BACKGROUND: Despite the evidence and availability of numerous validated pain assessment tools and pain management strategies for infants and children, their use remains inconsistent in clinical practice.OBJECTIVES: To describe the prevalence of pain, pain assessment and pain management practices at a tertiary pediatric hospital in Canada.METHODS: The cross-sectional study design involved a combination of interviews with children and/or caregivers, and chart audits in five inpatient units. Information regarding pain intensity, painful procedures and pain management strategies was obtained from children and/or caregivers by interview. Patient charts were reviewed for information regarding pain assessment, pain scores, and pharmacological and nonpharmacological interventions.RESULTS: Sixty-two children (four days to 17 years of age) participated. Most children or their caregivers (n=51 [84%]) reported that pain was experienced during their hospitalization, with 40 (66%) reporting their worst pain as moderate or severe. Almost one-half reported analgesics were administered before or during their most recent painful procedure. Nineteen (32%) reported sucrose, topical anesthetics or nonpharmacological interventions were used; however, they were documented in only 17% of charts. Pain scores were documented in 34 (55%) charts in the previous 24 h. The majority of the children or their caregiver (n=44 [71%]) were satisfied with pain management at the study hospital.CONCLUSIONS: Most infants and children had experienced moderate or severe pain during their hospitalization. Analgesics were frequently used, and although nonpharmacological strategies were reported to be used, they were rarely documented. Most parents and children were satisfied with their pain management.

中文翻译：

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儿科医院的疼痛患病率：在“疼痛意识周”期间提高意识

背景：尽管有证据表明和可用的婴幼儿疼痛评估工具和疼痛管理策略多种多样，但它们在临床实践中的使用仍然不一致。目的：描述三级儿科医院的疼痛发生率，疼痛评估和疼痛管理实践方法：横断面研究设计涉及对儿童和/或看护者的访谈，以及对五个住院单元的检查表。通过访谈从儿童和/或看护者那里获得有关疼痛强度，疼痛程序和疼痛管理策略的信息。复查了患者病历表，以获取有关疼痛评估，疼痛评分以及药理和非药理干预措施的信息。结果：参加了62名儿童（4天至17岁）。大多数儿童或他们的看护者（n = 51 [84％]）报告说，他们在住院期间经历了疼痛，其中40（66％）人报告他们的最严重疼痛为中度或重度。据报道，近一半的镇痛药是在最近的痛苦手术过程中或之前进行的。报道有十九例（32％）使用蔗糖，局部麻醉剂或非药物干预措施。但是，只有17％的图表记录了它们。在过去24小时内，疼痛评分记录在34（55％）个图表中。大多数儿童或他们的照料者（n = 44 [71％]）对研究医院的疼痛处理感到满意。结论：大多数婴儿和儿童在住院期间经历了中度或重度疼痛。止痛药是经常使用的，尽管据报道使用了非药理学策略，他们很少被记录在案。大多数父母和孩子对他们的疼痛管理感到满意。