Randall Cameron L, Zahlis Ellen, Chi Donald L
Dr. Randall is an acting assistant professor, Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, Wash., USA;, Email:
Ms. Zahlis is a research consultant, School of Nursing, University of Washington, Seattle, Wash., USA.
Pediatr Dent. 2020 Sep 15;42(5):350-353.
Acute pain experienced during dental procedures can lead to distress, difficulty with behavior guidance, and dental fear/avoidance. The purpose of this study was to explore dental providers' perceptions of pediatric procedure-related pain and acute pain assessment practices. Fifteen dental providers (53 percent female; nine dentists, three dental therapists, three dental hygienists) currently/formerly employed by a single rural Alaskan health care organization were interviewed using a semi-structured guide. Recorded interviews were transcribed, verified, and coded using inductive qualitative analytic methods. Six providers suggested that pediatric procedure-related pain is rarely encountered. Providers who reported encountering it rely on observation of body language, facial expression, behavior, crying, and verbalization to know whether a child is experiencing procedural pain. Even when available, only four interviewees reported using standardized pain scales. Dental providers have mixed perceptions about whether they encounter pediatric procedure-related pain. There is high variability in how providersassess procedural pain, and approaches often are nonstandardized.
牙科治疗过程中经历的急性疼痛会导致患者痛苦、行为引导困难以及牙科恐惧/回避。本研究的目的是探讨牙科医疗人员对儿科治疗相关疼痛及急性疼痛评估方法的看法。对目前或曾经受雇于阿拉斯加农村一家医疗保健机构的15名牙科医疗人员（53%为女性；9名牙医、3名牙科治疗师、3名牙科保健员）进行了访谈，采用半结构化指南。对录音访谈进行转录、核实，并使用归纳定性分析方法进行编码。6名医疗人员表示很少遇到儿科治疗相关疼痛。报告遇到过此类疼痛的医疗人员依靠观察肢体语言、面部表情、行为、哭闹和言语表达来判断儿童是否正在经历治疗过程中的疼痛。即使有标准化疼痛量表，也只有4名受访者表示会使用。牙科医疗人员对是否遇到儿科治疗相关疼痛看法不一。医疗人员评估治疗过程中疼痛的方式差异很大，且方法往往不规范。
