["It feels like a hedgehog quill sticking in my foot...". School-aged children's experience of pain in the hospital].

Hoitotiede Pub Date : 1997-01-01
T Pölkki, L Rissanen, A M Pietilä
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Abstract

The purpose of the study was to describe school-aged children's experiences of pain in hospital. The view of pain as a complex phenomenon and the child's experience of pain considered from the physiological, psychological and experiential perspectives of child development made up the theoretical basis of the work. Data were collected from 20 school-aged children between 7 and 11 years of age who were hospitalized in the pediatric wards of the University Hospital. Each of the children wrote an essay on their experiences of pain in hospital and they were then interviewed on the basis of their essays. The data were analysed inductively using content analysis. On the basis of the analysis, the situations that caused pain to all children in hospital were procedures connected with treatment, and the children described their experiences of pain such as physiological and psychological feelings of pain. The children described physiological pain in a versatile manner (for example as pinching, stinging, aching) and were able to describe mainly the quality of pain. According to the children's descriptions, the psychological feelings of pain were unpleasant feelings, horror, anxiety and fear. The results of this research indicate school-aged children's ability to describe their own experiences of pain. This means that to assess and treat school-aged children's pain, we should listen to the child. Furthermore, painful situations cannot be eliminated in hospital, but we could pay attention to the methods that relieve child's pain and reduce psychological pain in the nursing practice.

“感觉就像一只刺猬羽毛笔插在我的脚上……”学龄儿童在医院的疼痛体验。
本研究的目的是描述学龄儿童在医院的疼痛体验。将疼痛视为一种复杂的现象,并从儿童发展的生理、心理和经验角度考虑儿童对疼痛的体验,构成了本研究的理论基础。数据收集自20名7至11岁的学龄儿童,他们在大学医院儿科病房住院。每个孩子都写了一篇关于他们在医院的疼痛经历的文章,然后根据他们的文章对他们进行了采访。采用内容分析法对数据进行归纳分析。在分析的基础上,对所有住院儿童造成疼痛的情况是与治疗有关的程序,儿童描述了他们的疼痛经历,如生理和心理上的疼痛感受。孩子们以多种方式描述生理疼痛(例如掐、刺、痛),并且能够主要描述疼痛的性质。根据儿童的描述,疼痛的心理感受为不愉快的感觉、恐惧、焦虑和恐惧。这项研究的结果表明,学龄儿童有能力描述他们自己的痛苦经历。这意味着,要评估和治疗学龄儿童的疼痛,我们应该倾听孩子的声音。此外,在医院中无法消除疼痛的情况,但我们可以在护理实践中注意减轻儿童疼痛的方法,减少心理疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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