Systematic Literature Review of Pediatric Pain Measures
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Yang, Pei-Hsin, RN, BSN; Chao, Kuo-Li, RN, BSN
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- Non-member
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Abstract
Abstract: Articles on pediatric behavioral scales were reviewed to elucidate usage of pain assessment tools in clinical practice. Methods: A literature search was performed in the MEDLINE, PubMed, Cochrane Library, CINAHL, SODL, CEPS and master thesis databases for systematic reviews published from 2000 to 2011 using the following search terms: pain, child, children, childhood, systematic review, and instrument. A total of 112 articles were identified. 7 articles on child pain assessment instrument met the inclusion criteria. Results: Pediatric pain assessment scales can be either observational scales or self-reported measure. 20 articles on observational scales were identified. CHEOPS, FLACC, PPPM, COMFORT, POCIS scales were suggested to be used in hospitalized, post-operative, critical care, and burn patients. A total of 34 single-item self-report measures were found. The most often used scale for research purposes were Pieces of hurt tool, FPS, Oucher, Wong-Baker FACES pain score, and VAS. The scales mentioned above were reliable, effective, and can be utilized in different types of diseases. Conclusion: Pain is subjective. In order to accurately assess pain in pediatric population, behavioral scales, self-report measure, and physiologic indicators should be incorporated. In pediatric population pain could not be well expressed due to immature cognition. Self-report measure is not a reliable tool when used in patients less than 6-year-old. Pain will be assessed more accurately when self-report measure is utilized in combination with a reliable and effective behavioral observation scale. In the future, research should be directed to comparison of the physiologic indicators with observational scales vs self-report measure to validate the effectiveness of different scales.
Repository Posting Date
2012-09-12T09:19:59Z
Notes
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Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Category Information
Evidence Level | |
Keywords | Pain; Children; Instrument |
Conference Information
Name | 23rd International Nursing Research Congress |
Host | Sigma Theta Tau International, the Honor Society of Nursing |
Location | Brisbane, Australia |
Date | 2012 |
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