評估兒童手術後的疼痛感受及疼痛反應

Assessing Pain Perception and Pain Responses of Post-operative Children

蔣立琦(L. C. Chiang) ； 毛新春(H. C. Mao)

《護理研究》 2卷3期 (1994/09) Pp. 239-252

https://doi.org/10.7081/NR.199409.0239

摘要

This descriptive correlative study was conducted to understand the subjective pain perception and objective pain responses of post-operative children, as well as to explore the relationship between the pain perception and pain responses. Eighty subjects aged 5 to 4 were recruited from three general hospitals in Taiwan. Two investigators collected data between 8 and 12 AM on post-operative day 1.
The results show that all of the children can describe their pain perceptions. The mean of pain location was 2.17, almost 48.3% in limb that was consistent with most children who were diagnosed with orthopedic problems. Almost half the children (55%) selected red as severe pain. The average pain intensity was 47.13mm. The mean of pain qulaity was 8.16, ”uncomfortable”, ”bed” and ”cutting” were the words that were selected as pain quality most frequently. The mean of pain feelings was 4.45, ”I feel I nervous. ”was the feeling that most children selected. The changing of physiological measurement was around 7.51-13.78%. ”Pain complaints” and ”immobility” were the most frequent behavioral indicators.
Because of rebounding response, the physiological measurement was not significantly correlated with pain perceptions and behavioral indicators. Except pain location, all the components in pain perceptions were significantly correlated with behavioral indicators, with the correlation coefficient r=0.458(p＜.01) of pain intensity, r=0.235(p＜.05) of pain quality and r=0.340(p＜.01) of pain feelings.
From the results, subjective pain perception and objective behavioral indicators can provide more comprehensive pain assessment.

關鍵字

手術後兒童疼痛 ； 兒童疼痛評估

並列摘要

This descriptive correlative study was conducted to understand the subjective pain perception and objective pain responses of post-operative children, as well as to explore the relationship between the pain perception and pain responses. Eighty subjects aged 5 to 4 were recruited from three general hospitals in Taiwan. Two investigators collected data between 8 and 12 AM on post-operative day 1.
The results show that all of the children can describe their pain perceptions. The mean of pain location was 2.17, almost 48.3% in limb that was consistent with most children who were diagnosed with orthopedic problems. Almost half the children (55%) selected red as severe pain. The average pain intensity was 47.13mm. The mean of pain qulaity was 8.16, ”uncomfortable”, ”bed” and ”cutting” were the words that were selected as pain quality most frequently. The mean of pain feelings was 4.45, ”I feel I nervous. ”was the feeling that most children selected. The changing of physiological measurement was around 7.51-13.78%. ”Pain complaints” and ”immobility” were the most frequent behavioral indicators.
Because of rebounding response, the physiological measurement was not significantly correlated with pain perceptions and behavioral indicators. Except pain location, all the components in pain perceptions were significantly correlated with behavioral indicators, with the correlation coefficient r=0.458(p＜.01) of pain intensity, r=0.235(p＜.05) of pain quality and r=0.340(p＜.01) of pain feelings.
From the results, subjective pain perception and objective behavioral indicators can provide more comprehensive pain assessment.

並列關鍵字

postoperation clidren's pain ； children's pain assessment.