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首页> 外文期刊>Physiotherapy theory and practice >Measuring distress in South African children during burns dressing changes: A pilot study
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Measuring distress in South African children during burns dressing changes: A pilot study

机译：一项初步研究，测量南非儿童在烧伤换药期间的痛苦

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摘要

Objectives: To establish and trial a practical, evidence-based, sensitive, language-fair, and culture-fair test battery to measure South African children's distress during burns dressing change. Methods: We previously identified a broad test battery for pediatric procedural distress from the literature. This comprised child and parent heart rate; three instruments for observed distress behaviors(1) Face, Legs, Activity, Cry, Consolability (FLACC); (2) Pain Behavior Check List (PBCL); and (3) Children's Hospital Eastern Ontario Pain Scale (CHEOPS); and dressing change time, number of nurses required, and nurses' perspectives of child's distress. A consecutive cohort of South African inpatient children with burns was recruited. In the first study, three observers independently piloted the broad set of measures on four children. This set was subsequently modified to increase practicality of application and measurement sensitivity. In the second study, the modified battery was tested on 16 children for sensitivity to different children's distress levels during burns dressing change phases. Results: The modified test battery was comprised of the CHEOPS, dressing change time, number of nurses required, and nurses' qualitative perspectives of child's distress. In combination, these tests were practical and sensitive to children's distress. Discussion: South African children's distress during burn dressing changes manifests in different ways. Adequate capture of it requires a comprehensive set of objective, observational, and qualitative measures, which are independent of language and culture.
机译：目标：建立并试用实用的，循证的，敏感的，语言公正的和文化公正的测试电池，以测量南非儿童在烧伤敷料更换期间的痛苦。方法：我们先前从文献中确定了一个广泛的针对儿童手术困扰的测试电池。这包括孩子和父母的心率;三种观察到的遇险行为的工具（1）脸部，腿部，活动，哭泣，自慰（FLACC）; （2）疼痛行为检查表（PBCL）; （3）儿童医院，安大略省东部疼痛量表（CHEOPS）;和换药时间，所需护士的人数以及护士对孩子痛苦的看法。连续招募了一组南非烧伤住院儿童。在第一项研究中，三名观察员独立地对四名儿童进​​行了广泛的测试。随后对该套件进行了修改，以提高应用的实用性和测量灵敏度。在第二项研究中，对16名儿童进行了改良电池测试，以了解他们在烧伤敷料更换阶段对不同儿童痛苦水平的敏感性。结果：改良的测试电池包括CHEOPS，换药时间，所需护士人数以及护士对孩子痛苦的定性观点。结合起来，这些测试是实用的并且对儿童的痛苦敏感。讨论：南非儿童在烧伤敷料变化期间的苦恼以不同的方式表现出来。充分捕捉它需要一套全面的客观，观察和定性措施，这些措施与语言和文化无关。

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