Melhuish Susan, Payne Heather
Paediatric Medical Unit, University Hospital of Wales, Cardiff.
Paediatr Nurs. 2006 Mar;18(2):20-3. doi: 10.7748/paed.18.2.20.s19.
Venepuncture is one of the most commonly performed clinical procedures carried out on young children. Evidence indicates inconsistency in the use of pain management strategies during these procedures. A survey method was used to explore nurses' views on the experience of pain by infants and toddlers and the pain management techniques they use. All children's nurses on the general medical and surgical wards at one hospital site were invited to participate (n=55); 45 responses were receive (81 per cent). These children's nurses believe that infants and toddlers feel more pain and display more distress than older children. Respondents reported that pharmacological preparations were not generally used on infants prior to venous cannulation; distraction and parental presence during these procedures were highlighted. Nurses should ensure infants and toddlers receive appropriate pain management prior to and during venepuncture and venous cannulation.
静脉穿刺是对幼儿最常进行的临床操作之一。有证据表明,在这些操作过程中,疼痛管理策略的使用并不一致。采用调查方法来探究护士对婴幼儿疼痛体验以及他们所使用的疼痛管理技术的看法。邀请了一家医院综合内科和外科病房的所有儿童护士参与调查(n = 55);共收到45份回复(81%)。这些儿童护士认为,与大龄儿童相比,婴幼儿会感到更多疼痛且表现出更多痛苦。受访者报告称,在静脉置管前,通常不会对婴儿使用药物制剂;这些操作过程中的分散注意力法和家长在场受到了强调。护士应确保婴幼儿在静脉穿刺和静脉置管之前及过程中得到适当的疼痛管理。