通过教授引导性心理意象来加强儿科重症监护病房的疼痛管理：一项质量改进项目。
Enhancing pain management in the PICU by teaching guided mental imagery: a quality-improvement project.
机构信息
Division of Child Psychiatry, North Shore-LIJ Health System, USA.
出版信息
J Pediatr Psychol. 2010 Jan-Feb;35(1):25-31. doi: 10.1093/jpepsy/jsp030. Epub 2009 Apr 22.
OBJECTIVE
This quality-improvement study, following the PDCA methodology, compared the effectiveness of teaching mental imagery (MI) for pain management versus conducting a detailed inquiry (DI) about pain-related experiences with acutely injured PICU patients.
METHODS
Participants included 44 hospitalized children and adolescents assigned to one of two intervention groups, MI (N = 24) or DI (N = 20). Pain was assessed pre- and post-intervention using the Wong-Baker Faces Pain Rating Scale and a 0-10 Likert pain rating scale, and the Pediatric Trauma Score was utilized to assess the severity of each child's injuries.
RESULTS
Boys in the MI condition exhibited a significant decrease in average pain ratings [t(38) = 3.41, p = .0015]. Girls in the MI condition exhibited a non-significant decrease in average pain ratings.
CONCLUSIONS
Teaching children the use of MI for pain management in an intensive-care setting was supported; the use of DI with boys was not supported.
目的
本质量改进研究采用 PDCA 方法，比较了教授心理意象（MI）进行疼痛管理与对急性受伤 PICU 患者进行疼痛相关体验详细询问（DI）的效果。
方法
参与者包括 44 名住院的儿童和青少年，他们被分配到两个干预组之一，即 MI（N=24）或 DI（N=20）。使用 Wong-Baker 面部疼痛评定量表和 0-10 级 Likert 疼痛评分量表在干预前后评估疼痛，并且使用儿科创伤评分来评估每个孩子受伤的严重程度。
结果
MI 组的男孩平均疼痛评分显著降低[t(38)=3.41，p=.0015]。MI 组的女孩平均疼痛评分无显著降低。
结论
在重症监护环境中教授儿童使用 MI 进行疼痛管理是可行的；但 DI 不适合男孩。
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