Van Hulle Vincent Catherine, Gaddy Erica J
Department of Women, Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, 845 South Damen Avenue, Room 854, Chicago, IL 60612-7350, USA.
Res Nurs Health. 2009 Oct;32(5):530-9. doi: 10.1002/nur.20337.
Pediatric nurses are not administering available and recommended analgesics to hospitalized children after surgery. This descriptive study was conducted to examine 30 pediatric nurses' thinking-in response to case study vignettes-about pain assessment and morphine administration for children experiencing postoperative pain. Nurses considered numerous factors when assessing and managing children's pain, including pain level, vital signs, and facial expression. Nurses frequently relied, however, on behavioral and physiological manifestations, as opposed to self-report, when choosing whether to administer morphine. Nurses demonstrated misconceptions about pharmacokinetics and unwarranted concerns about the adverse effects of morphine. These findings partly explain why children continue to report high levels of pain after surgery and why nurses may not administer adequate analgesics to relieve children's pain.
儿科护士没有给术后住院儿童使用现有的、推荐的镇痛药。本描述性研究旨在考察30名儿科护士针对有关术后疼痛儿童的疼痛评估和吗啡给药的案例 vignettes 的想法。护士在评估和处理儿童疼痛时考虑了许多因素，包括疼痛程度、生命体征和面部表情。然而，在选择是否给予吗啡时，护士经常依赖行为和生理表现，而不是自我报告。护士对药代动力学存在误解，并且对吗啡的不良反应存在无端担忧。这些发现部分解释了为什么儿童术后仍报告高度疼痛，以及为什么护士可能没有给予足够的镇痛药来缓解儿童的疼痛。
