Helseth Sølvi, Begnum Susanne
Faculty of Nursing, Oslo University College, Bjerregaardsgt 21, N-0172 Oslo, Norway.
J Clin Nurs. 2002 Sep;11(5):672-80. doi: 10.1046/j.1365-2702.2002.00643.x.
Colic is a term that is often used for crying in infancy. There is no unified definition, the aetiology is disputed and there is no effective method of treatment. Therefore, the crying infant constitutes a problem for parents and for nurses in child health clinics. The purpose of the study was to develop a clinically acceptable framework for describing colic. The design is exploratory, and data were collected through qualitative in-depth interviews with nurses and parents of crying babies. The infants identified by parents and nurses had periods of crying or fussing for more than 3 hours a day, the crying occurring on more than 3 days in any 1 week and lasting for more than 3 weeks. Three categories of crying emerged (intense crying, non-specific fussing and crying, feeding-related crying) that presumably differ in aetiology. An overall definition of colic is proposed that incorporates these categories. The proposed definition may function as a diagnostic tool for nurses when they encounter problems of infant crying. The definition provides nurses with clinical criteria that can guide data collection. More specific assessment and categorization of infant crying will be helpful for nurses in addressing problems of colic.
“腹绞痛”是一个常用于描述婴儿哭闹的术语。目前尚无统一的定义，病因存在争议，也没有有效的治疗方法。因此，哭闹的婴儿给家长和儿童健康诊所的护士都带来了困扰。本研究的目的是建立一个临床上可接受的框架来描述腹绞痛。研究设计为探索性研究，通过对哭闹婴儿的护士和家长进行定性深入访谈来收集数据。家长和护士确认的婴儿每天有超过3小时的哭闹或烦躁不安，在任何1周内哭闹超过3天，且持续超过3周。出现了三类哭闹情况（剧烈哭闹、非特异性烦躁和哭闹、与喂养相关的哭闹），其病因可能有所不同。本文提出了一个包含这些类别的腹绞痛总体定义。所提出的定义可能会成为护士在遇到婴儿哭闹问题时的诊断工具。该定义为护士提供了可指导数据收集的临床标准。对婴儿哭闹进行更具体的评估和分类将有助于护士解决腹绞痛问题。
