Rømsing J, Walther-Larsen S
H:S Rigshospitalet, anaestesiafdelingen.
Ugeskr Laeger. 1997 Jan 20;159(4):419-21.
In order to improve postoperative pain management in children, the parents of 31 elective surgical children, three months to 15 years of age, were asked preoperatively about their expectations regarding their children's postoperative pain and pain relief. At 24 hours after surgery, the parents were asked about their perceptions of their children's pain and pain control. The survey indicates that the parents had high expectations of good pain relief. Eighty percent wanted effective analgesia administered promptly when the children had some pain. On the whole the parents' perceptions corresponded to their expectations. However, current practice in controlling pain after surgery is still not optimal. Twenty-nine percent (9) of the children experienced severe or unbearable pain or experienced pain for all of the 24 h after surgery. An approach to improve pain management in children could be for the hospital staff to reorganize and to develop an "acute pain service". A pain service may not require new technology, but could instead be based on more effective communication and skill in utilizing the traditional systems.
为改善儿童术后疼痛管理，对31名年龄在3个月至15岁之间接受择期手术的儿童的家长在术前询问了他们对孩子术后疼痛及疼痛缓解的期望。术后24小时，询问家长对孩子疼痛及疼痛控制的看法。调查表明家长对良好的疼痛缓解有很高期望。80%的家长希望孩子疼痛时能迅速给予有效镇痛。总体而言，家长的看法与他们的期望相符。然而，目前术后疼痛控制的做法仍不理想。29%（9名）儿童经历了严重或难以忍受的疼痛，或在术后24小时内一直疼痛。改善儿童疼痛管理的一种方法可能是医院工作人员进行重组并建立“急性疼痛服务”。疼痛服务可能不需要新技术，而是可以基于更有效的沟通以及运用传统系统的技能。
