Caregiver-Reported Pain Management Practices for Individuals With Cerebral Palsy.
Caregiver-Reported Pain Management Practices for Individuals With Cerebral Palsy.
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DOI：
10.1016/j.arrct.2021.100105
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发表时间：
2021-03
影响因子：
--
通讯作者：
Symons FJ
中科院分区：
文献类型：
--
作者：
Raiter AM;Burkitt CC;Merbler A;Lykken L;Symons FJ
调查脑瘫（CP）患者疼痛的类型和强度，以及护理人员常用的缓解疼痛的方法。该方法是横断面的，采用标准化访谈。患有CP的个体是从一家专业医疗保健医院招募的。86例（N=86，平均年龄17.2岁，男性，58%）有CP和复杂的沟通需求。不适用。疼痛类型、平均疼痛强度（MPI）（评分范围从0=无疼痛到10=最严重的疼痛）和平均疼痛缓解（MPR）（评分范围从0=干预完全没有帮助到10=干预完全缓解疼痛）由护理人员报告作为达尔豪西疼痛访谈的一部分，对过去7天内经历的每种疼痛进行评估。护理人员报告说，58名参与者（67%）在过去7天内经历过疼痛。前7天疼痛最严重时MPI为7.7±1.8。两种最常见的疼痛类型包括肌肉骨骼疼痛（70例）和胃肠道疼痛（11例）。缓解骨骼肌疼痛最常见的治疗方法是换体位（n=27， MPI=5.1±2.3，MPR=6.6±2.1）、药物治疗（n=25， MPI=7.4±1.6，MPR=5.3±1.9）和按摩（n=19， MPI=6.7±1.9，MPR=5.2±1.7）。治疗胃脘痛，一般采用药物治疗（n=4， MPI=4.8±1.4，MPR=5.5±1.0），但一般不采用药物治疗（n=4， MPI=4.5±2.3）。结果表明，肌肉骨骼疼痛在CP患者中普遍存在，改变体位和提供药物治疗是护理人员最常用的策略。
To investigate types and intensity of pain experienced by individuals with cerebral palsy (CP) and common pain-relieving approaches used by caregivers. The approach was cross-sectional, using standardized interviews. Individuals with CP were recruited from a specialty health care hospital. Eighty-six individuals (N=86; mean age, 17.2 years; male, 58%) with CP and complex communication needs participated. Not applicable. Pain type, mean pain intensity (MPI) (graded on a scale of 0=no pain to 10=worst possible pain), and mean pain relief (MPR) (graded on a scale of 0=intervention did not help at all to 10=intervention completely relieved pain) were assessed by caregiver report as part of the Dalhousie Pain Interview for each type of pain experienced in the previous 7 days. Caregivers reported that 58 participants (67%) had experienced pain in the previous 7 days. MPI was 7.7±1.8 when the pain was worst in the previous 7 days. The 2 most common types of pain included musculoskeletal pain (n=70) and gastrointestinal pain (n=11). The most frequent treatment to relieve musculoskeletal pain was changing positions (n=27, MPI=5.1±2.3, MPR=6.6±2.1), medication (n=25, MPI=7.4±1.6, MPR=5.3±1.9), and massage (n=19, MPI=6.7±1.9, MPR=5.2±1.7). To treat gastrointestinal pain, medication was typically used (n=4, MPI=4.8±1.4, MPR=5.5±1.0), although no treatment was just as common (n=4, MPI=4.5±2.3). The results indicate that musculoskeletal pain is prevalent in individuals with CP, and changing physical positions and providing medication are strategies most used by caregivers.
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影响因子：
2.9
作者：
Barney, Chantel C.;Krach, Linda E.;Symons, Frank J.
通讯作者：
Symons, Frank J.
DOI：
10.1097/phm.0b013e3182063bc9
发表时间：
2011-03
影响因子：
3
作者：
Hirsh AT;Kratz AL;Engel JM;Jensen MP
通讯作者：
Jensen MP
影响因子：
1.1
作者：
Teplicky, R;Law, M;Russell, D
通讯作者：
Russell, D
影响因子：
2.2
作者：
Vogtle, Laura K.;Malone, Laurie A.;Azuero, Andres
通讯作者：
Azuero, Andres
影响因子：
8
作者：
Hauer, Julie;Houtrow, Amy J.
通讯作者：
Houtrow, Amy J.