Pate Joshua W, Hush Julia M, Hancock Mark J, Moseley G Lorimer, Butler David S, Simons Laura E, Pacey Verity
Faculty of Medicine and Health Sciences, Macquarie University, Sydney, NSW 2109, Australia.
Sansom Institute for Health Research, University of South Australia, Adelaide, SA 5001, Australia.
Children (Basel). 2018 Jan 15;5(1):12. doi: 10.3390/children5010012.
A child's 'concept of pain' refers to how they understand what pain actually is, what function pain serves, and what biological processes are thought to underpin it. We aimed to determine pediatric pain experts' opinions of: (1) the importance and usefulness of assessing a child's concept of pain in clinical and/or research settings; (2) the usefulness of the content of items within currently published adult-targeted resources for assessing a child's concept of pain; and (3) important domains of a child's concept of pain to assess. Forty-nine pediatric pain experts (response rate = 75.4%) completed an online survey. Descriptive statistics and frequency of responses were analyzed. Experts from all included disciplines reported that assessing a child's concept of pain is important and useful both clinically and in a research setting (>80% reported very or extremely useful for each item). Experts considered that the content of 13 items from currently published adult-targeted resources was useful, but the wording was too complex for children aged 8-12 years. Experts considered that all seven of the proposed domains of a child's concept of pain was important to assess. The findings can be used to inform the development of an assessment tool for a child's concept of pain.
儿童的“疼痛概念”是指他们如何理解疼痛的实际本质、疼痛所起的作用以及被认为构成疼痛基础的生物过程。我们旨在确定儿科疼痛专家对以下方面的看法：（1）在临床和/或研究环境中评估儿童疼痛概念的重要性和实用性；（2）当前已发表的针对成人的资源中各项内容对于评估儿童疼痛概念的实用性；（3）需要评估的儿童疼痛概念的重要领域。49名儿科疼痛专家（回复率 = 75.4%）完成了一项在线调查。对描述性统计数据和回复频率进行了分析。所有纳入学科的专家都报告称，评估儿童的疼痛概念在临床和研究环境中都很重要且有用（超过80%的专家报告称对每个项目都非常或极其有用）。专家们认为，当前已发表的针对成人的资源中13项内容是有用的，但措辞对于8至12岁的儿童来说过于复杂。专家们认为，所提出的儿童疼痛概念的所有七个领域都需要进行评估。这些研究结果可用于为儿童疼痛概念评估工具的开发提供参考。
