家长参与疼痛护理在先天性心脏病患儿手术后的应用

Role of parental participation in postoperative pain management in children with congenital heart disease

目的讨论家长参与疼痛护理在先天性心脏病患儿手术后的作用。方法选择2010年10—12月在上海交通大学医学院附属儿童医学中心接受手术的先天性心脏病患儿60例,随机分为对照组30例及实验组30例,对照组家长不参与疼痛评估,仅参与非药物性止痛措施,实验组家长参与疼痛评估和非药物性止痛措施。采用疼痛行为评估量表(FLACC)评估两组患儿术后第2～7天的疼痛情况。结果术后第2～4天,实验组患儿疼痛评分低于对照组,两组比较差异有统计学意义(P<0.05);两组患儿术后第5～7天疼痛评分比较差异无统计学意义(P>0.05)。结论家长与护士一起共同参与患儿手术后的疼痛护理,能使患儿的心理得到有效安慰,对减轻患儿疼痛能起到积极有效的作用。

Objective To evaluate the role of parental participation in postoperative pain management in children with congenital heart disease. Methods A total of 60 postoperative children with congenital heart disease were selected in our hospital from October to December 2010. They were randomly and equally divided into the control group and trail group. The Face, Legs, Activity, Cry, and Consolability Scale （FLACC） was used to assess children＇s pain in both groups 2 to 7 d postoperation. The parents of the control group did not participate in pain assessment, only participated in non-drug pain relief treatment. The parents of the trail group participated in pain assessment and non-drug pain relief treatment. Results FLACC scores in the trail group were significantly lower than those in the control group 2-4 d postoperation （P 〈 0.05 ）. But there was no significant difference in FLACC scores between the two groups 5-7 d postoperation （P 〉 0. 05 ）. Conclusion Parental participation in the pain management can effectively reduce postoperative pain in children with congenital heart disease.