Atkinson L
Contemp Nurse. 1996 Jun;5(2):64-70.
In this overview of paediatric pain management the physiological and psychological effects of untreated pain are described. Reasons for the undertreatment of pain are identified as incorrect assumptions about children and pain; personal attitudes of families, nurses and physicians; inadequate research and training; and assessment difficulties. The problems of paediatric pain assessment are considered and an assessment strategy known as QUESTT is presented. Pharmacological and nonpharmacological interventions are discussed and the conclusion reached that despite the difficulties, infant and child pain can be controlled by using adequate nursing knowledge and treatment.
在这篇儿科疼痛管理综述中，描述了未治疗疼痛的生理和心理影响。疼痛治疗不足的原因被确定为对儿童和疼痛的错误假设；家庭、护士和医生的个人态度；研究和培训不足；以及评估困难。文中考虑了儿科疼痛评估的问题，并提出了一种名为QUESTT的评估策略。讨论了药物和非药物干预措施，并得出结论：尽管存在困难，但通过运用足够的护理知识和治疗方法，可以控制婴幼儿和儿童的疼痛。
