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Pediatric pain : prevalence, assessment, and management in a teaching hospital

The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents), their families, 40 physicians, and 43 nurses. All participants were interviewed...

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Main Authors:	Linhares, Maria Beatriz Martins, Doca, Fernanda Nascimento Pereira, Martinez, Francisco E., Carlotti, Ana Paula Panzeri, Cassiano, R. G. M., Pfeifer, Luzia Iara, Funayama, C. A., Rossi, L. R. G., Finley, Gordon Allen
Format:	Artigo
Language:	English
Published:	Associação Brasileira de Divulgação Científica 2017
Subjects:	Dor em crianças Pacientes hospitalizados
Online Access:	http://repositorio.unb.br/handle/10482/28363 https://dx.doi.org/10.1590/S0100-879X2012007500147
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spelling	ir-10482-283632020-10-27T17:31:40Z Pediatric pain : prevalence, assessment, and management in a teaching hospital Linhares, Maria Beatriz Martins Doca, Fernanda Nascimento Pereira Martinez, Francisco E. Carlotti, Ana Paula Panzeri Cassiano, R. G. M. Pfeifer, Luzia Iara Funayama, C. A. Rossi, L. R. G. Finley, Gordon Allen Dor em crianças Pacientes hospitalizados The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents), their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients’ pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28%) answered the questionnaire and for the other 72% (unable to communicate), the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49%) had observed their child’s pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals. 2017-12-07T04:58:49Z 2017-12-07T04:58:49Z 2012-12 Artigo LINHARES, M.B.M. et al. Pediatric pain: prevalence, assessment, and management in a teaching hospital. Revista Brasileira de Pesquisas Médicas e Biológicas, Ribeirão Preto, v. 45, n. 12, p. 1287-1294, dez. 2012. DOI: https://doi.org/10.1590/S0100-879X2012007500147. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012001200026&lng=en&tlng=en. Acesso em: 26 out. 2020. http://repositorio.unb.br/handle/10482/28363 https://dx.doi.org/10.1590/S0100-879X2012007500147 en Acesso Aberto (CC BY NC) - All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. application/pdf Associação Brasileira de Divulgação Científica
institution	REPOSITORIO UNB
collection	REPOSITORIO UNB
language	English
topic	Dor em crianças Pacientes hospitalizados
spellingShingle	Dor em crianças Pacientes hospitalizados Linhares, Maria Beatriz Martins Doca, Fernanda Nascimento Pereira Martinez, Francisco E. Carlotti, Ana Paula Panzeri Cassiano, R. G. M. Pfeifer, Luzia Iara Funayama, C. A. Rossi, L. R. G. Finley, Gordon Allen Pediatric pain : prevalence, assessment, and management in a teaching hospital
description	The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents), their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients’ pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28%) answered the questionnaire and for the other 72% (unable to communicate), the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49%) had observed their child’s pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals.
format	Artigo
author	Linhares, Maria Beatriz Martins Doca, Fernanda Nascimento Pereira Martinez, Francisco E. Carlotti, Ana Paula Panzeri Cassiano, R. G. M. Pfeifer, Luzia Iara Funayama, C. A. Rossi, L. R. G. Finley, Gordon Allen
author_sort	Linhares, Maria Beatriz Martins
title	Pediatric pain : prevalence, assessment, and management in a teaching hospital
title_short	Pediatric pain : prevalence, assessment, and management in a teaching hospital
title_full	Pediatric pain : prevalence, assessment, and management in a teaching hospital
title_fullStr	Pediatric pain : prevalence, assessment, and management in a teaching hospital
title_full_unstemmed	Pediatric pain : prevalence, assessment, and management in a teaching hospital
title_sort	pediatric pain : prevalence, assessment, and management in a teaching hospital
publisher	Associação Brasileira de Divulgação Científica
publishDate	2017
url	http://repositorio.unb.br/handle/10482/28363 https://dx.doi.org/10.1590/S0100-879X2012007500147
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score	13.657419

Pediatric pain : prevalence, assessment, and management in a teaching hospital

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