• Yinhua Chen, Cuiting Min, Qianqian Wang, Jing Zhou, Ailing Xie, Lingling Shen, Mengying Chen, and Xiaonan Li.
• Department of Child Health Care, Children's Hospital of Nanjing Medical University, Nanjing, China.
• Pain Manag Nurs. 2021 Jun 1; 22 (3): 414-422.

BackgroundPain prevalence in pediatric hospitals has been investigated in many developed countries, but little is known about this topic in China.AimsThis study sought to describe the frequency and pain intensity of procedures for medical care in hospitalized children in a Chinese children's hospital.DesignA cross-sectional study was designed to include interviews with children, their parents and the nurses.SettingsThis survey was administered in a teaching hospital in southeast China.Participants/SubjectsInfants and children up to 16 years old who were admitted to the study units for more than 6 days were eligible for inclusion.MethodsInformation regarding patient demographics, painful procedures and pain management strategies was obtained during the day shifts of the children's hospitalization.ResultsA total of 3886 procedures were performed on 342 children during the data collection period. The reuse of intravenous indwelling needles ( n = 577), removal of tape from the skin (n = 420) and venipuncture on the back of the hand ( n = 401) were the most frequently performed procedures on children. A total of 1941 procedures, accounting for 49.9% (1941/3886) of painful procedures caused moderate to severe pain (pain score ≥4.0). However, only 25.3% (984/3886) received a valid pain assessment, and only 14.4% (560/3886) received pain interventions.ConclusionsMost children, especially those who are younger (<4 years old), experienced moderate or severe pain during their hospitalization, but did not receive appropriate interventions.Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

13 keywords...

hide…