护士,母亲和儿童在外周血管接入过程中的疼痛评分差异
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Updated: Sep 10, 2025

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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
Published on: December 19, 2016
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1Department of Child Health and Diseases Nursing, Faculty of Health Sciences, Kütahya Health Sciences University, Kütahya, Türkiye.
Journal of paediatrics and child health
|August 26, 2025
概括
儿童在静脉注射过程中比母亲或护士报告的疼痛更高. 在儿童,母亲和护士之间,疼痛感知有很大差异,这凸显了评估的挑战.
科学领域:
- 儿童护理
- 治疗疼痛
- 儿童心理学
背景情况:
- 儿童在静脉注射等医疗过程中经常感到疼痛.
- 准确的疼痛评估对于有效治疗儿童的疼痛至关重要.
- 疼痛报告中的差异可能会阻碍适当的干预.
研究的目的:
- 评估儿童,母亲和护士在静脉注射过程中报告疼痛的共识.
- 确定这三个群体之间的疼痛感知差异.
主要方法:
- 一项涉及307名3-6岁儿童及其母亲的描述性研究.
- 使用Wong-Baker面部疼痛评分尺度进行疼痛评估.
- 使用统计测试包括科恩的卡帕分析一致性.
主要成果:
- 儿童的平均疼痛评分最高 (4.21),其次是母亲 (3.56) 和护士 (3.18).
- 没有发现儿童-母亲,儿童-护士或母-护士疼痛评级之间的显著一致性 (p > 0. 05).
- 显著比例的儿童 (18. 9%) 之前有过静脉注射的经验.
结论:
- 在静脉注射过程中,儿童自我报告的疼痛感觉高于母亲或护士报告的疼痛感.
- 在儿童,母亲和医疗保健提供者之间的疼痛评估存在显著差异.
- 这些发现强调了儿科疼痛评估的复杂性和需要量身定制的方法.
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