手术后儿童对疼痛的体验和缓解疼痛的策略:一项定性研究
Torgun Næss1, Kari Sørensen2, Anja H Smeland3
1Faculty of Health Sciences, Department of Nursing and Health Promotion, OsloMet - Oslo Metropolitan University, Oslo, Norway; Division of Paediatric and Adolescent Medicine, Department of Paediatric Research, Oslo University Hospital, Oslo, Norway.
概括
孩子们希望参与手术后的疼痛管理. 建立信任关系和定期的疼痛评估对于有效的儿科术后疼痛护理至关重要.
科学领域:
- 儿科护理 儿科护理
- 疼痛管理 疼痛管理
- 手术护理 手术护理
背景情况:
- 许多儿童在手术过程中和手术后都会感到疼痛.
- 尽管有研究,但在儿科护理中仍然存在不充分的术后疼痛管理.
研究的目的:
- 探索儿童对疼痛的经历及其在外科病房的管理.
- 了解孩子们对术后疼痛缓解的看法.
主要方法:
- 定性探索性研究,采用11名儿童 (6-18岁) 的个人访谈.
- 在挪威一所大学医院的外科病房进行的采访.
- 数据使用内容分析进行分析,遵循COREQ的指导方针.
主要成果:
- 确定了三个关键主题:对知识和参与的渴望,信任关系的重要性以及儿童的疼痛缓解策略.
- 儿童希望积极参与疼痛管理决策.
- 信任护士-病人关系对于有效的疼痛管理至关重要.
结论:
- 儿童希望参与疼痛管理决策,并从积极的外科预期中受益.
- 使用经过验证的工具进行定期的疼痛评估至关重要,因为孩子们可能并不总是能表达他们的疼痛.
- 以人为中心的护理需要个性化的准备,强大的护士-病人关系和增强的儿科疼痛管理教育.
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
171
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...
171
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
788
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...
788
Peptic Ulcer Disease V: Surgical Management and Nursing Care
410
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
410
Tonsillitis II: Management
175
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
175


