Abstract: Background　Postoperative pain management not only includes pharmacological pain relief management，but also includes collaborative pain relief management involving surgical，anesthetic，nursing，and rehabilitation healthcare workers as well as the patient himself.Multidisciplinary pain management is a kind of scientific and rational tools for pain diagnosis and treatment.Objective　To develop improvement measures for multidisciplinary pain management on the basis of a postoperative pain management survey.Methods　This survey was implemented in a convenience and volunteer sample of 700 surgical patients who received surgery in Beijing Shijitan Hospital，Capital Medical University during October to December 2015.A questionnaire co-developed by multidisciplinary pain management teams from Peking University People's Hospital，and Beijing Shijitan Hospital，Capital Medical University，was used in the survey for collecting the data about postoperative pain management in the patients.And influencing factors of postoperative pain management status were analyzed.Results　All the questionnaires were completed and returned，and 627 of them were found to be responsive，the response rate was 89.6%.In terms of postoperative pain management，366 cases （58.4%） and 221 cases （35.2%） were very satisfied，and satisfied with it，respectively.And 39 cases（6.2%） thought it was OK，only 1 case（0.2%） was dissatisfied with it.Partial correlation analysis found that age，level of pain，and whether receiving pain relief methods from healthcare workers before consulting them when having pain had low correlations with patient satisfaction with postoperative pain management（P<0.05）．Multivariate Logistic regression analysis showed that age 〔OR=1.360，95%CI （1.093，1.692）〕，level of pain 〔OR=2.043，95%CI （1.369，3.047）〕，and whether receiving pain relief methods from healthcare workers before consulting them when having pain 〔OR=5.531，95%CI（2.396，12.770）〕 were the influencing factors of patient satisfaction with postoperative pain management（P<0.05）．Conclusion　Pain assessment is supposed to be performed based on age.Healthcare workers' active introduction of pain-related knowledge and methods of pain relief can effectively improve patient satisfaction with pain management.

Key words: Pain, postoperative；Pain management；Pain measurement；Pain relief；Questionnaires；Root cause analysis

摘要： 背景　术后疼痛的管理不单纯指药物治疗，更关系到外科、麻醉科、护理、康复科以及患者本身之间的协作管理。多学科疼痛管理（PMDT）为患者提供了科学合理的疼痛诊疗方案。目的　通过对患者术后疼痛调查问卷的分析，研究PMDT的改进措施。方法　采用便利抽样的方法，基于自愿的原则，选取2015年10—12月在首都医科大学附属北京世纪坛医院外科行外科手术的患者700例。本次调查问卷由北京大学人民医院和首都医科大学附属北京世纪坛医院PMDT工作组自制，以发放调查问卷的形式，对患者术后镇痛治疗情况进行调研，以分析其影响因素。结果　共发放问卷700份，回收700份，有效问卷627份，有效回收率为89.6%。术后疼痛治疗满意情况：非常满意366例（58.4%），满意221例（35.2%），一般39例（6.2%），不满意1例（0.2%）。偏相关性分析结果显示，年龄、疼痛程度、出现疼痛时，是否有医护人员主动介绍缓解疼痛的方法与患者术后疼痛治疗满意情况呈低度相关性（P<0.05）。多因素Logistic回归分析结果显示，年龄〔OR=1.360，95%CI（1.093，1.692）〕、疼痛程度〔OR=2.043，95%CI（1.369，3.047）〕、出现疼痛时，是否有医护人员主动介绍缓解疼痛的方法〔OR=5.531，95%CI（2.396，12.770）〕是患者术后疼痛治疗满意情况的影响因素（P<0.05）。结论　根据患者的年龄进行疼痛评估；主动地向患者介绍疼痛相关知识和缓解疼痛的方法，可有效地提高疼痛治疗的满意度。

关键词: 疼痛, 手术后；疼痛管理；疼痛测定；疼痛缓解；问卷调查；影响因素分析