Simons Joan, Moseley Laurence
Child Health, Faculty of Health and Human Sciences, Thames Valley University, Slough, UK.
J Child Health Care. 2009 Jun;13(2):101-15. doi: 10.1177/1367493509102468.
There is a lack of clarity as to why some nurses are not delivering optimal pain management to children post-operatively. This retrospective chart review study examined nurses' pain scoring on 175 children during the first 24 hours post-operatively. Data were analysed on the amount of assessments made, assessment scores recorded, as well as the age, gender and type of surgery performed. One-quarter of children had no assessment record of their pain in the first 24 hours post-operatively. When the pain tool was part of an observation chart, nurses recorded more pain scores. Nurses' scoring of children's pain is influenced positively by children under five years of age and those who undergo abdominal surgery. Nurses who had access to one document for recording vital signs as well as pain scores were more likely to assess and record a child's pain score than nurses who had to use a separate chart.
目前尚不清楚为何有些护士在儿童术后未能提供最佳的疼痛管理。这项回顾性病历审查研究检查了175名儿童术后头24小时内护士的疼痛评分。分析了评估次数、记录的评估分数以及年龄、性别和手术类型等数据。四分之一的儿童在术后头24小时内没有疼痛评估记录。当疼痛评估工具是观察图表的一部分时，护士记录的疼痛分数更多。五岁以下儿童和接受腹部手术的儿童的疼痛情况，对护士的评分有积极影响。与必须使用单独图表的护士相比，能够使用一份文件记录生命体征和疼痛分数的护士，更有可能评估并记录儿童的疼痛分数。
