关键词: 儿童；伤口换药；疼痛管理；横断面调查

Abstract: Objective: To investigate the current situation of pain management of wound dressing changes in outpatient and emergency children. Methods: A self-designed questionnaire was applied to investigate the nursing managers of outpatient and emergency wound dressing rooms in 31 provinces. Results: A total of 109 hospitals were investigated. Totally 91.7% of the hospitals had wound care team, and 41.3% of the hospitals had specialist nurses to provide wound care. The proportion of hospitals without pain assessment, pain record or pain health education was 33.0%, 34.9% and 26.6%, respectively. In 77.1% of hospitals, analgesia was insufficient. The main disadvantage of pain management were insufficient knowledge of pain management of the wound dressing staff, imperfect pain management system and low medication compliance of the family members. Conclusion: The organizational system for pain management of children's wound dressing changes is mostly effective, while the specific measures need to be standardized, and the analgesic effect need to be improved. It is recommended to standardize pain management procedures, enhance the effectiveness of analgesic measures, and solve the obstacles to pain management in order to improve the experience of wound dressing changes.

Key words: children; wound dressing changes; pain management; cross-sectional survey