父母对儿童手术后疼痛的评估和管理:观察性队列研究
Mitiku Desalegn1, Yisehak Wolde1, Yidnekachew Dedachew2
1Department of Anesthesia, College of Medicine and Health Science, Wachemo University, Ethiopia.
Annals of medicine and surgery (2012)
|August 11, 2025
概括
父母通常对儿童手术后疼痛评估和管理的知识有限. 这项研究发现,大多数家长拥有低到中等的知识,影响疼痛缓解策略和评估.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 父母教育 父母教育
- 术后护理 术后护理
背景情况:
- 急性术后疼痛是儿科护理中常见的挑战.
- 父母在管理孩子的疼痛方面发挥着至关重要的作用,但可能缺乏足够的知识.
- 有效的疼痛评估和管理对于儿童的康复至关重要.
研究的目的:
- 评估家长在评估和管理儿童手术后疼痛方面的做法.
- 识别家长在疼痛管理方面的知识差距.
- 了解母亲和父亲之间疼痛管理方法的差异.
主要方法:
- 一项观察性队列研究,涉及102名2至12岁儿童的父母.
- 使用家长疼痛缓解策略 (PURPS) 和家长术后疼痛管理 (PPPM) 工具收集的数据.
- 使用95%的置信区间和5%的显著程度进行统计分析.
主要成果:
- 大多数家长表现出低 (27.5%) 到中等 (58.8%) 的关于疼痛缓解策略的知识水平.
- 父母对孩子的疼痛评价明显高 (96.1%的孩子有明显的疼痛) 比护士更高.
- 母亲的PPPM得分与父亲的PPPM得分有显著差异 (P=0.046).
结论:
- 父母对儿童手术后疼痛评估和管理的知识低至中等.
- 父母和护理人员的疼痛评估之间存在差异,突出了潜在的知识缺陷.
- 需要进一步的教育干预措施来改善家长对儿科术后疼痛管理的理解和实践.
更多相关视频
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
175
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
175
Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
27
Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20
Appendicitis-II: Diagnostic Studies and Management
145
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
145
Analgesia and Pain Management
791
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
791


