Bonacaro Antonio, Granata Carlotta, Canini Chiara, Anderle Lucrezia, Ambrosi Federica, Bassi Maria Chiara, Biasucci Giacomo, Contini Andrea, Artioli Giovanna, La Malfa Elisa, Guasconi Massimo
Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy.
Azienda USL of Piacenza, 29121 Piacenza, Italy.
Epidemiologia (Basel). 2025 Feb 20;6(1):9. doi: 10.3390/epidemiologia6010009.
Inadequate pain treatment in pediatric patients can cause long-term physical and psychological issues. Accurate detection of pain presence and intensity is crucial, especially in Neonatal and Pediatric Sub-Intensive Care Units. Due to uncertainties about the best pain assessment tool in these settings, it is necessary to review the literature to identify the available evidence.
A scoping review was performed to address the question: What tools are available for pain assessment in non-sedated, non-intubated pediatric patients in sub-intensive care? Searches were conducted in databases including PubMed, Scopus, Embase, CINAHL, Cochrane Library, Web of Science, Open Dissertation, as well as CENTRAL and ClinicalTrials.gov registries.
The review included 27 studies, revealing various tools for pain assessment in pediatric sub-intensive settings. All studies favored the use of multidimensional scales, combining physiological and behavioral indicators.
This review offers a comprehensive overview of the tools for pain assessment in pediatric patients in sub-intensive care settings but does not determine a single best tool. Most studies focused on the validation, translation, and adaptation of these tools. Further research is needed on the practical application of these tools and the perceptions of those administering them.
儿科患者疼痛治疗不充分会导致长期的身体和心理问题。准确检测疼痛的存在和强度至关重要，尤其是在新生儿和儿科亚重症监护病房。由于在这些环境中最佳疼痛评估工具存在不确定性，有必要回顾文献以确定现有证据。
进行了一项范围综述，以解决以下问题：在亚重症监护中，非镇静、非插管的儿科患者有哪些可用的疼痛评估工具？在包括PubMed、Scopus、Embase、CINAHL、Cochrane图书馆、科学网、开放论文以及CENTRAL和ClinicalTrials.gov注册库在内的数据库中进行了检索。
该综述纳入了27项研究，揭示了儿科亚重症环境中各种疼痛评估工具。所有研究都倾向于使用多维量表，将生理和行为指标结合起来。
本综述全面概述了儿科亚重症监护环境中患者的疼痛评估工具，但未确定单一的最佳工具。大多数研究集中在这些工具的验证、翻译和改编上。需要对这些工具的实际应用以及使用它们的人员的看法进行进一步研究。
