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儿科和急诊医学住院医师评估和治疗各年龄段儿科患者疼痛的舒适度。

Pediatric and emergency medicine resident comfort assessing and treating pediatric pain across pediatric age groups.

机构信息

Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, 10305 NY, USA.

Department of Biostatistics, Staten Island University Hospital Northwell Health, Staten Island, 10305 NY, USA.

出版信息

Pain Manag. 2023 Jun;13(6):343-350. doi: 10.2217/pmt-2023-0019. Epub 2023 Jul 12.

Abstract

Assess pediatric and emergency medicine (EM) resident comfort treating and assessing pediatric pain. Pediatric and EM residents at a single institution (SIUH Northwell Health in New York) completed an anonymous survey 6 months into the academic year regarding comfort assessing and treating pediatric pain. A total of 40 (16/24 EM and 24/24 pediatric) residents completed this survey: 20% (8/24) pediatric first year residents, 40% (16/40) pediatric second year and above, 20% (8/40) EM first year and 20% (8/40) EM second year and above. A 46% (11/24) pediatric and 12% (2/16) EM residents were comfortable assessing neonatal pain (p < 0.05). A 38% (9/24) pediatric residents were comfortable treating neonatal pain compared with 12% (2/16) EM residents (p < 0.05). Both resident groups reported increasing comfort assessing and treating pain with increasing patient age. Both residents groups reported limitations in comfort assessing and treating pediatric pain, especially in younger patients. Education for both groups is important to optimize pediatric pain management.

摘要

评估儿科和急诊医学(EM)住院医师治疗和评估儿科疼痛的舒适度。在纽约北岸大学健康系统 SIUH 一家机构的儿科和 EM 住院医师在学年的第 6 个月完成了一项关于评估和治疗儿科疼痛的舒适度的匿名调查。共有 40 名(24 名儿科和 16 名 EM)住院医师完成了这项调查:20%(24 名儿科中的 8 名)为儿科第一年住院医师,40%(40 名中的 16 名)为儿科第二年及以上住院医师,20%(40 名 EM 中的 8 名)为 EM 第一年住院医师,20%(40 名 EM 中的 8 名)为 EM 第二年及以上住院医师。46%(24 名儿科中的 11 名)儿科住院医师和 12%(16 名 EM 中的 2 名)EM 住院医师对评估新生儿疼痛感到舒适(p<0.05)。38%(24 名儿科中的 9 名)儿科住院医师对治疗新生儿疼痛感到舒适,而 EM 住院医师中只有 12%(16 名 EM 中的 2 名)(p<0.05)。两个住院医师群体都报告说,随着患者年龄的增长,他们对评估和治疗疼痛的舒适度也在增加。两个住院医师群体都报告说,他们在评估和治疗儿科疼痛方面存在限制,尤其是在年龄较小的患者中。为了优化儿科疼痛管理,对两个群体进行教育都很重要。

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