Gregory Seth W, Aul Andrea J, Lodermeier Tara M, Rodemeyer Jennifer L, Weaver Amy L, Lynch Brian A
Department of Pediatric and Adolescent Medicine Mayo Clinic Health System Red Wing Minnesota USA.
Department of Pediatric and Adolescent Medicine Mayo Clinic Rochester Minnesota USA.
Paediatr Neonatal Pain. 2023 Mar 1;5(3):66-75. doi: 10.1002/pne2.12101. eCollection 2023 Sep.
This study evaluated the effect of the Certified Child Life Specialist (CCLS) on pediatric pain and pain management during routine immunization administration in the pediatric primary care clinic. Children 4-12 years of age ( = 125) presenting for a well child physical examination at a rural primary care clinic were selected to receive standard nursing care or standard nursing care plus CCLS support during routine immunization administration. Patient reported pain was measured using the Faces Pain Scale-Revised (FPS-R), and patient behavioral responses were measured during immunization administration using the Children's Emotional Manifestation Scale (CEMS). The performance of psychosocial interventions and administration of topical pain-relieving interventions were measured between both groups. CCLS support was associated with fewer negative emotional behaviors during immunization administration among 7- to 12-year-old children and a significantly higher provision of psychosocial interventions and topical pain-relieving interventions among all ages. This study demonstrates that the presence of a CCLS can increase the provision of psychosocial and pain-relieving interventions and reduce distress during immunization administration in a busy pediatric primary care clinic.
本研究评估了认证儿童生活专家（CCLS）对儿科初级保健诊所常规免疫接种过程中儿童疼痛及疼痛管理的影响。选取在农村初级保健诊所进行健康儿童体格检查的4至12岁儿童（n = 125），在常规免疫接种过程中，让他们接受标准护理或标准护理加CCLS支持。使用面部疼痛量表修订版（FPS-R）测量患者报告的疼痛，并在免疫接种过程中使用儿童情绪表现量表（CEMS）测量患者的行为反应。测量两组之间心理社会干预的实施情况和局部止痛干预措施的使用情况。CCLS支持与7至12岁儿童免疫接种过程中较少的负面情绪行为相关，并且在所有年龄段中，心理社会干预和局部止痛干预措施的提供显著更多。本研究表明，在繁忙的儿科初级保健诊所中，CCLS的存在可以增加心理社会和止痛干预措施的提供，并减少免疫接种过程中的痛苦。
