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. 2022 Jun 2:15:1587-1599.
doi: 10.2147/JPR.S360243. eCollection 2022.

Managing Pain in Low Resource Settings: Healthcare Professionals' Knowledge, Attitude and Practice Regarding Pain Management in Western Nepal

Parbati Thapa  1 , Bhuvan Kc  1   2 , Shaun Wen Huey Lee  1 , Juman Abdulelah Dujaili  1 , Sudesh Gyawali  3 , Mohamed Izham Mohamed Ibrahim  4 , Alian A Alrasheedy  5
Affiliations

Managing Pain in Low Resource Settings: Healthcare Professionals' Knowledge, Attitude and Practice Regarding Pain Management in Western Nepal

Parbati Thapa et al. J Pain Res. .

Abstract

Background: Pain is a public health problem and affects millions of people globally. Effective pain management is possible through comprehensive pain management guidelines, adequate facilities, and trained healthcare professionals. Therefore, this study aims to analyze the healthcare professionals' knowledge, attitude, and practice regarding pain management in Western Nepal.

Methods: A cross-sectional study was carried out in hospitals of Pokhara, Nepal. Healthcare professionals, including doctors, pharmacists, and nurses, were enrolled. Tools for the study were "The Knowledge and Attitudes Survey Regarding Pain (KASRP)" and a validated practice-based questionnaire. Frequencies and descriptive statistics were used to describe the outcomes. Kruskal-Wallis H-test and Mann-Whitney U-test were used to analyze the association between the mean rank of KASRP score and sample characteristics. A p-value of <0.05 was considered significant for all statistical tests.

Results: A total of 336 healthcare professionals were enrolled in this study (108 medical doctors, 150 nurses, and 78 pharmacists). The mean KASRP scores (% ± SD) obtained by doctors, pharmacists, and nurses were 58.48±8.98, 53.01±7.80, and 52.26±6.39, respectively. A significant difference was found between the KASRP score and sample characteristics (p<0.001). The pain assessment tool is used by 96 (29%) healthcare professionals every time they meet the patients. Doctors and nurses used it more frequently as compared to pharmacists. Many of the pharmacists, 40 (51%), reported that they counsel the patients on the prescribed medicine (analgesics, NSAIDs, and opioids) every time. As only few participants had already attended a training on pain management, most healthcare professionals, 110 (33%), agreed and 198 (59%) strongly agreed that training related to pain management is needed in Nepal.

Conclusion: Adequate training and support are required to enhance the knowledge, attitude and ultimately better practice for healthcare professionals regarding pain management in Nepal.

Keywords: Nepal; attitude; healthcare professionals; knowledge; pain management; practice.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011;11(1):1–5. doi: 10.1186/1471-2458-11-770 - DOI - PMC - PubMed
    1. Grichnik KP, Ferrante FM. The difference between acute and chronic pain. Mt Sinai J Med. 1991;58(3):217–220. - PubMed
    1. Treede R-D, Rief W, Barke A, et al. Chronic pain as a symptom or a disease: the IASP classification of chronic pain for the international classification of diseases (ICD-11). Pain. 2019;160(1):19–27. doi: 10.1097/j.pain.0000000000001384 - DOI - PubMed
    1. Enright A, Goucke R. The global burden of pain: the tip of the iceberg? Anesth Analg. 2016;123:529–530. doi: 10.1213/ANE.0000000000001519 - DOI - PubMed
    1. Walters LJ, Baxter K, Chapman H, et al. Chronic pain and associated factors in India and Nepal: a pilot study of the Vanderbilt global pain survey. Anesth Analg. 2017;125(5):1616–1626. doi: 10.1213/ANE.0000000000002360 - DOI - PubMed