Prise en charge de la douleur dans un service de rhumatologie :: enquête de satisfaction

Abstract

Objectives. – To evaluate the quality of pain management in a teaching hospital rheumatology department. Methods. – We conducted a satisfaction survey among all the patients admitted to the conventional rheumatology department of our teaching hospital over a 1-month period (88 patients with a mean length of stay of 5 days). The patients were asked to complete a questionnaire on the day of discharge. The professional staff was not informed of the survey. Results. – The mean pain severity score at admission (visual analog scale) was 7.76 ± 1.76 and the mean score decrease with treatment was 7.27 ± 2.81. Expected pain relief and actual pain relief were correlated (R = 0.39 ; p = 0.001). Nearly all the patients (96.1%) reported having been encouraged to communicate about their pain. Information on the treatment was given to 89.3% of patients; no significant differences in pain severity or pain relief were found between the patients who did and did not receive this information. The patients were satisfied with their management by the physicians (VAS: 8.83 ± 2.07) and nurses (VAS: 8.68 ± 1.72). Conclusion. – Satisfaction with pain management (a subjective criterion) was good in our patients. However, no validated tools for measuring satisfaction are available and measurements should be repeated to look for improvements over time. Limitations to these results include the placebo effect, the influence of memory and the effects of the behavior of hospitalized patients. A repeat survey is needed.