儿童和青少年疼痛的评估和治疗。

Assessment and treatment of pain in children and adolescents.

机构信息

Medical Sciences Graduate Program, Faculty of Health Sciences, McMaster University, 1280 Main Street West, HSC-4N35, Canada.

Child Health Evaluative Sciences, The Hospital for Sick Children, Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, The Peter Gilgan Centre for Research and Learning, 686 Bay Street, Room 69715, Toronto, ON M5G 0A4, Canada.

出版信息

Best Pract Res Clin Rheumatol. 2014 Apr;28(2):315-30. doi: 10.1016/j.berh.2014.05.003.

DOI:10.1016/j.berh.2014.05.003

PMID:24974065

Abstract

Pain is one of the most common and distressing symptoms experienced by children and adolescents with juvenile idiopathic arthritis. Pain is known to negatively affect all aspects of health-related quality of life, including physical, emotional, social, and role functioning. The valid and reliable assessment of pain is the first critical step to developing an effective plan for pain management. This chapter will address the following key questions: (1) What is the prevalence and impact of pain in children and adolescents with arthritis? (2) Why is it important for clinicians to assess the multidimensional nature of pain and what are the practical issues that should be considered? (3) What tools are available to help clinicians to assess pain? (4) How can Internet and mobile technologies be used to improve the assessment of pain? (5) What are the recommended strategies for clinically managing pain, including pharmacological, physical, and psychological approaches?

摘要

疼痛是儿童和青少年患幼年特发性关节炎时最常见和最痛苦的症状之一。众所周知，疼痛会对健康相关生活质量的各个方面产生负面影响，包括身体、情感、社会和角色功能。疼痛的有效和可靠评估是制定疼痛管理有效计划的第一步。本章将讨论以下关键问题：（1）关节炎儿童和青少年疼痛的发生率和影响是什么？（2）为什么临床医生评估疼痛的多维性质很重要，应该考虑哪些实际问题？（3）有哪些工具可帮助临床医生评估疼痛？（4）互联网和移动技术如何用于改善疼痛评估？（5）临床上管理疼痛的推荐策略有哪些，包括药物、物理和心理方法？