Jordan Isabel, Martens Rachel, Birnie Kathryn A
Squamish BC Canada.
Calgary AB Canada.
Paediatr Neonatal Pain. 2021 Jul 18;3(3):119-122. doi: 10.1002/pne2.12059. eCollection 2021 Sep.
In 2020, the International Association for the Study of Pain (IASP) revised the definition of pain, providing an update to IASP's original definition in place since 1979. The origins of the field of pediatric pain, born in part in the 1980s from the advocacy of Jill Lawson, mother to Jeffrey Lawson who experienced gross inadequacies in pain care as a premature infant, emphasize the critical need to listen to and act with the voice of people living with pain and their families and caregivers. Furthermore, the field of pediatric pain emerged in the mid-1980s marking this revised definition of pain as the first opportunity within which the experience and science of pain in childhood has been considered. This invited commentary offers two lived experience reactions to the revised IASP definition of pain, from the perspective of one's own experience with pain during childhood and as parents and family members. Together, they highlight that the value of a revised definition must be judged on its ability to directly benefit children experiencing pain and their families. Their skeptical hope reflects their lived experience backed by empirical evidence demonstrating continued inequities and inadequacies in preventing and managing pediatric pain. We must mobilize together to ensure change in culture, knowledge, and behavior. With the combined efforts of researchers, healthcare professionals, and policymakers, in partnership with diverse people with lived experience, we can ensure that more effective action is taken to rapidly improve pain for children and their families.
2020年,国际疼痛研究协会(IASP)修订了疼痛的定义,对自1979年以来一直沿用的IASP原始定义进行了更新。儿科疼痛领域部分起源于20世纪80年代,杰弗里·劳森的母亲吉尔·劳森倡导该领域,杰弗里·劳森作为早产儿在疼痛护理方面经历了严重不足,这凸显了倾听疼痛患者及其家人和护理人员的声音并采取行动的迫切需求。此外,儿科疼痛领域出现在20世纪80年代中期,这标志着此次修订的疼痛定义是首次将儿童期疼痛的体验和科学纳入考虑范围。这篇特邀评论从一个人童年时期以及作为父母和家庭成员的疼痛经历的角度,对IASP修订后的疼痛定义给出了两种基于亲身经历的反应。它们共同强调,修订后定义的价值必须根据其能否直接造福于经历疼痛的儿童及其家庭来评判。他们带着怀疑的希望反映了他们的亲身经历,并有实证证据表明在预防和管理儿科疼痛方面仍然存在不平等和不足。我们必须共同行动起来,确保文化、知识和行为发生改变。通过研究人员、医疗保健专业人员和政策制定者的共同努力,与有不同亲身经历的人合作,我们可以确保采取更有效的行动,迅速改善儿童及其家庭的疼痛状况。