Zbrinjavanje akutne boli u Objedinjenom hitnom bolničkom prijemu Kliničkog bolničkog centra Zagreb

master's thesis

• Title (english): Management of acute pain in the Central Emergency Department at the University Hospital Center Zagreb
• Author: Iva Ivković
• Mentor: Ivan Gornik (mentor)
• Committee member: Tina Dušek (predsjednik povjerenstva)
• Committee member: Jasenka Markeljević (član povjerenstva)
• Committee member: Ivan Gornik (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Emergency Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

Akutna bol najčešći je razlog dolaska pacijenata u hitni bolnički prijem. Bol je također učestalo loše procijenjena i neadekvatno liječena. Cilj ovog istraživanja bio je analizirati pristup liječnika iz Objedinjenog hitnog bolničkog prijema KBC-a Zagreb prema procjeni i liječenju boli. Ovo retrospektivno deskriptivno istraživanje uključilo je 419 pacijenata starosti od 1 do 93 godine, koji su se zbog bolova javili u internističku ili kiruršku službu OHBP-a Kliničkog bolničkog centra Zagreb u periodu od 9. ožujka do 14. ožujka 2020. Rezultati su pokazali da je procjena intenziteta boli učinjena u 10% pacijenata korištenjem nestandardizirane verbalne ljestvice, numeričke ljestvice ili vizualno-analogne skale, a u 90% nije bilo procjene. Analgetska terapija primijenjena je u 12% pacijenata, dok je u 88% primijenjena neanalgetska terapija ili nije primijenjena nikakva terapija. U 6% pacijenata napravljena je reevaluacija boli nakon inicijalne procjene i/ili primjene terapije. Preporuku za analgeziju prilikom otpusta dobilo je 62% pacijenata, no većina preporuka odnosila se na uzimanje analgetika po potrebi bez točnih uputa o vrsti i doziranju analgetika. Zaključak je ovog rada kako u OHBP-u KBC-a Zagreb bol nije procjenjivana i liječena na zadovoljavajućoj razini. Potrebna su dodatna istraživanja s većim brojem ispitanika kako bi se dobili precizniji podaci, no već iz ovog rada vidljivo je kako je nužna kontinuirana edukacija i trud
liječnika u zbrinjavanju akutne boli.

Abstract (english)

Acute pain is the most common reason for patients to seek medical help in emergency departments. Pain is also often poorly assessed and undertreated. The aim of this study was to analyse how doctors at the Central Emergency Department at the University Hospital Center Zagreb assess and treat patients suffering from pain. This retrospective descriptive study included 419 patients complaining of pain, aged 1-93, coming to the Central Emergency Department between 9th March and 14th March 2020. Results showed that severity of pain was assessed by using numeric rating scale, non- standardised verbal rating scale or visual-analogue scale only in 10% of the patients. Analgesic therapy was given to 12% of the patients, whilst 88% of the patients received non-analgesic therapy or no pharmacological treatment at all. Pain was reassessed in 6% of the patients after initial assessment. Analgesics recommendation was given to 62% of the discharged patients; however, most of those recommendations did not specify the type nor the dose of the analgesics. In conclusion, this study shows that in the Central Emergency Department at the University Hospital Center Zagreb, pain is not assessed and treated on a satisfactory level. More studies with greater number of patients are needed to analyse this matter more accurately, but this study gives enough reasons for continuous education of doctors on acute pain assessment and treatment.

• Keywords: procjena boli; liječenje akutne boli; preporuke za analgeziju
• Keywords (english): pain assessment; acute pain treatment; analgesia recommendations
• Language: croatian
• URN:NBN: urn:nbn:hr:105:761509
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-03-26 14:07:49