门诊儿科烧伤患者的疼痛评估:综合性审查
Cindy Colson1, Judy Ascenzi, Elizabeth Waibel
1Author Affiliations: Division of Trauma and Burns, Children's National Hospital, Washington, DC (Dr Colson and Ms Waibel); and School of Nursing, DNP Advanced Practice Program, Johns Hopkins University, Baltimore, MD (Drs Ascenzi and Busch).
概括
缺乏对儿科烧伤患者的标准化疼痛评估. 幼儿疼痛观察量表和舒适行为量表是儿童烧伤诊所测量疼痛的可靠工具.
科学领域:
- 儿科烧伤护理 儿科烧伤护理
- 疼痛管理 疼痛管理
- 临床评估工具 临床评估工具
背景情况:
- 缺乏在门诊机构对儿科烧伤的标准化疼痛评估.
- 需要可靠和验证的方法来评估这个脆弱人群的疼痛.
- 准确的疼痛测量对于有效的治疗和恢复的重要性.
研究的目的:
- 为在门诊诊所的儿科烧伤患者确定验证的疼痛评估工具.
- 审查现有的文献和临床指导方针,以此特定人群的疼痛测量.
- 为疼痛评估实践提供基于证据的建议.
主要方法:
- 从2011年到2023年的一体化文献综述使用PubMed,CINAHL,Cochrane和Embase.
- 使用约翰霍普金斯护理基于证据的实践模型进行质量和相关性评估.
- 报告遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 十四篇文章和两个临床实践指南符合纳入标准.
- 确定了适用于儿科烧伤疼痛评估的特定工具.
- 强调需要在这个领域进行进一步的研究.
结论:
- 幼儿疼痛观察量表和舒适行为量表显示出良好的可靠性和构造有效性.
- 这些工具可以安全地用于评估儿科烧伤护理的背景和程序性疼痛.
- 建议进行进一步的研究,以提高儿科烧伤患者的疼痛评估技术.
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