KAP OF POST OPERATIVE PAIN ASSESSMENT AND MANAGEMENT FOR PEDIATRICS PATIENTS AMONG SURGICAL RESIDENTS OF ST PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE

Abstract

ABSTRACT BACKGROUND: Pain is a common complaint among admitted children, often as a result of either the underlying illness or invasive procedures performed on them. It is common presentation for almost all children visiting hospitals. However, identifying the presence, grading and effectively managing pain of neonate, infant and children basically depends on knowledge and attitude of health care workers. This study will identify gaps in pediatrics post operative pain assessment and management. OBJECTIVES: This study assessed the knowledge, attitude and practice of childhood post operative pain assessment and management among surgical residents at SPHMMC. METHODS: Institution based descriptive cross sectional study is conducted from September to October 30, 2020. Standardized questionnaire that measures knowledge, attitude and practice of participants is distributed to surgical residents, while principal investigator observing they answered questions. The data is analyzed with SPSS windows version 25. Data is reported as the mean and categorical data, in percent. The findings of the study will be shared with the stuff of the department, it will be presented on the annual research conference of the college in local and an international conferences. RESULT: There are a total of 131 surgical residents (Pediatric surgery, general surgery, urology, plastic surgery, neurosurgery and orthopedics surgery) in St Paul hospital and from this 87% or 114 residents are included in this study. Over all mean correct answer 56.88% and mean correct score for practice is 62.06, for attitude it’s 57.57% and mean score for knowledge is 51.02%. More than 90% of residences are males.. More than three-fourth of the residents are in age group between 26 years to 30 years. More than half of the residents have worked as general practitioner for 2 – 3 years. Around one third of residents are from general surgery & other one third orthopedics surgery. Twenty-eight percent of residents of residents are first year and third year and fourth year residents each account for one fourth. Eighty-six percent of residents didn’t have any form of formal teaching, learning or training session on pain assessment and management on pediatric patients with in the past two years. Only seven percent of residents have good knowledge about post operative pain assessment and management for pediatrics patients scoring above the cutoff point of 70% and 93% of residents have poor knowledge. Only forty percent of residents have good attitude towards postoperative pain assessment and management of pediatrics patients. The rest 60% have poor attitude. Among 114 residents who are included in this study 53.5% of them have good practice on post operative pain assessment and management for pediatric patients while the rest 46.5% residents have poor practice. In this study knowledge, attitude and practice are not associated with gender, Age, unit within the department and presence of formal teaching, learning or training session on pain assessment and management. CONCLUSSION: Majority of residents in this study are male and in the age group 26-30 years. Residents included in this study are from 1st year to 4th year residents. General surgery and orthopedics surgery residents each account for one third of the target population. Majority of residents have poor knowledge and attitude about pediatrics post operative pain management but more than half of residents have good practice about pediatrics pain assessment and management. Knowledge, attitude and practice of pediatrics post operative pain management is no associated with sex, unit, year of residency, age and presence of previous training or teaching on pediatrics pain management.