Postoperative pain in children: Comparison between ratings of children and nurses
Postoperative pain in children: Comparison between ratings of children and nurses
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DOI：
10.1016/0885-3924(95)00136-0
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发表时间：
1996-01-01
影响因子：
4.7
通讯作者：
Rasmussen, M
中科院分区：
文献类型：
--
作者：
Romsing, J;MollerSonnergaard, J;Rasmussen, M
关于儿童术后疼痛的镇痛治疗的决定通常是基于护士的判断。北美的几项研究表明，护士低估了儿童所经历的疼痛程度。需要进行更多调查来评估这个问题对拥有不同医疗保健系统的其他国家和社会的儿童的影响程度。本研究的目的是检查丹麦一家医院儿童的疼痛评级与护士对儿童疼痛的评级之间的关系。通过比较 3-15 岁儿童扁桃体切除术后的疼痛等级来研究这个问题。评级是通过使用扑克筹码工具和10厘米视觉模拟标尺获得的。总的来说，护士低估了孩子们的痛苦。镇痛药后差异最为明显（P < 0.001）。护士往往高估镇痛药的效果。尽管儿童和护士疼痛评分之间的相关性具有统计学意义（r = 0.35-0.43，P < 0.001），但研究结果表明护士不擅长解释患者的疼痛。丹麦儿童和护士的这些结果与其他人群的研究相似。
Frequently decisions about analgesic treatment of postoperative pain in children are based on judgments made by nurses. Several studies from North America indicate that nurses underestimate the amount of pain experienced by children. Additional investigations are required to evaluate the extent to which this problem affects children in other countries and societies that have various health-care systems. The purpose of this study, was to examine the relationship between children's ratings of their pain and the nurses' ratings of the children 's pain in a Danish hospital. The issue was examined by comparing the pain ratings of too children 3-15 years of age following tonsillectomy. The ratings were obtained by using the poker chip tool and a 10-cm visual analogue scale. In general, nurses underestimated the children's pain. The differences were most pronounced after analgesics (P < 0.001). The nurses tended to overestimate the effect of analgesics. Although the correlations between the children's and the nurses pain scores were statistically significant (r = 0.35-0.43, P < 0.001), the findings indicate that the nurses are not good at interpreting the patients' pain. These results from Danish children and nurses are similar to studies in other populations.