儿童自我报告和父母代理报告之间的协议,用于儿童慢性疼痛的功能
Joan W Hanania1,2, Jessica Edwards George3, Christie Rizzo3
1Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA. joanw_hanania@dfci.harvard.edu.
Journal of patient-reported outcomes
|August 9, 2024
概括
父母往往低估了孩子的功能障碍从慢性疼痛. 儿童报告的疼痛强度较高与儿童和家长报告之间的差异较大相关,突出了儿童疼痛管理中自我报告的必要性.
科学领域:
- 儿科心理学 儿科心理学
- 疼痛管理 疼痛管理
- 儿童健康 儿童健康
背景情况:
- 准确评估儿科慢性疼痛和功能障碍对于有效的疼痛管理至关重要.
- 父母代理报告经常被使用,但与儿童自我报告相比,经常显示差异.
- 了解影响儿童与家长在报告与疼痛有关的功能方面达成协议的因素至关重要.
研究的目的:
- 在患有慢性疼痛的儿童中,使用患者报告结果测量信息系统 (PROMIS) 评估儿童和父母代理疼痛干扰报告之间的一致性.
- 为了确定与改善儿童和家长之间的协议相关的因素,报告.
主要方法:
- 一个由127名患有慢性疼痛的儿童 (8-17岁) 和他们的父母组成的样本参与了这项研究.
- 数据来自跨学科的儿科疼痛诊所和在线同行支持小组.
- 这些措施包括人口统计信息,疼痛强度和功能障碍 (PROMIS疼痛干扰).
主要成果:
- 父母代理报告的PROMIS疼痛干扰明显低于孩子的自我报告 (p <0.05).
- 儿童报告的较高的疼痛强度与儿童和父母报告的功能干扰之间的较大差异显著相关 (β = 0.953,P < 0.05).
结论:
- 父母倾向于低估慢性疼痛儿童所经历的功能障碍.
- 报告中的差异与孩子自我报告的疼痛强度有关.
- 纳入儿童和青少年自我报告对于全面了解儿科慢性疼痛和指导干预至关重要.
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