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儿童与疼痛:基于家长视角的评估与管理

Children and pain: Assessment and management according to parents' perspective.

作者信息

Ndengeyingoma Assumpta, Lebel Valérie, Alvarez Sandra Bonilla

机构信息

Department of Nursing, Université du Québec en Outaouais, Gatineau, Québec, Canada.

出版信息

Res Nurs Health. 2023 Feb;46(1):93-100. doi: 10.1002/nur.22271. Epub 2022 Oct 26.

DOI:10.1002/nur.22271
PMID:36286326
Abstract

Pain in children is frequent. Parents evaluate their children's pain to decide how to manage it or to share information with caregivers. This qualitative descriptive study aims to identify elements influencing the evaluation and management of pain in children from a parent's perspective. Participants were recruited through a pediatric center and university family medicine clinic. Participants had to have used medication for their child that was prescribed "as needed" to manage their child's pain in the month preceding the interview, whether it was a prescription-strength medication or an over-the-counter strength prescription. Semi-directed interviews 30-45 min in duration were conducted with 16 parents in the Outaouais region of Quebec (Canada), either at the participant's home or by phone (after the declaration of the COVID-19 pandemic). A thematic analysis was completed to identify themes in the data from these individual interviews. The evaluation of children's pain by their parents is influenced by the parents' experience with pain and the expression of the pain by the children, whereas the actions to relieve the pain are based on the beliefs surrounding pain management in children. Evaluation of pain is complex since many parents' beliefs influence this evaluation and the subsequent pain management. The study results raise healthcare professionals' awareness regarding several elements which influence the evaluation of children's pain and its management by their parents.

摘要

儿童疼痛很常见。父母会评估孩子的疼痛情况,以决定如何应对,或与护理人员分享相关信息。这项定性描述性研究旨在从父母的角度确定影响儿童疼痛评估和处理的因素。参与者是通过一家儿科中心和大学家庭医学诊所招募的。参与者必须在访谈前一个月内曾为孩子使用过“按需”开具的药物来缓解孩子的疼痛,无论是处方强度的药物还是非处方强度的药物。对加拿大魁北克渥太华地区的16名父母进行了时长30 - 45分钟的半结构化访谈,访谈在参与者家中或通过电话进行(在宣布新冠疫情之后)。完成了主题分析,以确定这些个人访谈数据中的主题。父母对孩子疼痛的评估受父母自身的疼痛经历以及孩子疼痛表现的影响,而缓解疼痛的行动则基于围绕儿童疼痛管理的观念。疼痛评估很复杂,因为许多父母的观念会影响这一评估以及后续的疼痛管理。研究结果提高了医疗保健专业人员对影响父母对儿童疼痛评估及其处理的若干因素的认识。

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