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A survey study on the recognition and treatment of pain in dogs and cats by Slovenian veterinarians
Veterinary Anaesthesia and Analgesia ( IF 1.4 ) Pub Date : 2021-02-05 , DOI: 10.1016/j.vaa.2020.11.007
Katerina Tomsič 1 , Kristina Rakinić 2 , Cvetka Sokolov 2 , Alenka Seliškar 1
Affiliation  

Objective

To obtain information on pain management in dogs and cats by Slovenian veterinarians, and to compare it with reports from other countries.

Study design

Prospective online survey.

Methods

The questions were uploaded using open source survey software and pertained to demographic data, self-evaluation of acquired and current knowledge, attitude towards pain and evaluation of actual knowledge, assessment of chronic and acute pain and pain due to surgery or medical conditions, and the use of analgesics. Descriptive statistics were used to summarize frequency distribution. Wilcoxon signed rank test, Mann-Whitney U test and Spearman’s rho were applied where appropriate.

Results

The response rate was 11%. From 680 registered members of the Veterinary Chamber of Slovenia, 73 veterinarians completed the survey. Most of the respondents were women (71.2%) working in small (60.3%) or mixed (21.9%) animal practices. A more recent year of graduation was positively correlated to the self-reporting of knowledge acquired during undergraduate studies (rs = 0.339, p = 0.003) and to current knowledge about the topic (rs = 0.293, p = 0.012). Cats were assigned higher scores than dogs for signs of acute (p < 0.001) pain. Female respondents assigned higher scores than male respondents for chronic pain in dogs. Dogs were assigned higher pain scores than cats for surgical procedures and medical conditions. The most frequently used non-steroidal anti-inflammatory drugs (NSAIDs) in dogs and cats were meloxicam and carprofen, and butorphanol was the most commonly used opioid. The choice of NSAID was influenced by perceived effectiveness, experience with use and anti-inflammatory effect. Opioid use was influenced by experience with use and perceived effectiveness.

Conclusions and clinical relevance

Slovenian veterinarians acknowledged the importance of pain management as reported for other European countries. However, the use of multimodal analgesia is limited, and inadequacies remain in the pain management of cats.



中文翻译:

斯洛文尼亚兽医对犬猫疼痛识别和治疗的调查研究

客观的

获取斯洛文尼亚兽医关于犬猫疼痛管理的信息,并将其与其他国家的报告进行比较。

学习规划

前瞻性在线调查。

方法

这些问题是使用开源调查软件上传的,涉及人口统计数据、获得的和当前知识的自我评估、对疼痛的态度和实际知识的评估、慢性和急性疼痛的评估以及由于手术或医疗条件引起的疼痛,以及镇痛药的使用。描述性统计用于总结频率分布。Wilcoxon 符号秩检验、Mann-Whitney U检验和 Spearman's rho 在适当的情况下被应用。

结果

响应率为 11%。在斯洛文尼亚兽医协会的 680 名注册会员中,73 名兽医完成了调查。大多数受访者是在小型 (60.3%) 或混合 (21.9%) 动物实践中工作的女性 (71.2%)。最近一年的毕业与本科学习期间获得的知识的自我报告(r s = 0.339,p = 0.003)和有关该主题的当前知识(r s = 0.293,p = 0.012)呈正相关。猫的急性症状得分高于狗(p< 0.001) 疼痛。对于狗的慢性疼痛,女性受访者的得分高于男性受访者。在外科手术和医疗条件方面,狗的疼痛评分高于猫。狗和猫最常用的非甾体抗炎药 (NSAID) 是美洛昔康和卡洛芬,布托啡诺是最常用的阿片类药物。NSAID 的选择受感知有效性、使用经验和抗炎作用的影响。阿片类药物的使用受使用经验和感知效果的影响。

结论和临床相关性

斯洛文尼亚兽医承认其他欧洲国家报告的疼痛管理的重要性。然而,多模式镇痛的使用是有限的,并且猫的疼痛管理仍然存在不足。

更新日期:2021-02-05
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