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癌症相关疼痛与疼痛管理:来源、患病率以及儿童和家长的经历

Cancer-Related Pain and Pain Management: Sources, Prevalence, and the Experiences of Children and Parents.

作者信息

Twycross Alison, Parker Roslyn, Williams Anna, Gibson Faith

机构信息

London South Bank University, London, UK

London South Bank University, London, UK.

出版信息

J Pediatr Oncol Nurs. 2015 Nov-Dec;32(6):369-84. doi: 10.1177/1043454214563751. Epub 2015 Mar 3.

Abstract

Advances in treatment mean children are increasingly cared for by their parents at home, leading to a shift in responsibility from health care professionals to parents. Little is known about parents' pain management experiences and the etiology of pain experienced by children with cancer especially when at home. A rapid review of the literature was undertaken investigating children's cancer-related pain, with emphasis on the management of pain outside the health care setting. Electronic databases were searched and a quality assessment was conducted. Forty-two articles were included. Despite advances in pain management techniques, children with cancer regularly cite pain as the most prevalent symptom throughout the cancer trajectory. The source of pain is usually treatment side effects or painful procedures. Parents find dealing with their child's pain distressing and demanding and may hold misconceptions about pain management. Findings indicate a need for more robust research into parental pain management leading to the development of effective pain management resources for parents.

摘要

治疗方法的进步意味着越来越多的儿童在家中由父母照顾,这导致责任从医护人员向父母转移。对于父母的疼痛管理经验以及癌症患儿尤其是在家时所经历疼痛的病因,我们知之甚少。我们对文献进行了快速回顾,调查儿童癌症相关疼痛,重点是医疗环境之外的疼痛管理。搜索了电子数据库并进行了质量评估。纳入了42篇文章。尽管疼痛管理技术有所进步,但癌症患儿经常将疼痛列为整个癌症病程中最普遍的症状。疼痛的来源通常是治疗副作用或痛苦的治疗程序。父母发现应对孩子的疼痛既痛苦又费力,并且可能对疼痛管理存在误解。研究结果表明需要对父母的疼痛管理进行更有力的研究,从而为父母开发有效的疼痛管理资源。

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