Vandvik I H, Eckblad G
Oslo Sanitetsforening Rheumatism Hospital, Norway.
Scand J Rheumatol. 1990;19(4):295-302. doi: 10.3109/03009749009102536.
At their first admission to hospital, 57 children (7-16 yrs) with definite or suspected rheumatic disease were interviewed regarding their perceptions of quality and intensity of pain and disease severity. All children reported pain. This was most often described as 'aching' (74%). The assessments of quality and quantity of pain by the children did not differ between diagnostic, age, or gender groups, or between children with or without previous exposure to other persons with rheumatic diseases. Actual pain intensity was correlated with disease severity assessed by the child and the parent. However, pain intensity was not correlated with a global assessment of disease severity by the physician or the child's psychosocial functioning. These findings may indicate a need for more generally accepted criteria of disease severity and pain assessment in patients with JCA.
在首次入院时，对57名年龄在7至16岁、患有明确或疑似风湿性疾病的儿童进行了访谈，询问他们对疼痛的性质、强度以及疾病严重程度的看法。所有儿童均报告有疼痛。疼痛最常被描述为“酸痛”（74%）。儿童对疼痛性质和程度的评估在诊断组、年龄组或性别组之间，以及在有或没有接触过其他风湿性疾病患者的儿童之间并无差异。实际疼痛强度与儿童及家长评估的疾病严重程度相关。然而，疼痛强度与医生对疾病严重程度的总体评估或儿童的心理社会功能并无关联。这些发现可能表明，对于青少年特发性关节炎患者，需要有更被广泛接受的疾病严重程度和疼痛评估标准。
