认知障碍、无法交流的儿童的疼痛。
Pain in cognitively impaired, non-communicating children.
作者信息
Stallard P, Williams L, Lenton S, Velleman R
机构信息
Department of Child & Family Psychiatry, Royal United Hospital, Combe Park, Bath BA1 3NG, UK.
出版信息
Arch Dis Child. 2001 Dec;85(6):460-2. doi: 10.1136/adc.85.6.460.
AIM
To detail the everyday occurrence of pain in non-communicating children with cognitive impairment.
METHODS
Thirty four parents of cognitively impaired verbally non-communicating children completed pain diaries over a two week period. Each day, for five defined periods, parents rated whether their child had been in pain, and if so, its severity and duration.
RESULTS
Twenty five (73.5%) children experienced pain on at least one day, with moderate or severe levels of pain being experienced by 23 (67.6%). Four children (11.7%) experienced moderate or severe pain lasting longer than 30 minutes on five or more days. No child was receiving active pain management.
CONCLUSIONS
Everyday pain in children with severe cognitive impairment is common, yet is rarely actively treated.
目的
详细了解非言语交流的认知障碍儿童日常疼痛的发生情况。
方法
34名认知障碍且无言语交流能力儿童的家长在两周时间内完成疼痛日记。家长们每天在五个特定时间段对孩子是否疼痛进行评分，若疼痛，则对疼痛的严重程度和持续时间进行评分。
结果
25名（73.5%）儿童至少有一天经历过疼痛，其中23名（67.6%）经历过中度或重度疼痛。4名儿童（11.7%）在五天或更多天数中经历了持续超过30分钟的中度或重度疼痛。没有儿童接受积极的疼痛管理。
结论
重度认知障碍儿童的日常疼痛很常见，但很少得到积极治疗。
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