Dobe M, Hechler T, Behlert J, Kosfelder J, Zernikow B
Vodafone Stiftungsinstitut und Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Datteln.
Schmerz. 2011 Aug;25(4):411-22. doi: 10.1007/s00482-011-1051-2.
A prospective study controlled for sex and age was conducted evaluating the success of a 3-week inpatient pain therapy after 3, 6 and 12 months for 200 children and adolescents severely disabled due to chronic pain.
The following validated German questionnaires were used: pain questionnaire (DSF-K/J/E), pain coping inventory (PPCI-R), anxiety questionnaire (AFS) and depression questionnaire (DIKJ). After an intention-to-treat analysis unifactorial und multifactorial variance analyses were conducted. A significance level of p<0.01 was used.
Durable improvements were observed for average pain intensity, pain disability, days absent from school, depression and for passive and interaction-based pain coping strategies 3 months after finishing inpatient pain therapy. On the other hand general anxiety and school aversion were only reduced at 6 and 12 months, respectively. Girls reported more pain in general and during follow-up. Younger children relied in general more on others when dealing with their pain.
An inpatient pain therapy can help children and adolescents severely disabled due to chronic pain not only in the short term but also in the long term.
开展了一项针对性别和年龄进行控制的前瞻性研究，评估200名因慢性疼痛而严重致残的儿童和青少年在接受为期3周的住院疼痛治疗后3个月、6个月和12个月时的治疗成效。
使用了以下经过验证的德文问卷：疼痛问卷（DSF-K/J/E）、疼痛应对量表（PPCI-R）、焦虑问卷（AFS）和抑郁问卷（DIKJ）。在进行意向性分析后，进行了单因素和多因素方差分析。使用的显著性水平为p<0.01。
在完成住院疼痛治疗3个月后，观察到平均疼痛强度、疼痛残疾程度、缺课天数、抑郁以及基于被动和互动的疼痛应对策略方面有持续改善。另一方面，一般焦虑和厌学情绪分别仅在6个月和12个月时有所减轻。女孩总体上以及在随访期间报告的疼痛更多。年龄较小的儿童在应对疼痛时总体上更依赖他人。
住院疼痛治疗不仅能在短期内，而且能在长期内帮助因慢性疼痛而严重致残的儿童和青少年。
