Survey and analysis of current status of perioperative analgesics use and management
10.3760/cma.j.cn114015-20211216-01265
- VernacularTitle:围手术期镇痛药使用及管理现状调查分析
- Author:
Jianghua SHEN
1
;
Ruiqi JIANG
;
Qingxia ZHANG
;
Xiaoxuan XING
;
Suying YAN
Author Information
1. 首都医科大学宣武医院药剂科，国家老年疾病临床医学研究中心，北京 100053
- Publication Type:Journal Article
- Keywords:
Perioperative period;
Analgesics;
Medication therapy management;
Surveys and questionnaires
- From:
Adverse Drug Reactions Journal
2022;24(8):410-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of perioperative analgesics use and management in China.Methods:A questionnaire was self-designed with the content consisting of 4 dimensions (the basic information of the respondents, perioperative analgesics management, medical behaviors in perioperative analgesia, and understanding of analgesics-related knowledge) and 55 questions (8, 10, 22, and 15 questions under 4 dimensions, respectively). The questionnaire was sent through Wechat by the members of Chinese Pharmacological Society Professional Committee of Drug-induced Diseases and Anesthesiology Branch of the Chinese Medical Association. Anesthesiologists, surgeons/nurses and clinical pharmacists volunteered to participate in the survey and submitted in anonymous form directly. The investigation period was from August 1 to 31, 2020.Results:A total of 204 effective questionnaires were received from 45 hospitals in 19 provinces and cities, including 43 tertiary hospitals (95.6%) and 2 secondary hospitals (4.4%). Among the 204 respondents, 46 were surgeons (22.5%), 80 were anesthesiologists (39.2%), 32 were clinical pharmacists (15.7%), and 46 were surgical nurses (22.5%). Of the 45 hospitals where the respondents work, 35 (77.8%) had established regular communication mechanisms for perioperative pain management, and 22 (48.9%) arranged clinical pharmacist to assist the work of the physician in the clinical division. Among the 204 respondents, 76.5% (156 respondents) received knowledge training on analgesics once or twice a year; 60.3% (123 respondents) had found irrational use of perioperative analgesics in their daily work, and the top 3 problems were about drug selection [74.0% (91/123)], usage and dosage [69.1% (85/123)], and drug interactions [46.3% (57/123)]; 37.3% (76 respondents) had found the problem of irrational use of the analgesia pump, and the top 3 problems were about the usage and dosage [69.7% (53/76)], drug selection [67.1% (51/76)], and contraindications [36.8% (28/76)]. Only 13.7% (28/204) of the respondents had a score of ≥120 points (full score of 150 points) in the survey for understanding of knowledge about analgesics. There was 53.9% (110/204) of the respondents with a score of <90 points, including 50.0% (23/46) of the surgeons, 43.8% (35/80) of the anesthesiologists, 46.9% (15/32) of the clinical pharmacists, and 80.4% (37/46) of the surgical nurses. Only 4 of the 15 questions had a correct answer fill rate of >50%.Conclusion:Most of the hospitals surveyed have established relevant mechanisms for perioperative pain management, but there are still problems of irrational use of perioperative analgesics and analgesia pumps. About half of the surgeons, anesthesiologists, clinical pharmacists, and most of the surgical nurses have little understanding of knowledge about analgesics.
