学龄儿童急诊术后家长止痛护理参与的调查与分析

Investigation and Analysis on School-aged Children's Postoperative Pain Relief in Emergency

目的了解家长对学龄患儿急诊术后止痛方法的了解程度和对止痛护理的参与程度,研究其相关影响因素,以指导学龄儿童急诊术后疼痛的护理工作。方法采用自行设计的问卷,对100名急诊术后学龄患儿的家长进行调查。结果除止痛药物之外,家长常用的止痛方法有安慰鼓励、创造舒适环境、物质奖励和改变体位等。家长的年龄、受教育程度、有无陪伴子女住院经历等因素与止痛方法的使用存在显著相关,而对其他止痛知识的匮乏和缺乏护理人员的指导帮助则限制了家长对儿童急诊术后止痛护理的参与。结论护理人员应重视患儿的急诊术后止痛护理,向家长传授更多的止痛知识和方法,提高其对减轻儿童术后疼痛重要性和必要性的认识,并积极配合家长使用多种方法减轻学龄儿童急诊术后疼痛。

Objective To investigate parents＇ methods for relieving school-aged （6-12 years old） children＇s postoperative pain in emergency, analyze the related factors and instruct the nursing care for the pain. Methods Self-designed questionnaire was used to investigate 100 parents. Results Besides the pharmacological usage, the most commonly used non-pharmacological methods were ： comforting and encouraging, creating a comfortable environment, bonus, and changing position. Factors, such as parents＇ age, education, and experiences in previous hospitalizations of their children,were significantly related to parents using some non-pharmacological methods. Parents could not take part in the children＇s pain-relieving thoroughly due to the lack of pain-releasing knowledge and the instruction from nurses. Conclusion More emphasis should be given to relieve school-aged children＇s postoperative pain in emergency. This study posed hints and challenges on nursing administration, nursing education and research on the improvement of pediatric pain management in emergency.