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Measures and Effects of Pain Management for Wound Dressing Change in Outpatient Children in Western China
Yujie Wu1, Yong Zhao2, Guangyan Lin3
1Department of Nursing, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China.
Insights
Pain management during wound dressing changes in children is often inadequate, with over 70% not receiving sufficient analgesia. Addressing knowledge gaps and family refusal are key to improving pediatric pain control.
Area of Science:
- Pediatric Healthcare
- Pain Management
- Wound Care
Background:
- Effective pain management during wound dressing changes is crucial for pediatric outpatient care.
- Current practices in western China require investigation to identify areas for improvement.
Purpose of the Study:
- To investigate the current state of pain management for wound dressing changes in outpatient children in western China.
- To identify barriers to adequate pain management and provide a reference for improvement.
Main Methods:
- A cross-sectional survey was conducted across 47 hospitals in western China.
- Investigated pain management organization systems, specific measures, and barriers in pediatric wound care.
Main Results:
- While most hospitals have pain management systems, over 70% of children received inadequate analgesia.
- Commonly used analgesics included ibuprofen and lidocaine; distraction was a frequent non-drug measure.
- Key barriers identified were lack of medical staff knowledge, family refusal of analgesics, and low patient compliance.
Conclusions:
- Pain management for wound dressing changes in children is not standardized, leading to poor analgesic outcomes.
- Implementing standardized pain assessment, analgesia, documentation, and education is essential.
- Addressing identified barriers is critical for enhancing pediatric pain management during wound care.
Purpose:
The present study investigated the pain management of wound dressing change in outpatient children in western China, and the results may provide a reference to improve the pain management of wound dressing change.
Methods:
A cross-sectional survey was performed to investigate the pain management of wound dressing change in outpatient children in western China. A total of 47 hospitals were selected via convenience sampling, and the pain management organization systems, concrete measures and barriers to adequate pain management of these hospitals were investigated.
Results:
More than 70% of these hospitals had established pain management systems, analgesic drug management norms and wound care teams. Nurses were the primary providers for wound dressing change in 48.94% of the hospitals. The assessment, documentation or health education of the pain was not standard in 46.81% of the hospitals. Drug and non-drug analgesia measures were used in most hospitals, however, children did not receive adequate analgesia in 70% of the hospitals. Ibuprofen (30.49%) and lidocaine (29.27%) were commonly used analgesic drugs, and distraction (43.01%) was commonly used as a non-drug analgesia measure. The top three barriers to adequate pain management were medical staff lacking analgesic knowledge (82.98%), family members refusing to use analgesics (61.70%) and low compliance of children (55.32%).
Conclusion:
The concrete measures for the management of wound dressing pain in children are not standardized, and the analgesic effect is poor. In order to improve the pain management of children, Standardized procedures for pain management (pain assessment, analgesia measures, pain documentation and health education) should be strictly followed during wound dressing change, and the identified barriers should be addressed.
