The severity of chronic pediatric pain:: An epidemiological study
The severity of chronic pediatric pain:: An epidemiological study
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DOI：
10.1016/j.jpain.2007.10.015
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发表时间：
2008-03-01
期刊：
影响因子：
4
通讯作者：
Miro, Jordi
中科院分区：
文献类型：
--
作者：
Huguet, Anna;Miro, Jordi
本研究旨在(1)提供儿童疼痛患病率的信息，以及在小学生样本中其他疼痛相关特征，以及(2)研究一个系统对儿童慢性疼痛问题严重程度分级的适用性。这项横断面研究的参与者包括561名年龄在8至16岁之间的学童。除了收集访谈时和前3个月疼痛存在的信息外，还询问了参与者疼痛经历的几个特征和参与者生活质量的几个指标。结果显示，37.3%的人有慢性疼痛，但只有5.1%的人有中度或重度慢性疼痛问题。在疼痛状况的患病率上发现了性别和年龄的差异。据报道，患有慢性疼痛的儿童生活质量较差，缺课天数更多，更有可能使用止痛药并寻求医疗护理来缓解疼痛。我们的研究表明，慢性疼痛在社区中是一种非常普遍的疾病，它会对孩子产生负面影响。但严重慢性疼痛病例的患病率很低。新的研究需要进一步的经验检验所提出的分级儿童慢性疼痛的严重程度的方法。观点：这篇文章提供了关于小学生疼痛问题的信息。它还提出了一种新的儿科慢性疾病分级系统。这个新系统可以帮助临床医生和研究人员诊断年轻人的疼痛问题，并设计适合患者特点和需求的治疗方法。(C) 2008年由美国疼痛学会出版。
This study was designed to (1) provide information on the prevalence of pediatric pain as well as other pain related characteristics in a sample of schoolchildren, and (2) study the suitability of a system to grade the severity of chronic pain problems among children. Participants in this cross-sectional study included 561 schoolchildren between the ages of 8 and 16 years. Besides collecting information about the presence of pain at the time of interview, and in the preceding 3 months, several characteristics of participants' pain experiences and several indicators of participants' quality of life were requested. Results showed that 37.3% had chronic pain, but only 5.1% had moderate or severe chronic pain problems. Gender and age differences were found in the prevalence of pain conditions. Children who had a chronic pain condition reported a worse quality of life, missed more days from school, and were more likely to use pain medication and seek medical care for pain relief. Our study shows that chronic pain is a highly prevalent condition in the community, one that can exert negative consequence for the child. But the prevalence of severe chronic pain cases is low. New studies are needed to further empirically test the proposed method of grading the severity of chronic pain in children.Perspective: This article provides information on pain problems among schoolchildren. It also suggests a new grading system of chronic pediatric problems. This new system could help clinicians and researchers to diagnose pain problems in youth and design treatments suited to patients' characteristics and needs. (C) 2008 by the American Pain Society.