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首页> 美国卫生研究院文献>Medicina >Acute and Chronic Pain Learning and Teaching in Medical School—An Observational Cross-Sectional Study Regarding Preparation and Self-Confidence of Clinical and Pre-Clinical Medical Students
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Acute and Chronic Pain Learning and Teaching in Medical School—An Observational Cross-Sectional Study Regarding Preparation and Self-Confidence of Clinical and Pre-Clinical Medical Students

机译：医学院的急性和慢性疼痛学与教—关于临床和临床前医学生的准备和自信心的跨部门观察性研究

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Background and objectives: Adequate pain management is a major challenge of public health. The majority of students graduating from medical schools has insufficient education and experience with patients suffering pain. Not enough is being taught regarding pain in non-verbal patients (children, critically ill in the intensive care unit, demented). Chronic pain is the most difficult to optimize and requires appropriate preparation at the level of medical school. Our aim was to evaluate attitudes, expectations and the actual knowledge of medical students at different levels of their career path regarding the assessment and treatment of acute and chronic pain. Materials and Methods: We performed an observational cross-sectional study that was based on a survey distributed among medical students of pre-clinical and post-clinical years at the Pomeranian Medical University in Szczecin, Poland. The survey included: demographic data, number of hours of formal pain teaching, actual knowledge of pain assessment, and pain treatment options in adults and children. Results: We received responses from 77/364 (21.15%) students and 79.2% of them rated the need to obtain knowledge regarding pain as very important (10/10 points). Post-clinical group declared having on average 11.51 h of acute pain teaching as compared to the 7.4 h reported by the pre-clinical group (p = 0.012). Graduating students also reported having significantly more classes regarding the treatment of chronic pain (6.08 h vs. 3.79 h, p = 0.007). The average level of comfort in the post-clinical group regarding treatment of acute pain was higher than in the pre-clinical group (6.05 vs. 4.26, p = 0.006), similarly with chronic pain treatment in adults (4.33 vs. 2.97, p = 0.021) and with pain treatment in children (3.14 vs. 1.97, p = 0.026). Conclusions: This study shows that education about pain management is a priority to medical students. Despite this, there continues to be a discrepancy between students’ expectations and the actual teaching and knowledge regarding effective pain management, including the vulnerable groups: chronic pain patients, children, and critically ill people.
机译：背景和目标：适当的疼痛管理是公共卫生的主要挑战。医学院毕业的大多数学生对痛苦患者的教育和经验不足。对于非语言患者（儿童，重症监护病房危重，痴呆症）的疼痛教育不足。慢性疼痛最难缓解，需要在医学院一级进行适当的准备。我们的目的是评估医学生在其职业生涯的不同水平上对急性和慢性疼痛的评估和治疗的态度，期望和实际知识。材料和方法：我们进行了一项观察性横断面研究，该研究基于在波兰什切青的波美拉尼亚医科大学的临床前和临床后年份的医学生之间进行的一项调查。该调查包括：人口统计数据，正式的疼痛教学时间，疼痛评估的实际知识以及成人和儿童的疼痛治疗选择。结果：我们收到了77/364（21.15％）名学生的回应，其中79.2％的人认为获得关于疼痛的知识的需求非常重要（10/10分）。临床后组宣布平均有11.51小时的急性疼痛示教，而临床前组报告的是7.4小时（p = 0.012）。即将毕业的学生还报告说，有关慢性疼痛的治疗课程明显更多（6.08小时vs. 3.79小时，p = 0.007）。临床后组治疗急性疼痛的平均舒适度高于临床前组（6.05 vs. 4.26，p = 0.006），与成人慢性疼痛治疗相似（4.33 vs. 2.97，p） = 0.021），并且在儿童中接受了疼痛治疗（3.14比1.97，p = 0.026）。结论：这项研究表明，关于疼痛管理的教育是医学生的优先任务。尽管如此，学生的期望与有效疼痛管理的实际教学和知识之间仍然存在差异，其中包括弱势群体：慢性疼痛患者，儿童和重症患者。

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