Nursing assessment and management of pain in critically ill children

被引：27

作者：

Coffman, S ^{[1
]}

Alvarez, Y ^{[1
]}

Pyngolil, M ^{[1
]}

Petit, R ^{[1
]}

Hall, C ^{[1
]}

Smyth, M ^{[1
]}

机构：

[1] BROWARD GEN MED CTR, TRAUMA SERV, FT LAUDERDALE, FL 33316 USA

来源：

HEART & LUNG | 1997年 / 26卷 / 03期

关键词：

D O I：

10.1016/S0147-9563(97)90059-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVES: To describe how nurses assess and manage pain in critically ill children. DESIGN: Descriptive, comparative research design, with use of the Indicators of Pain in Critically Ill Children assessment tool. SETTING: Twelve-bed pediatric intensive care unit in a metropolitan general hospital with a level II pediatric trauma center. PARTICIPANTS: Twenty-four pediatric intensive care unit nurses who conducted 112 assessments of 25 critically ill children. RESULTS: Pain indicators selected most frequently by nurses included cardiovascular and respiratory changes (increased heart rate, respiratory rate, and blood pressure), followed by behavioral indicators (irritable/fussy, verbalizing pain, crying), and neuromuscular responses (tenseness/rigidity, squirming, drawing up legs). The average number of pain indicators selected during each medication event was 5.3. More indicators were selected for trauma, surgery, and younger patients; fewer indicators were selected for patients receiving ventilation treatment. CONCLUSION: Pain assessment of critically ill children includes unique indicators, as compared to less sick children, and must take into account the child's decreased ability to communicate pain.

引用

页码：221 / 228

页数：8

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