Kortesluoma Riitta-Liisa, Nikkonen Merja, Serlo Willy
Department of Paediatrics and Adolescence, Faculty of Medicine, University of Oulu, Oulu University Hospital, Oulu, Finland.
Pain Manag Nurs. 2008 Dec;9(4):143-9, 149.e1-5. doi: 10.1016/j.pmn.2008.07.002.
This paper reports a study of the descriptions young children use and their expectations for pain management interventions experienced during hospitalization. The alleviation of children's pain has been investigated through the eyes of health care providers and parents, but the children's own perspective has largely been ignored. To date, there is a growing tendency to listen to the children when making final decisions on treatment in child health care. The evidence shows that children should be regarded as experts on their pain to maximize the options for pain management and to provide high-quality care. Forty-four children who were inpatients in four pediatric units in a university hospital participated in the study. The data were collected by means of a qualitative interview with the children until theoretic saturation was reached. The data analysis was based on inductive content analysis. The findings indicate that the children used multiple strategies while trying to deal with their pains during hospitalization and expected professional competence from health care professionals. Moreover, the children valued the care and attention provided by significant others. When managing pain in hospitalized children with a wide diversity of sources, the complexity of pain as a physiologic, psychologic, social, and cultural phenomenon must not be overlooked.
本文报告了一项关于幼儿在住院期间对疼痛管理干预措施的描述及其期望的研究。儿童疼痛的缓解问题已从医疗保健提供者和家长的角度进行了调查,但儿童自身的观点在很大程度上被忽视了。迄今为止,在儿童保健中做出最终治疗决策时听取儿童意见的趋势日益增强。有证据表明,应将儿童视为自身疼痛方面的专家,以最大限度地增加疼痛管理的选择并提供高质量的护理。一家大学医院四个儿科病房的44名住院儿童参与了该研究。通过对儿童进行定性访谈收集数据,直至达到理论饱和。数据分析基于归纳性内容分析。研究结果表明,儿童在住院期间试图应对疼痛时会采用多种策略,并期望医护人员具备专业能力。此外,儿童重视重要他人给予的关怀和关注。在管理来自多种来源的住院儿童的疼痛时,绝不能忽视疼痛作为一种生理、心理、社会和文化现象的复杂性。