Marzo 2017 - Volume XXXVI - numero 3
Ricerca
1Centro di Riferimento Veneto di Terapia del Dolore e Cure Palliative Pediatriche, Università di Padova; 2Direzione Generale, AORN “Santobono Pausilipon”, Napoli; 3FIASO, Federazione Italiana Aziende Sanitarie e Ospedaliere; 5Direzione Generale IRCCS “G. Gaslini”, Genova; 5AOPI, Associazione Ospedali Pediatrici Italiani; 6Scuola di Psicologia, Università “La Sapienza”, Roma
Indirizzo per corrispondenza: franca.benini@aopd.veneto.it
Key words: Emergency-urgent care setting, Pain localization and intensity, Pain scales, Analgesic drugs
Background - Pain is a crucial aspect in the emergency-urgent care setting.
Objective - This paper aims to evaluate the satisfaction expressed by accompanying
adults and children on pain management in the Italian Emergency Units (EUs) that are
members of PIPER Project (Pain In Paediatric Emergency Room).
Materials and Methods - Face-to-face surveys were carried out by training interviewers over
a weekend period in 29 Italian EUs. Questionnaires were addressed to accompanying
adults and their 3-16 year-old children, who were evaluated for pain in EUs. In the questionnaires
the level of satisfaction regarding the management of symptom and quality perceived
about interventions were evaluated.
Results - 1,581 questionnaires were administered (923 to parents or caregivers; 658 to
children). 95% of adults referred high level of satisfaction. According to accompanying
adults, 73.6% of children received questions about pain localization and intensity by
health professionals and in 24.7% of cases validated pain scales were administered. In
EUs, 47.5% of adults referred the administration of analgesic drugs with waiting times that
in 50.5% of cases were lower than 20 minutes. 95.3% of children confirmed that they had
received questions regarding site of pain and 46% of cases confirmed the use of validated
pain scale. 23% of children referred a reduction of pain after administration of painkillers
in EUs.
Conclusions - On the basis of the collected data, a strong dichotomy emerged between
users’ satisfaction and level of managing of pain. In one child out of 4, the symptom
was measured and in one out of 2 a pharmacological therapy was prescribed. Probably,
there are many causes: poor information and education induced users to evaluate
positively a poor management path.
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