Weisman S J, Schechter N L
Division of Hematology/Oncology, University of Connecticut Health Center, Farmington 06030.
Pediatr Rev. 1991 Feb;12(8):237-43. doi: 10.1542/pir.12-8-237.
There are now safe and effective techniques which can decrease significantly the amount of pain a child will experience in an acute care setting. For such techniques to work, however, the importance of pain management in children must be recognized. It should be assumed that anything that will hurt an adult will also hurt a child and that children are, in fact, often more sensitive to hospital procedures than are adults. Pain assessment should be a part of the child's care plan, and developmentally appropriate ways of recognizing pain should be in place in all hospitals that care for children. Behavioral and pharmacologic techniques should be tailored to the needs of the individual child. The skill of physicians should be assessed not only by their cure of illnesses, but by the comfort they provide in the process.
现在有一些安全有效的技术,可以显著减少儿童在急症护理环境中所经历的疼痛量。然而,要使这些技术发挥作用,必须认识到儿童疼痛管理的重要性。应该假定任何会伤害成人的事情也会伤害儿童,而且事实上,儿童通常比成人对医院的诊疗程序更敏感。疼痛评估应该成为儿童护理计划的一部分,所有照顾儿童的医院都应该有适合其发育阶段的识别疼痛的方法。行为和药物技术应该根据每个孩子的需求进行调整。评估医生的技能不仅要看他们对疾病的治愈情况,还要看他们在治疗过程中所提供的舒适度。