He Hong-Gu, Pölkki Tarja, Pietilä Anna-Maija, Vehviläinen-Julkunen Katri
Department of Nursing Science, University of Kuopio, PO Box 1627, FIN-70211 Kuopio, Finland.
Scand J Caring Sci. 2006 Mar;20(1):2-9. doi: 10.1111/j.1471-6712.2006.00373.x.
Parental participation in paediatric postoperative care is common in China. However, the knowledge is limited on what methods parents use to relieve their children's postoperative pain in hospital. The purpose of this study was to describe what nonpharmacological methods parents use to relieve their children's postoperative pain and factors related to this. A previously validated Scandinavian questionnaire survey was conducted in five provincial hospitals in Fujian, China, in 2004. Parents (n = 206) whose children had undergone operation were asked to complete questionnaires concerning nonpharmacological methods for children's pain relief. The response rate was 88%. Results show that the most commonly used methods by parents were emotional support strategies, helping with daily activities, distraction and imagery. Breathing technique was the method used least frequently. Fathers and parents who were older, more educated, employed and with earlier hospitalization experience with their children used pain alleviation methods more frequently than mothers and parents without these characteristics. Moreover, parents used some methods more frequently with boys, younger children, as well as children admitted for selective operations, with longer duration of hospitalization and with moderate or severe pain. Parents utilized various nonpharmacological methods for children's pain relief, especially those easy to use. This study may serve to focus healthcare providers' efforts on educating parents with respect to various nonpharmacological pain alleviation methods available for postoperative pain. Furthermore, this study provides parents an opportunity to be aware of their role in their children's pain management.
在中国,家长参与小儿术后护理很常见。然而,对于家长在医院采用何种方法缓解孩子术后疼痛,人们了解有限。本研究旨在描述家长用于缓解孩子术后疼痛的非药物方法以及与之相关的因素。2004年,在中国福建的五家省级医院进行了一项先前已验证的斯堪的纳维亚问卷调查。要求其孩子接受过手术的家长(n = 206)填写有关儿童疼痛缓解非药物方法的问卷。回复率为88%。结果显示,家长最常用的方法是情感支持策略、协助日常活动、分散注意力和想象。呼吸技巧是使用频率最低的方法。父亲以及年龄较大、受教育程度较高、有工作且孩子有较早住院经历的家长比母亲以及没有这些特征的家长更频繁地使用疼痛缓解方法。此外,家长对男孩、年幼孩子、因选择性手术入院、住院时间较长以及有中度或重度疼痛的孩子更频繁地使用一些方法。家长采用各种非药物方法缓解孩子的疼痛,尤其是那些易于使用的方法。本研究可能有助于促使医疗保健提供者着力教育家长了解可用于术后疼痛的各种非药物疼痛缓解方法。此外,本研究为家长提供了一个机会,使其意识到自己在孩子疼痛管理中的作用。