 18.8%, respectively. The most common side effect was nausea and vomiting (12.2%). Only 8.9% of patients reported that pain was not relief and 1.1% of patients unsatisfied with the treatment received. Conclusion: About 29.4% of the elderly patients experienced moderate to severe pain after surgery. Most of them received pain treatment by intravenous injection while only 20.9% received acute pain service from the acute pain unit of Anesthesiology department.Keyword: older patients, postoperative pain management