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儿童疼痛:芬兰学龄儿童住院疼痛体验的质性研究

Pain in children: qualitative research of Finnish school-aged children's experiences of pain in hospital.

作者信息

Pölkki T, Pietilä A M, Rissanen L

机构信息

Department of Nursing Science, University of Kuopio, Finland.

出版信息

Int J Nurs Pract. 1999 Mar;5(1):21-8. doi: 10.1046/j.1440-172x.1999.00151.x.

Abstract

The purpose of the study was to describe school-aged children's experiences of pain in the hospital. Data were collected from 20 children aged between seven and 11 years of age who were inpatients in the pediatric wards of the University Hospital, Oulu, Finland. Each of the children wrote of their experiences of pain in the hospital, and they were interviewed on the basis of this information. The data were analyzed inductively using content analysis. On the basis of the analysis, the situations that caused pain to all children in the hospital were found to be procedures connected with needles. The children described their experiences of pain as both physiological (e.g. poking, stinging, aching) and psychological feelings (unpleasant feelings, terror, anxiety, and fear). In addition, methods of relieving pain (coping mechanisms, help from the medical staff, parental presence, and previous experiences of similar situations) were acknowledged. The results indicate that school-aged children (aged 7-11 years) are able to describe their pain experiences, which should be considered in assessment and treatment of children's pain in nursing practice.

摘要

这项研究的目的是描述学龄儿童在医院的疼痛经历。数据收集自芬兰奥卢大学医院儿科病房的20名7至11岁的住院儿童。每个孩子都写下了他们在医院的疼痛经历,并基于这些信息接受了访谈。采用内容分析法对数据进行归纳分析。基于分析结果,发现医院里所有孩子感到疼痛的情况都是与打针相关的操作。孩子们将他们的疼痛经历描述为生理上的(如刺痛、针扎感、酸痛)和心理上的感受(不愉快的感觉、恐惧、焦虑和害怕)。此外,还确认了缓解疼痛的方法(应对机制、医护人员的帮助、父母的陪伴以及以往类似情况的经历)。结果表明,学龄儿童(7至11岁)能够描述他们的疼痛经历,在护理实践中评估和治疗儿童疼痛时应考虑到这一点。

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