Ani, Amira Aishah Che
(2017)
The knowledge of paeditrics post operative pain management among trainees in anaesthesiology in Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction: Hospital Sains Universiti Malaysia is one of the few accredited institutions for
anesthesiology training program. Anaesthetist play an important role as part of multidisciplinary
team in managing pain postoperatively. Lack of knowledge and insufficient emphasis on paediatric
pain management during specialty training has been attributed as one of the main factor of under
recognized and undertreated pain in children.
Objectives: This study aims to assess the level of knowledge of paediatric post-operative pain
management among trainees in this centre and to determine if sociodemographic factor (such as
gender, level of qualification, prior pain or paediatric posting) have an independent association with
level of knowledge
Methods: The questionnaire was adapted from previous studies. The questionnaire has 35 questions
consisted of 17 multiple choice questions and 18 true or false questions to cover 2 domains: 1) use
of age-appropriate pediatric pain assessment (10 questions) and 2) pediatric pain treatment (25
questions). Performance levels defined based on total score in percentage; Poor (<50 %), Average
(50- 69%), Above average (70- 79%) and Excellent (≥ 80%). Frequency of each items answered
correctly will reflects; 1) area of strength - if ≥70% of participants answered correctly for each item
analysed ; 2)area of weakness - if ≤30%of participants answered correctly for each item analysed.
All 46 participants were mainly anaesthesiology master students and specialists working in HUSM.
Data were analysed by descriptive and inferential statistics.
Result: The response rate was 83.6%. Half of the study population regarded their level of
knowledge as low based on self-assessment. For the total of 35 questions, the mean correct score
was 20.4 ± 3.34 (58.2%). The highest score was 26 and the lowest score was 13. For pain
assessment domain; the mean proportion of correct score was 53% (range 20% to 90%). For pain
treatment domain; the mean proportion of correct score was 60.4% (range 36% to 80%). There was
no significant association between having done pain and/or paediatric posting and mean score, pvalue=
0.698, X2(df)= 1.43).
Conclusion: Knowledge among trainees in HUSM still have a lot of room for improvement.
Encouraging more trainees to go for paediatric rotation and providing more time for trainees to
rotate in the paediatric area, could potentially improve the quality of knowledge about paediatric
postoperative pain management
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