一项关于手臂骨折儿童在家疼痛体验的定性研究。
A qualitative study of the at-home pain experience for children with an arm fracture.
作者信息
Hanson Aaron, Drendel Amy L
机构信息
Medical College of Wisconsin - Pediatrics, Milwaukee, Wisconsin, USA.
出版信息
Paediatr Child Health. 2017 Jul;22(4):207-210. doi: 10.1093/pch/pxx068. Epub 2017 Jun 15.
OBJECTIVE
Most children treated in the emergency department (ED) with painful conditions are discharged home to the care of their parents. There is growing evidence that at-home pain management is inadequate. No studies have evaluated the child's report of their at-home pain experience. Our objective was to explore the child's perspective on the pain experience at home after ED discharge.
METHODS
We performed semistructured interviews with children aged 4 to 14 years discharged from the ED with an arm fracture. Interviews occurred at the child's home and were recorded and transcribed verbatim. Using a narrative analysis, themes were identified.
RESULTS
A total of 30 children were interviewed. Overall, three distinct themes regarding the pain experience were identified: (1) issues of communication between children and their parents regarding pain management, (2) issues of communication between children and ED health care personnel and (3) misunderstandings by children about pain and pain medication.
CONCLUSION
Communication is a critical barrier to optimizing the at-home pain experience. This novel information may be used to develop innovative interventions directed at the child and parent to improve the at-home pain experience.
目的
大多数在急诊科（ED）接受疼痛疾病治疗的儿童出院后由父母在家照顾。越来越多的证据表明，家庭疼痛管理并不充分。尚无研究评估儿童对其在家疼痛经历的报告。我们的目的是探讨儿童对急诊出院后在家疼痛经历的看法。
方法
我们对4至14岁因手臂骨折从急诊科出院的儿童进行了半结构化访谈。访谈在儿童家中进行，录音并逐字转录。采用叙事分析确定主题。
结果
共访谈了30名儿童。总体而言，确定了关于疼痛经历的三个不同主题：（1）儿童与其父母之间关于疼痛管理的沟通问题，（2）儿童与急诊科医护人员之间的沟通问题，以及（3）儿童对疼痛和止痛药的误解。
结论
沟通是优化家庭疼痛体验的关键障碍。这些新信息可用于开发针对儿童和家长的创新干预措施，以改善家庭疼痛体验。
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