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使用图片评估儿童疼痛部位。

Using Pictures to Assess Pain Location in Children.

作者信息

Mesko Phyllis J, Eliades Aris Beoglos

出版信息

J Perianesth Nurs. 2018 Jun;33(3):319-324. doi: 10.1016/j.jopan.2016.11.010. Epub 2017 Apr 13.

DOI:10.1016/j.jopan.2016.11.010
PMID:29784262
Abstract

PURPOSE

This study uses the Pain Area Locator (PAL) tool, a picture communication aid with body and medical equipment icons, to identify pain location in postoperative pediatric patients and assesses discrepancies between nurses' pain location assessment and pain location identified using the PAL tool.

DESIGN

This descriptive study used a quantitative, comparative design, with a convenience sample of pediatric postoperative patients undergoing same-day surgeries at a free-standing, acute care, Magnet designated pediatric hospital.

METHODS

The child's pain location was assessed by asking the child to point to one of the 12 pictures on the PAL tool of where they hurt.

FINDINGS

All 41 (100%) of the postoperative children in the study demonstrated ability to use the PAL tool. The child identified a pain location in 34 assessments (83%) when the nurse documented no pain location.

CONCLUSIONS

This investigation expands on previous evidence supporting that children can use the PAL tool to identify the pain location postoperatively.

摘要

目的

本研究使用疼痛区域定位器(PAL)工具,一种带有身体和医疗设备图标 的图片沟通辅助工具,来确定儿科术后患者的疼痛位置,并评估护士对疼痛位置的评估与使用PAL工具确定的疼痛位置之间的差异。

设计

本描述性研究采用定量、比较性设计,以一家独立的、急症护理、获得磁体认证的儿科医院中接受当日手术的儿科术后患者为便利样本。

方法

通过让儿童指出PAL工具上12张图片中他们疼痛部位的其中一张,来评估儿童的疼痛位置。

结果

研究中的所有41名(100%)术后儿童都表现出使用PAL工具的能力。当护士记录无疼痛位置时,儿童在34次评估中(83%)确定了疼痛位置。

结论

本调查扩展了先前的证据,支持儿童可以使用PAL工具来确定术后疼痛位置。

相似文献

1
Using Pictures to Assess Pain Location in Children.使用图片评估儿童疼痛部位。
J Perianesth Nurs. 2018 Jun;33(3):319-324. doi: 10.1016/j.jopan.2016.11.010. Epub 2017 Apr 13.
2
Use of picture communication aids to assess pain location in pediatric postoperative patients.使用图片交流辅助工具评估儿科术后患者的疼痛部位。
J Perianesth Nurs. 2011 Dec;26(6):395-404. doi: 10.1016/j.jopan.2011.09.006.
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Nurses' assessments and management of pain in children having orthopedic surgery.护士对接受骨科手术儿童的疼痛评估与管理。
Issues Compr Pediatr Nurs. 1998 Jan-Mar;21(1):1-18. doi: 10.1080/01460869808951124.
4
[Evaluation of pain in children. Nursing care].[儿童疼痛评估。护理照护]
Rech Soins Infirm. 2000 Mar(60):86-116.
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Clinical outcomes of educating nurses about pediatric pain management.对护士进行儿科疼痛管理教育的临床结果。
Outcomes Manag Nurs Pract. 1999 Apr-Jun;3(2):87-9.
6
Comparisons of pain ratings from postoperative children, their mothers, and their nurses.对术后儿童、其母亲和护士的疼痛评分进行比较。
Pediatr Nurs. 1996 Mar-Apr;22(2):145-9.
7
The COMFORT behavioural scale and the modified FLACC scale in paediatric intensive care.儿科重症监护中的COMFORT行为量表和改良的FLACC量表。
Nurs Crit Care. 2009 May-Jun;14(3):122-30. doi: 10.1111/j.1478-5153.2009.00323.x.
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Children's nurses' post-operative pain assessment practices.儿童护士的术后疼痛评估实践。
Nurs Child Young People. 2016 Jun 8;28(5):29-33. doi: 10.7748/ncyp.28.5.29.s23.
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Validity of parent ratings as proxy measures of pain in children with cognitive impairment.家长评分作为认知障碍儿童疼痛替代指标的有效性。
Pain Manag Nurs. 2005 Dec;6(4):168-74. doi: 10.1016/j.pmn.2005.08.004.
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Assessment of postoperation pain in children and adolescents using the adolescent pediatric pain tool.使用青少年儿科疼痛工具评估儿童和青少年的术后疼痛
Nurs Res. 1993 Jan-Feb;42(1):5-9.

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Children (Basel). 2020 Oct 15;7(10):184. doi: 10.3390/children7100184.
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