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首页> 外文期刊>Annals of physical and rehabilitation medicine >Care-related pain and discomfort in children with motor disabilities in rehabilitation centres
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Care-related pain and discomfort in children with motor disabilities in rehabilitation centres

机译：康复中心运动障碍儿童与护理相关的疼痛和不适

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Background: Pain is one of the symptoms reported most by children with motor disabilities particularly during daily living activities in institutions and during rehabilitation. Despite the care and consideration of professionals, a wide range of motor and cognitive disabilities, limited communication skills, the presence of chronic pain and frequent care interventions place such children at high risk of experiencing induced pain. Objectives: We aimed to identify care-related pain and discomfort in children with motor disabilities in rehabilitation centres and the characteristics of children at risk of induced pain. A further aim was to evaluate the validity of a method for the continuous assessment of care-related pain. Methods: Patients were recruited from 2 paediatric rehabilitation centres. The level of pain or discomfort experienced during each daily care activity was evaluated for 5 days and 1 night by using the FLACC-r scale and a visual analog scale (VAS) rated by the caregiver (VAS caregiver) and the patient (VAS patient). Results: We included 32 children (mean age: 8.5 ± 5 years, range: 1-15 years) with 1302 care activities evaluated. Overall, 3.6 of the activities were rated as painful and 11 uncomfortable. The most frequent painful activities were mouth care, transfers standing and dressing. The most frequent uncomfortable activities were passive limb mobilisation, dressing and transfers. Children with neurological disorders were at increased risk of induced pain
机译：背景：疼痛是运动障碍儿童报告最多的症状之一，尤其是在机构的日常生活活动和康复期间。尽管有专业人员的照顾和考虑，但广泛的运动和认知障碍、有限的沟通技巧、慢性疼痛的存在和频繁的护理干预使这些儿童面临诱发疼痛的高风险。研究目的： 我们旨在确定康复中心运动障碍儿童与护理相关的疼痛和不适，以及有诱发疼痛风险的儿童的特征。另一个目的是评估持续评估护理相关疼痛的方法的有效性。方法：从2个儿科康复中心招募患者。使用 FLACC-r 量表和由护理人员（VAS 护理人员）和患者（VAS 患者）评定的视觉模拟量表 （VAS） 评估每次日常护理活动中经历的疼痛或不适程度 5 天零 1 夜。结果：我们纳入了32名儿童（平均年龄：8.5±5岁，范围：1-15岁），评估了1302项护理活动。总体而言，3.6%的活动被评为痛苦，11%被评为不舒服。最常见的疼痛活动是口腔护理、转移、站立和穿衣。最常见的不舒服活动是被动肢体活动、穿衣和转移。患有神经系统疾病的儿童诱发疼痛的风险增加

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