Panjganj Donya, Bevan Ann
Bournemouth University.
Nurs Child Young People. 2016 Jun 8;28(5):29-33. doi: 10.7748/ncyp.28.5.29.s23.
Pain assessment is crucial to achieving optimal pain management in children. Pain that is insufficiently controlled can have extensive short- and long-term repercussions. Many studies continue to report that children experience unnecessary post-operative pain when they are in hospital. The purpose of this literature review was to explore post-operative pain assessment practices used by children's nurses. A literature search of databases was undertaken and inclusion criteria identified. Four themes emerged: pain assessment tools; behavioural cues; documentation; and communication between child, parent/carer and nurse. The findings showed that pain assessment tools were inadequately used, that children's behavioural cues were misinterpreted, and that there was inconsistency in the documentation of pain scores and in communication about pain scores between children, parent/carer and nurse. Addressing the key issues identified from the articles reviewed can help improve nursing practice and care.
疼痛评估对于实现儿童最佳疼痛管理至关重要。控制不足的疼痛可能会产生广泛的短期和长期影响。许多研究继续报告称，儿童住院期间会经历不必要的术后疼痛。这篇文献综述的目的是探讨儿童护士使用的术后疼痛评估方法。对数据库进行了文献检索并确定了纳入标准。出现了四个主题：疼痛评估工具；行为线索；记录；以及儿童、家长/照顾者与护士之间的沟通。研究结果表明，疼痛评估工具使用不足，儿童的行为线索被误解，疼痛评分的记录以及儿童、家长/照顾者与护士之间关于疼痛评分的沟通存在不一致。解决从所审查文章中确定的关键问题有助于改善护理实践和护理质量。
