Assessment of acute and chronic pain symptoms in children with cystic fibrosis
Assessment of acute and chronic pain symptoms in children with cystic fibrosis
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DOI：
10.1002/ppul.20292
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发表时间：
2005-10-01
影响因子：
3.1
通讯作者：
McGraw, T
中科院分区：
文献类型：
--
作者：
Koh, JL;Harrison, D;McGraw, T
疼痛对于囊性纤维化（CF）儿童的评估和治疗非常重要，因为疼痛症状可能会限制儿童参与CF相关护理的能力，并可能降低他们的整体健康和生活质量。本研究的目的是：1）评估CF儿童报告的急性和慢性疼痛症状，2）通过1秒用力呼气量百分比（FEV1%）检查疼痛症状与疾病严重程度之间的关系。46名儿童完成了一份自我报告问卷，评估慢性疾病相关疼痛的特征（频率、强度、持续时间、相关情绪不安和疼痛部位）。儿童还评估了与常见CF相关程序相关的疼痛强度。报告的主要疼痛部位为腹部/盆腔、胸部和头部/颈部。46%的样本描述疼痛每周至少发生一次。大多数儿童报告他们的疼痛强度为轻度和短期。然而，一小组儿童报告了持续时间较长和中度剧烈的疼痛。研究发现，与没有胸痛的儿童相比，胸痛儿童特别容易出现更多的功能限制，FEV1%显著降低。大多数儿童报告非药物治疗（例如，药物、休息或分散注意力的活动）提供了一些疼痛缓解。疾病相关的疼痛在患有CF的儿童和青少年中很常见，这表明疼痛评估应该是他们临床护理的常规部分。显然需要进一步的研究来更好地了解疼痛的来源以及如何最好地提供缓解。
Pain is important to assess and treat in children with cystic fibrosis (CF), because pain symptoms may limit children's ability to participate in their CF-related care and may reduce their overall well-being and quality of life. The aims of this study were to: 1) assess acute and chronic pain symptoms as reported by children with CF, and 2) examine the relationship between pain symptoms and disease severity as measured by percentage of forced expired volume in 1 sec (FEV1%). Forty-six children completed a self-report questionnaire assessing characteristics of chronic disease-related pain (frequency, intensity, duration, associated emotional upset, and location of pain). Children also rated their pain intensity associated with common CF-related procedures. The primary locations of pain reported were the abdominal/pelvic region, chest, and head/neck. Forty-six percent of the sample described pain occurring at least once per week. Most children reported their pain intensity as mild and of short duration. However, a small subgroup of children reported longer-lasting and moderately intense pain. Children with chest pain were found to be particularly at risk for experiencing more functional limitations and a significantly lower FEV1% compared to children without chest pain. The majority of children reported that nonpharmacological therapies (e.g., medication, rest, or distracting activities) provided some pain relief. Disease-related pain is common for children and adolescents with CF, suggesting that pain assessment should be a routine part of their clinical care. Further research is clearly needed to better understand the sources of pain and how best to provide relief.