家长的手术后疼痛管理:儿童肢体骨折的感知,态度和实践
Su-Mei Zhang1, Yu-Ying Chan2, Li-Li Lai1
1Nursing Department, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China; Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
概括
父母往往缺乏知识,并对儿科术后疼痛管理有负面态度,影响他们的疼痛缓解策略. 针对性的教育对于改善家长在手术后治疗儿童疼痛的做法至关重要.
科学领域:
- 儿科护理 儿科护理
- 疼痛管理 疼痛管理
- 健康心理学 心理健康心理学
背景情况:
- 儿童手术后的疼痛是一个重大的临床挑战,往往管理不当.
- 有效的疼痛管理模式需要父母的积极参与.
研究的目的:
- 调查父母对肢体骨折儿童手术后疼痛管理的看法,态度和做法.
- 确定影响家长疼痛管理实践的因素.
主要方法:
- 一项描述性的横截面研究在一家三级儿童医院进行.
- 180名接受骨科骨折手术的儿童 (6-18岁) 的父母完成了关于疼痛管理知识,态度和策略使用的自我报告问卷.
- 统计分析包括曼-惠特尼U,克鲁斯卡尔-瓦利斯H,相关性和回归.
主要成果:
- 大多数家长表现出低到中等的知识 (80.6%),一般态度 (78.3%),和疼痛缓解策略的使用 (71.7%).
- 大多数家长 (93.9%) 对止痛药持负面态度,尽管报告他们的孩子中度至高度的疼痛 (中位数7.0).
- 父母使用疼痛缓解策略与他们的一般态度,知识和性别有显著的联系.
结论:
- 父母经常表现出对儿科手术后疼痛管理的不理想知识和态度,这会对他们的实践产生负面影响.
- 了解疼痛评估和止痛药的缺陷显著损害了父母的疼痛管理策略.
- 针对家长的有针对性的教育干预对于改善疼痛管理实践至关重要.
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