College of Nursing, All India Institute of Medical Sciences, New Delhi, India.
Indian J Pediatr. 2009 Sep;76(9):913-6. doi: 10.1007/s12098-009-0154-6. Epub 2009 May 27.
To assess the knowledge, attitude and practices among health care professionals regarding pain in children.
This was a prospective descriptive survey conducted at a tertiary care hospital in north India. A semi structured questionnaire regarding pain in children was administered to pediatric residents and nurses in a teaching hospital. The questionnaire consisted of 24 items, of which 18 items were rated on a 5-point scale ('strongly agree' to 'strongly disagree') and 6 items were open-ended questions.
The response rate was 89.5%. Of 77 participants, 47 (61.1%) were nurses and 30 (38.9%) were pediatric residents. The knowledge about pain scales among the studied healthcare professionals was not widespread. Majority of respondents believed that the best judge of intensity of pain is the child. Nearly two-thirds of the respondents felt that non-pharmacological measures were better to control pain and also their practices showed that most were willing to allow the parental presence during minor invasive procedures.
There is need to improve the knowledge of health care personnel regarding pain assessment and management in children.
评估医护人员对儿童疼痛的认知、态度和实践。
这是在印度北部一家三级保健医院进行的前瞻性描述性调查。在一家教学医院中,向儿科住院医师和护士发放了一份关于儿童疼痛的半结构式问卷。该问卷由 24 个项目组成,其中 18 个项目采用 5 分制(“非常同意”到“非常不同意”)进行评分,6 个项目为开放式问题。
应答率为 89.5%。在 77 名参与者中,47 名(61.1%)为护士,30 名(38.9%)为儿科住院医师。研究中医疗保健专业人员对疼痛量表的了解并不广泛。大多数受访者认为,疼痛强度的最佳判断者是儿童。近三分之二的受访者认为非药物措施更有利于控制疼痛,他们的实践也表明,大多数人愿意在进行轻微侵入性操作时允许父母在场。
需要提高医护人员对儿童疼痛评估和管理的知识。