Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil.
Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2022 May 30;56:e20220008. doi: 10.1590/1980-220X-REEUSP-2022-0008en. eCollection 2022.
To characterize pain management in hospitalized children.
This is an observational, cross-sectional, retrospective and descriptive study of quantitative approach, carried out in a secondary hospital in the city of São Paulo, through analysis of 1,251 medical records of children admitted to the pediatric department. Data were tabulated and analyzed through descriptive statistics.
A total of 88.8% of children were assessed for pain with standardized instruments and 86% had analgesia prescribed. Among the assessments, 37.8% of the children had pain; of these, 26% had severe pain, greater in orthopedic conditions; 18.3% were not medicated, even with the presence of pain and prescribed analgesia; 4.3% had no analgesics prescribed; only 0.4% received non-pharmacological measures, and 40.3% had a report of reassessment. Professionals provided greater analgesia to children with surgical and orthopedic conditions compared to clinical conditions (p < 0.05).
Pain management in hospitalized children is ineffective, from initial assessments to reassessments after interventions, with prioritization of medication actions guided by professional judgment in the face of pain complaints.
描述住院儿童的疼痛管理情况。
这是一项观察性、横断面、回顾性和描述性研究，采用定量方法，在圣保罗市的一家二级医院进行，通过分析儿科病房 1251 名住院儿童的病历进行研究。通过描述性统计对数据进行制表和分析。
共有 88.8%的儿童使用标准化工具评估疼痛，86%的儿童开具了镇痛药物。在评估中，37.8%的儿童有疼痛；其中 26%的儿童疼痛严重，在骨科疾病中更为常见；18.3%的儿童未接受药物治疗，即使有疼痛且开具了镇痛药物；4.3%的儿童未开具镇痛药物；仅 0.4%的儿童接受了非药物治疗，40.3%的儿童有再评估报告。与临床疾病相比，外科和骨科疾病的儿童得到了更多的镇痛药物（p<0.05）。
住院儿童的疼痛管理效果不佳，从初始评估到干预后的再评估，在面对疼痛主诉时，药物治疗的优先顺序取决于专业判断。
