He Hong-Gu, Vehviläinen-Julkunen Katri, Pölkki Tarja, Pietilä Anna-Maija
Department of Nursing Science, University of Kuopio, Kuopio, Finland.
Int J Nurs Pract. 2007 Apr;13(2):89-99. doi: 10.1111/j.1440-172X.2007.00614.x.
The purpose of this study was to reveal the 8-12-year-old children's perceptions on the use of methods for pediatric postoperative pain alleviation by themselves, their parents and nurses. Face-to-face structured interviews were conducted with 59 subjects who had undergone surgical procedures in three provincial hospitals in Fujian Province, China in 2004. Content analysis and descriptive statistics were used to analyse the data. According to the children's perceptions, they commonly used rest/sleeping, a physical method (positioning) and a strategy of emotional support (requiring presence of their parents); their parents frequently used helping with daily activities and all strategies of emotional support; the nurses mostly used a strategy of emotional support (comforting) and a physical method (positioning). Children's suggestions mainly concerned the application of non-pharmacological methods, especially presence of caregivers. In conclusion, pain-relieving methods were not sufficiently used although children suffered from intense postoperative pain, which calls for health-care providers' future attention.
本研究旨在揭示8至12岁儿童对自身、父母及护士使用小儿术后疼痛缓解方法的看法。2004年，对在中国福建省三家省级医院接受过外科手术的59名受试者进行了面对面的结构化访谈。采用内容分析法和描述性统计方法对数据进行分析。根据儿童的看法，他们常用的方法是休息/睡眠、一种物理方法（体位调整）和一种情感支持策略（要求父母陪伴）；他们的父母经常采用帮助进行日常活动以及所有情感支持策略；护士大多采用情感支持策略（安慰）和物理方法（体位调整）。儿童的建议主要涉及非药物方法的应用，尤其是照顾者的陪伴。总之，尽管儿童术后疼痛剧烈，但缓解疼痛的方法并未得到充分使用，这需要医疗保健提供者在未来予以关注。
