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首页> 外文期刊>Prehospital emergency care >Effects of an educational intervention on prehospital pain management.
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Effects of an educational intervention on prehospital pain management.

机译：教育干预对院前疼痛管理的影响。

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Introduction. Pain is a common symptom evaluated by emergency medical services (EMS) providers. Hospital pain management programs began in the early 1990s based on a multidisciplinary approach and principles of total quality improvement. To date, these programs have had limited exposure in the prehospital setting. Objectives. To evaluate the effects of a pain management educational intervention (EI) for paramedic caregivers. Methods. All ambulance providers from ten urban and suburban fire departments and two private ambulance companies participated in a three-hour EI during a quality improvement project. A survey was performed prior to the EI and repeated one month after the EI. A two-month collection of EMS runs for pain complaints was performed prior to the EI and repeated one month after the EI. Data analysis was performed using descriptive statistics and chi-square tests. Results. The authors reviewed 397 surveys and 439 EMS runs for pain. Overall, after the EI, paramedics' knowledge of basic painmanagement principles increased from 57.3% to 74.9% (17.5%; 95% confidence interval (CI): 14.9%-20.2%; p < 0.001). Paramedics' utilization of nonpharmacologic pain therapies improved by 32.2% (95% CI: 25.3%-39.2%; p < 0.001), but there was no significant change in the use of pain medication (20.2% to 24.5%). There were 51.0% (95% CI: 44.1%-57.9%; p < 0.001) improvement in documentation of pain severity, 24% (95% CI: 21.2%-26.8%; p < 0.001) improvement in documentation of pain characteristics, and 13% (95% CI: 7.4%-18.7%; p < 0.001) improvement in pain reassessment following intervention. Conclusion. As a result of a three-hour educational intervention, paramedics had an increased understanding of pain principles, were more likely to provide prehospital nonpharmacologic pain therapy, and were more likely to document the results of their interventions.
机译：介绍。疼痛是紧急医疗服务（EMS）提供商评估的常见症状。医院疼痛管理计划始于1990年代初，基于多学科方法和整体质量改进原则。迄今为止，这些方案在院前环境中的接触有限。目标。要评估对护理人员的疼痛管理教育干预措施（EI）的效果。方法。在质量改进项目中，来自十个城市和郊区消防部门的所有救护车提供者​​以及两家私营救护车公司参加了为时三小时的EI。在EI之前进行了一次调查，在EI之后一个月重复了一次调查。在EI之前进行了为期两个月的针对疼痛投诉的EMS运行收集，在EI之后一个月重复了一次。使用描述性统计数据和卡方检验进行数据分析。结果。作者回顾了397次调查和439次EMS疼痛检查。总体而言，在接受EI之后，医护人员对基本疼痛管理原理的了解从57.3％增加到74.9％（17.5％; 95％置信区间（CI）：14.9％-20.2％; p <0.001）。护理人员对非药物止痛疗法的利用率提高了32.2％（95％CI：25.3％-39.2％; p <0.001），但止痛药的使用没有显着变化（20.2％至24.5％）。疼痛严重程度记录改善了51.0％（95％CI：44.1％-57.9％; p <0.001），疼痛特征记录改善了24％（95％CI：21.2％-26.8％; p <0.001），干预后疼痛重新评估改善了13％（95％CI：7.4％-18.7％; p <0.001）。结论。由于进行了三个小时的教育干预，医护人员对疼痛原理有了更深入的了解，他们更有可能提供院前非药物性疼痛治疗，并且更有可能记录其干预结果。

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