Measures and Effects of Pain Management for Wound Dressing Change in Outpatient Children in Western China

• Published in: Journal of pain research Vol. 14; pp. 399 - 406
• Main Authors: Wu, Yujie, Zhao, Yong, Lin, Guangyan, Sharma, Manoj, Wang, Yan, Chen, Liping, Wu, Liping
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2021; Taylor & Francis Ltd; Dove; Dove Medical Press
• Subjects: Analgesics; Analysis; Care and treatment; Children; China; Developing countries; Ethics; Families & family life; Health aspects; Health education; Hospitals; LDCs; Medical care; Medical personnel; Nurses; Nursing; Original Research; Pain; Pain management; Pediatrics; Physicians; Quality management; Questionnaires; Surveys; wound care; Wound healing; Wounds and injuries; China; children; wound care; pain management
• ISSN: 1178-7090; 1178-7090
• DOI: 10.2147/JPR.S281876

The present study investigated the pain management of wound dressing change in outpatient children in western China, and the results may provide a reference to improve the pain management of wound dressing change. A cross-sectional survey was performed to investigate the pain management of wound dressing change in outpatient children in western China. A total of 47 hospitals were selected via convenience sampling, and the pain management organization systems, concrete measures and barriers to adequate pain management of these hospitals were investigated. More than 70% of these hospitals had established pain management systems, analgesic drug management norms and wound care teams. Nurses were the primary providers for wound dressing change in 48.94% of the hospitals. The assessment, documentation or health education of the pain was not standard in 46.81% of the hospitals. Drug and non-drug analgesia measures were used in most hospitals, however, children did not receive adequate analgesia in 70% of the hospitals. Ibuprofen (30.49%) and lidocaine (29.27%) were commonly used analgesic drugs, and distraction (43.01%) was commonly used as a non-drug analgesia measure. The top three barriers to adequate pain management were medical staff lacking analgesic knowledge (82.98%), family members refusing to use analgesics (61.70%) and low compliance of children (55.32%). The concrete measures for the management of wound dressing pain in children are not standardized, and the analgesic effect is poor. In order to improve the pain management of children, Standardized procedures for pain management (pain assessment, analgesia measures, pain documentation and health education) should be strictly followed during wound dressing change, and the identified barriers should be addressed.