Mesh : Humans Burns / nursing Pain Measurement / methods nursing Child Reproducibility of Results Male Female Child, Preschool Outpatients Ambulatory Care / methods Pain Management / methods nursing Adolescent

来  源:   DOI:10.1097/JTN.0000000000000799

Abstract:
BACKGROUND: There is no standardized practice in pediatric pain assessment with burn injuries in the outpatient clinic setting.
OBJECTIVE: This review aims to identify reliable, validated tools to measure pain in the pediatric burn clinic population.
METHODS: The literature search for this integrative review was conducted using the databases of PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane, and Embase from 2011 to 2023. Quality and relevance were appraised using the Johns Hopkins Nursing Evidence-Based Practice Model. Reporting was done according to a Preferred Reporting Items for Systemic Reviews and Meta-Analysis checklist.
RESULTS: Fourteen articles and two clinical practice guidelines met inclusion criteria and were included in this review.
CONCLUSIONS: The Pain Observation Scale for Young Children and the COMFORT Behavior Scale tools have shown good reliability and construct validity and can be safely used to measure background and procedural pain in daily burn practice. Further research on reliable, validated pain assessment techniques in the pediatric burn population is needed.
摘要:
背景:在门诊设置的烧伤患儿疼痛评估中,没有标准化的实践。
目的:这篇综述旨在确定可靠的,在儿科烧伤临床人群中测量疼痛的有效工具。
方法:使用PubMed,护理和相关健康文献累积指数(CINAHL),科克伦,和Embase从2011年到2023年。使用约翰霍普金斯护理循证实践模型评估质量和相关性。根据系统审查和荟萃分析检查表的首选报告项目进行报告。
结果:14篇文章和2篇临床实践指南符合纳入标准,纳入本综述。
结论:幼儿疼痛观察量表和COMFORT行为量表工具具有良好的信度和结构效度,可以安全地用于测量日常烧伤实践中的背景和程序疼痛。进一步研究可靠,在小儿烧伤人群中需要经过验证的疼痛评估技术。
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