Stevens B, Koren G
Faculty of Nursing, University of Toronto, Ontario, Canada.
Curr Opin Pediatr. 1998 Apr;10(2):203-7. doi: 10.1097/00008480-199804000-00016.
The impact of pain on infants has been the topic of increasing research interest over the past decade. Although pain is now known to be stressful and the source of immediate and long term consequences, inadequate progress has been made in infant pain management. Research evidence provides the basis for effective pain management. However, the quality of the evidence, inconsistent findings, and the perceived lack of clinical relevance may have hindered the utilization of research on infant pain management in clinical practice. Reconceptualization of the definition of pain, increased methodologic rigor, validated assessment approaches, and systematic reviews of research studies on pain management may provide the opportunity for improved pain management using evidence-based practice.
在过去十年中,疼痛对婴儿的影响一直是研究兴趣日益浓厚的主题。尽管现在已知疼痛会造成压力,且是即时和长期后果的根源,但婴儿疼痛管理方面进展不足。研究证据为有效的疼痛管理提供了基础。然而,证据的质量、不一致的研究结果以及临床相关性的缺失可能阻碍了婴儿疼痛管理研究在临床实践中的应用。对疼痛定义的重新概念化、方法学严谨性的提高、经过验证的评估方法以及对疼痛管理研究的系统评价,可能为采用循证实践改善疼痛管理提供机会。