Sensation and Experience of Pain in Children

利用人體外型圖及開放式問卷，探討兒自我評估疼痛的經驗且了解影響兒童描述疼痛字言的因素，由106位（9-16歲）學童各以最具代表疼痛的顏色標示疼痛的部位及異定其疼痛的強度和疼痛的時間，並寫出其各部位疼痛時的感覺及疼痛的原因和其疼痛的處理方式。研結果顯示：學童遭切傷或割傷、撞傷國挫傷的機會高，且多數都曾有過腹痛及頭痛的經驗。兒童可清楚表達其疼痛，有關其頭痛、腳痛、背痛、肩痛的感覺與其疼痛的時間及強度有其評價的差異。腹痛的發生受性別、家庭結構的影響且與年齡、性別二者交互作用有顯著關係。牙痛的發生與年齡、性別、住院經驗有關且與三者交互作用有顯著關係。兒童致劇烈腹痛或牙痛發生才會找醫師處理，否則自行服食藥物、休息。腿的處理方式是去打針、按摩；改變姿勢則是背痛發生的處理方式。兒童自述其疼痛發生的原因是睡不好、吃壞東西、吃甜食、被撞、或運動競賽。卻減少兒童疼痛的發生，除意外事件的防範外，須從兒童良好的衛生習慣著手，再配合日常生活技巧的訓練。

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並列摘要

The study explored children’s self-assessment of the pain experience and to understood the relative factors that influence the words used to represent children’s pain. Using an outline of a human figure and a section of the open questionnaire to study, 106 nine- to sixteen- year – old children marked their pain location using colors to represent pain. They rated the intensity and duration of their pain, and described their experience of pain (sensation, causes, and ways to manage pain). The results showed that children clearly described pain, that there were appreciable differences between feelings of headache, leg pain, backache, and shoulder pain with pain intensity and duration of pain; that explained the difference of occurrence of abdominal pain in cross effect between age and sex; that explained the difference of the occurrence of toothache in cross effect among triangle of hospitalized experience, age, and sex; that there was significant relationship between abdominal pain and family structure. For severe abdominal pain or toothache the children could ask doctors for pain relief. For the others, they could take medication or rest for their middle or mild abdominal pain. The ways to manage leg pain were injection and massage. Change of position was applied to relieve backache. From the children’s self-reports, we understand that causes of children’s pain were derived from bad sleep, food decayed teeth, exercising, and hitting. Pain avoidance is best achieved by accident prevention, cultivation of good health habits, and integration of daily living skills.

並列關鍵字

children ； pain sensation

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Sensation and Experience of Pain in Children

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