KNOWLEDGE AND PRACTICE IN CHRONIC PAIN MANAGEMENT AMONGPRIMARY HEALTHCARE PHYSICIANS.

  • Briman Primary Care center, Jeddah, Saudi Arabia.
  • Madaen Fahad Primary care center, Jeddah, Saudi Arabia.
  • King Abdulaziz University Hospital, Jeddah,Saudi Arabia.
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Objective: To evaluatethe knowledge and practice in chronic pain management among primary healthcare physicians (PHCPs). Methods: Across-sectional questionnaire-based study was carried out in a selected 15 primary healthcare centers in Jeddah, Saudi Arabiafrom October 15, 2016 to November 15, 2016.An auto-questionnaire was administered.The outcome measures included clinical practice score (CPS; range 20-100) and confidence level score (CLS; range 20-100). Results:Physicians’ practice showed a mean±SD (range) CPS=76.13±15.12 (41.11; 100.00). Most frequently assessed parameters included topography of the pain; followed by prior medications and physical impact. Less frequently assessed parameters included underlying cause, psychological impact and pain onset time.Frequent physical examinationsassessed the painful area; followed by general physical exam and inflammation signs. Less frequentexaminationsscreened for neuropathic pain component and motor and sensory abnormalities. Physicians in high patient-flow centers (?30 patients seen per day) had lower CPS. Physicians’ confidence in chronic pain management showed a CLS=69.60±16.61 (30.00; 100.00). Physicians declared being less confident of cancer chronic pain management,use of antidepressants, non-cancer chronic pain management,and use of anticonvulsant drugs. Higher CLS was reported in family physicians (CLS=82.18±15.60) as compared to pediatrics (73.50±14.09) and general medicine (62.62±15.17); (p=0.000001). CLS was proportional to age and experience. Conclusion: Relatively insufficient practice and low levels of confidence among physicians regarding all aspects of chronic pain management was reported. Employing national or local protocols can be useful.

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[Saeed Muraya Alqahtani, ShathaAwad Salman Alraddadi, Rehab Abdullah Mohammad Almourey, Raghad Awad Salman Alradadi, Ruba Awad Salman Alradadi and Wafaa Abdullah Aziz Al.Shehri. (2017); KNOWLEDGE AND PRACTICE IN CHRONIC PAIN MANAGEMENT AMONGPRIMARY HEALTHCARE PHYSICIANS. Int. J. of Adv. Res. 5 (Jan). 1954-1964] (ISSN 2320-5407). www.journalijar.com

Saeed Muraya Alqahtani
Briman Primary Care center, Jeddah, Saudi Arabia

DOI:

Article DOI: 10.21474/IJAR01/2965      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2965

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