Beyer J E, Bournaki M C
School of Nursing, Children's Hospital, Boston University, Mass.
Pediatrician. 1989;16(1-2):30-8.
This paper focuses on the knowledge base about the assessment and management of postoperative pain in children. The first section deals with the nature and characteristics of postoperative pain. A description of current pain management practices with children, focusing on analgesic administration, is derived from available research literature. These reports suggest that postoperative pediatric pain relief may be inadequate. Recent advances in pain assessment and measurement in all age groups, particularly with verbal children and the new self-report measures, are discussed. The latest developments in pharmacological and nonpharmacological techniques for the relief of children's postoperative pain are also described. Finally, the paper concludes with a few suggestions for pediatricians relative to their role in assisting in the search for better assessment and management techniques in the care of postoperative children.
本文聚焦于儿童术后疼痛评估与管理的知识库。第一部分论述了术后疼痛的性质和特点。从现有研究文献中得出了关于儿童当前疼痛管理实践的描述，重点是镇痛药物的使用。这些报告表明，儿童术后疼痛缓解可能不足。讨论了所有年龄组在疼痛评估和测量方面的最新进展，特别是针对能言语表达的儿童以及新的自我报告测量方法。还描述了缓解儿童术后疼痛的药理学和非药理学技术的最新发展。最后，本文针对儿科医生在协助寻找更好的术后儿童护理评估和管理技术方面的作用提出了一些建议。
