小児の痛み管理:看護師の非薬理学的技術に関する観察研究

Lum Jusufi¹, Enrico Cocchi², Rita Blaco¹

¹Azienda USL Romagna, Ospedale di Ravenna, 48121 Ravenna, Italy.

Nursing reports (Pavia, Italy)

|August 27, 2025

まとめ

看護師は,小児の痛み管理のために非薬理学的技術 (NPT) を使用しますが,その使用は手術前には限られています. 子どもとのコミュニケーションと多分野間の協力により手術患者の痛みが軽減されます

科学分野:

小児看護
痛みの管理
外科治療

背景:

痛みは入院児の健康と生活の質に大きな影響を与えます
非薬学療法 (NPT) が薬学的な治療を補完するので,効果的な疼痛管理が不可欠です.
NPTは年齢と特定のニーズに合わせて痛みの管理に役立つ様々な方法を提案しています

研究の目的:

学校に通う年齢の外科患者の痛みを和らげるために看護師が採用する非薬学的な方法を探求し分析する.

主な方法:

イタリアの小児病棟の看護スタッフに配布された検証されたオンラインアンケートを使用した観察研究.
データ収集は,手術を受ける学齢児のNPT使用に焦点を当て,反応はライカートスケールで示された.
統計的分析には,tテスト,ANOVA,およびKruskal-Wallisテストが含まれ,有意な差異を特定しました.

主要な成果:

46人の看護師がアンケートに回答し,看護師の経歴によって有意な差異は認められなかった.
看護師はNPTを使用したと報告したが,手術前の段階では限られた使用であった.
子供と親の間で情報提供の不一致が認められ,親は手術前により多くの情報を与えられました. 効果的な多分野協力は NPT のより良い使用と相関しています

結論:

非薬学的な技術は,小児の痛み管理に不可欠であり,子供との直接的なコミュニケーションを改善する必要があります.
効果的な多学科アプローチは小児患者の外科体験を軽減するために不可欠です
小児外科医療におけるNPTの実施とコミュニケーション戦略の最適化に関するさらなる研究が必要である.

キーワード:

非薬学的な技術介護の実践小児の疼痛管理

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