Vihunen R, Sihvonen M
Hoitotiede. 1998;10(3):123-33.
In this study 3-8 year old children's pain assessment and management after tonsillectomies were evaluated on two otological wards. The sample consisted of 80 children, 40 from both wards and the response rate was 92%. The groups were compared with each other: on one ward nurses used the Faces Scale in children's self assessment of pain while the other was a comparative ward. The data were collected using measurements: 1. background of children, 2. intensity of children's pain after the operation observed by their parents, 3. parents' satisfaction with children's assessment and management of pain, 4. children's self assessment of pain with the Faces Scale and 5. documentation of children's pain management. The data were analysed by cross-tabulations, mean-values, t-test, Pearson's correlation and content analysis. 40% of children had severe or intolerable pain after the operation observed by their parents. Children's self assessment of pain and parents' observations correlated highly (r = .74, p < .05). Children had less pain (the difference was statistically significant) on the ward, where the Faces Scale was used in pain assessment. The parents were also more satisfied with their children's pain assessment and management on this ward. However, there were differences in pain management practices between there two wards. Nurses need more education to be able to assess and manage children's pain adequately.
在本研究中，对两个耳科病房3至8岁儿童扁桃体切除术后的疼痛评估与管理进行了评估。样本包括80名儿童，两个病房各40名，应答率为92%。对两组进行了相互比较：一个病房的护士使用面部表情量表让儿童进行疼痛自我评估，另一个是对照病房。通过以下测量收集数据：1. 儿童背景；2. 家长观察到的儿童术后疼痛强度；3. 家长对儿童疼痛评估与管理的满意度；4. 儿童使用面部表情量表进行的疼痛自我评估；5. 儿童疼痛管理的记录。数据通过交叉表、均值、t检验、皮尔逊相关性分析和内容分析进行分析。40%的儿童术后被家长观察到有严重或难以忍受的疼痛。儿童的疼痛自我评估与家长的观察结果高度相关（r = 0.74，p < 0.05）。在使用面部表情量表进行疼痛评估的病房，儿童的疼痛较轻（差异具有统计学意义）。家长对该病房儿童的疼痛评估与管理也更满意。然而，这两个病房在疼痛管理实践方面存在差异。护士需要接受更多教育，以便能够充分评估和管理儿童的疼痛。
