Higginson Andrea, Forgeron Paula, Dick Bruce, Harrison Denise
School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Can J Pain. 2018 Jun 22;2(1):169-181. doi: 10.1080/24740527.2018.1484663. eCollection 2018.
Practices to support the transition of a young person from the pediatric to the adult health care setting have been examined for many chronic illness populations. However, specific transition practices to support young people with chronic pain have not been examined.
The aim of this study was to describe the current nursing practices used in the pediatric and the adult health care to support transition of young people with chronic pain in Canada.
An online survey of pediatric and adult chronic pain nurses' self-reported transition practices was conducted.
Twenty-two nurses completed the survey, 10 (45.5%) from the pediatric chronic pain setting and 12 (54.4%) from the adult chronic pain setting. Of the pediatric nurses surveyed none reported using a psychometrically valid tool to assess a young person's readiness of general transition skills; however, one reported using a tool to assess understanding of chronic pain. Most health care facilities in which these pediatric nurses worked offered a general transition clinic, but only one of these facilities also had a chronic pain transition clinic. Nurses in both settings perceived that young people experience increased levels of distress during transition yet most did not report using formal transition practices in their care.
Nursing practices and clinic resources to support the transition of young people with chronic pain may not meet the needs of this population. Practices may benefit from the use of psychometrically validated tools to assess general transition preparedness. Research is needed to adapt tools and determine best transition practices for the chronic pain population.
针对许多慢性病群体，已对支持年轻人从儿科医疗环境过渡到成人医疗环境的做法进行了研究。然而，尚未对支持慢性疼痛青少年的具体过渡做法进行研究。
本研究的目的是描述加拿大儿科和成人医疗保健中用于支持慢性疼痛青少年过渡的当前护理做法。
对儿科和成人慢性疼痛护士自我报告的过渡做法进行了在线调查。
22名护士完成了调查，其中10名（45.5%）来自儿科慢性疼痛科室，12名（54.4%）来自成人慢性疼痛科室。在接受调查的儿科护士中，没有人报告使用心理测量有效的工具来评估年轻人一般过渡技能的准备情况；然而，有一名护士报告使用了一种工具来评估对慢性疼痛的理解。这些儿科护士工作的大多数医疗机构都设有一般过渡诊所，但其中只有一家机构也设有慢性疼痛过渡诊所。两个科室的护士都认为年轻人在过渡期间的痛苦程度有所增加，但大多数人在护理中并未报告使用正式的过渡做法。
支持慢性疼痛青少年过渡的护理做法和诊所资源可能无法满足该人群的需求。这些做法可能受益于使用心理测量有效的工具来评估一般过渡准备情况。需要开展研究来调整工具并确定针对慢性疼痛人群的最佳过渡做法。
