主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (5): 670-674.doi: 10.3969/j.issn.1672-1756.2022.05.007

• 论著 • 上一篇    下一篇

操作性疼痛综合管理方案用于3~7岁初次接受PICC置管患儿的效果评价

朱妮 王颖雯 王雪莲   

  1. 复旦大学附属儿科医院血液肿瘤科,201102 上海市
  • 出版日期:2022-05-15 发布日期:2022-05-15
  • 通讯作者: 王颖雯,硕士,副主任护师,护士长,E-mail:yingwenwong@aliyun.com
  • 作者简介:朱妮,本科

Evaluation of comprehensive pain management in children aged 3-7 with initial PICC catheterization

ZHU Ni, WANG Yingwen, WANG Xuelian   

  1. Department of Hematology and Oncology, Children's Hospital of Fudan University, Shanghai, 201102, China
  • Online:2022-05-15 Published:2022-05-15
  • Contact: E-mail:yingwenwong@aliyun.com

摘要: 目的:评价操作性疼痛综合管理方案在3~7岁初次接受PICC置管的血液肿瘤患儿中的应用效果。方法:采用方便抽样法,将2019年6月至2021年1月在我院血液科住院治疗的3~7岁初次接受PICC置管的血液肿瘤患儿分为对照组(52例)和干预组(52例),对照组患儿接受常规置管护理,干预组患儿接受操作性疼痛综合管理方案。比较两组患儿使用脸、腿、活动、哭闹、安抚评估量表(Face,Legs,Activity,Cry,Consolability,FLACC)评估的疼痛评分和疼痛程度。结果:干预组患儿接受PICC置管过程的疼痛评分和疼痛程度均显著低于对照组患儿(P<0.01)。结论:在3~7岁初次接受PICC置管的血液肿瘤患儿中实施操作性疼痛综合管理方案,能有效降低患儿的疼痛程度。

关键词: 儿科;血液肿瘤;操作性疼痛;疼痛管理

Abstract: Objective: To evaluate the effects of comprehensive pain management in children with hematological malignancies aged 3-7 who received PICC catheters for the first time. Methods: Children with hematology oncology aged 3-7 who were hospitalized in the Department of Hematology and Oncology of our hospital from June 2019 to January 2021 and received PICC catheterization for the first time were divided into control group (n=52) and intervention group (n=52) by using convenient sampling method. The children in the control group received routine intubation care, and the intervention group received comprehensive pain management scheme. The pain score and pain degree assessed by FLACC scale were compared between the two groups. Results: The pain score and pain degree in the intervention group were significantly lower than those in the control group during first-time PICC catheterization (P<0.01). Conclusion: Implementation of comprehensive pain management scheme in children with hematological tumors aged 3-7 who received PICC catheterization for the first time can effectively reduce the pain.

Key words: pediatrics; hematology oncology; procedural pain; pain management

中图分类号:  R47;R197