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儿童在住院期间仍会经历疼痛:来自欧洲四个国家的横断面研究。

Children still experience pain during hospital stay: a cross-sectional study from four countries in Europe.

机构信息

Faculty of Health and Society, Department of Care Science, Malmö University, SE-205 06, Malmö, Sweden.

School of nursing, Vinogradska, Zagreb, Croatia.

出版信息

BMC Pediatr. 2020 Jan 29;20(1):39. doi: 10.1186/s12887-020-1937-1.

Abstract

BACKGROUND

Little is known whether children experience pain during hospital stay from the child's own perspective or not. The existing studies tend to be based on a small number of children and therefore have limitations concerning the generalisability of the results.

AIM

The aim of this study was to describe children's self-reported pain and experience concerning pain management during hospital stay.

METHODS

This study has a quantitative cross-sectional design with descriptive statistics as data analysis.

RESULTS

A total of 786 questionnaires, Pain in Children in Hospital, were distributed in four countries with the response rate of 75% which was almost equal between countries. Our result showed that 87% (503/579) children at hospital self-reported pain during the past 24 h. Nearly 63% of the children reported a pain score of > 5 the last 24 h. Most of children reported that they had received a question about pain from the hospital staff, and that the staff observed and assessed their pain. Totally 95% reported that they were satisfied with their pain relief during the last 24 h.

CONCLUSION

Our study showed that when children were given the possibility to self-report pain, nearly 2/3 expressed that they had experienced pain during hospital stay. However, most of them reported satisfaction with pain management and their pain relief.

摘要

背景

目前尚不清楚儿童是否从自身角度体验到住院期间的疼痛。现有研究往往基于少数儿童,因此在结果的普遍性方面存在局限性。

目的

本研究旨在描述儿童在住院期间自我报告的疼痛和疼痛管理体验。

方法

本研究采用定量横断面设计,描述性统计分析作为数据分析方法。

结果

共在四个国家发放了 786 份《儿童住院疼痛量表》,回复率为 75%,各国之间几乎相等。我们的结果显示,87%(503/579)的住院儿童在过去 24 小时内自我报告疼痛。近 63%的儿童报告过去 24 小时的疼痛评分>5。大多数儿童报告说他们曾收到医院工作人员关于疼痛的询问,并且工作人员观察并评估了他们的疼痛。总共 95%的儿童报告说他们对过去 24 小时的疼痛缓解感到满意。

结论

我们的研究表明,当儿童有机会自我报告疼痛时,近 2/3的儿童表示在住院期间经历过疼痛。然而,他们中的大多数人报告对疼痛管理和疼痛缓解感到满意。

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