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目的:了解太仓地区普通人群急诊创伤镇痛意愿的现状,为今后改进急诊创伤镇痛迟滞提供参考。方法:对太仓地区普通人群采用无记名问卷调查。调查内容主要包括:年龄、文化程度、职业、是否选择镇痛及其原因、镇痛的被动性及主动性、对镇痛药物的了解程度及来源等方面。结果:有效问卷415份,回收率为100%,年龄区间为18~76岁。调查结果显示,拒绝镇痛组、被动接受组及主动要求组镇痛意愿率分别为14.7%、38.6%、46.7%(P<0.01);拒绝组镇痛意愿率与年龄比较差异有统计学意义(P<0.01),其他2组与年龄比较差异无统计学意义;3组镇痛意愿率与文化程度比较差异无统计学意义;受教育程度与药物知识了解率比较差异有统计学意义(P<0.01);拒绝镇痛因素主要为担心药物不良反应(86.9%);主动及被动接受镇痛因素主要为怕痛(74.6%),镇痛意愿的差别与了解药物知识率比较差异无统计学意义。结论:普通人群并非是急诊创伤镇痛实施延迟的主要因素,应适当加强急诊医生对镇痛的重视及临床镇痛治疗的宣教及引导。
Objective: To understand the current situation of emergency traumatic pain intentions of general population in Taicang area, and to provide reference for future improvement of traumatic analgesia and delay of emergency. Methods: Anonymous questionnaire survey was conducted on the general population in Taicang area. The survey mainly includes: age, educational level, occupation, whether or not to choose the analgesic and its causes, the passive and active analgesic, the degree and source of analgesics. Results: There were 415 valid questionnaires with the recovery rate of 100% and the age range of 18 to 76 years old. The results showed that the willingness rates for pain relief were 14.7%, 38.6% and 46.7% in the refused pain group, passive follow-up group and active demand group, respectively (P <0.01). There was significant difference in the willingness rate of pain relief between the rejected group and the age group (P <0.01). There was no significant difference between the other two groups and age (P> 0.05). There was no significant difference between the three groups in the willingness rate of analgesia and the educational level. There was significant difference between the educational level and the knowledge of medical knowledge <0.01). The main factors of rejection were analgesia (86.9%). The main factors of active and passive analgesia were fear of pain (74.6%), the differences of analgesic willingness and the knowledge rate of drug misses significance. Conclusion: The general population is not the main factor in the delayed implementation of traumatic analgesia in emergency department. It is necessary to strengthen the emergency medical doctors’ emphasis on analgesia and the missionary and guidance of clinical analgesic therapy.