生长痛患儿疼痛持续时间及影响因素分析  

The status and influencing factors of pain duration in children with growing pains

作　　者：张文妮 沈巧[2] 冷虹瑶[2] 陆秋帆 李沁岭 张鑫[2] 郑显兰[2] Zhang Wenni;Shen Qiao;Leng Hongyao;Lu Qiufan;Li Qinling;Zhang Xin;Zheng Xianlan(Department of Endocrinology,Children′s Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院、国家儿童健康与疾病临床医学研究中心、儿童发育疾病研究教育部重点实验室、儿童代谢与炎症性疾病重庆市重点实验室内分泌科,重庆400014 [2]重庆医科大学附属儿童医院、国家儿童健康与疾病临床医学研究中心、儿童发育疾病研究教育部重点实验室、儿童代谢与炎症性疾病重庆市重点实验室护理部,重庆400014 [3]重庆医科大学附属儿童医院、国家儿童健康与疾病临床医学研究中心、儿童发育疾病研究教育部重点实验室、儿童代谢与炎症性疾病重庆市重点实验室互联网医院办公室,重庆400014

出　　处：《护理学杂志》2024年第12期15-19,共5页Journal of Nursing Science

摘　　要：目的了解生长痛患儿疼痛持续时间并分析其影响因素,为护理人员开展针对性的健康指导提供参考。方法采用便利抽样法,选取确诊为生长痛的748例患儿作为调查对象,使用自制一般资料调查表和生长痛患儿疼痛症状及影响因素调查表进行调查。结果共回收有效问卷730份。其中464例(63.56%)患儿每次疼痛持续时间<30 min,266例(36.44%)每次疼痛持续时间≥30 min。logistic回归分析显示,年龄、生长痛发生当天身体活动持续时间>60 min、不合群是生长痛疼痛持续时间≥30 min的危险因素,患儿初发生长痛后补充维生素D、热敷是保护因素(均P<0.05)。结论大部分患儿每次疼痛持续时间<30 min,但受到运动、心理行为、照护者应对方式等多方面因素的影响。建议护理人员通过运动指导、认知行为疗法帮助患儿积极应对疼痛,加强健康教育以提高生长痛患儿照护者的疾病认知水平,促进其积极采取个性化的干预措施缩短患儿疼痛持续时间,改善患儿疼痛体验。Objective To investigate the status of pain duration in children with growing pains(GP),to analyze the influencing factors,and to provide a reference for nursing staff to carry out targeted health guidance.Methods Totally,748 children with GP were included.Participants′caregivers were surveyed utilizing a general information questionnaire and a self-made questionnaire on the manifestation and influencing factors of children with GP.Results The survey had 730 valid questionnaires.Among the 730 children with GP,464(63.56%)experienced pain duration<30 minutes each time,and 266(36.44%)reported pain duration≥30 minutes.Multivariate analysis showed that age,physical activity>60 minutes on the day of GP occurrence,asocialness were risk factors for pain duration≥30 minutes,while vitamin D supplementation and hot compress after GP occurrence were protective factors(all P<0.05).Conclusion The pain duration in children with GP is usually no more than 30 minutes,and it can be affected by physical exercise,psychological behavioral problems,and the coping style of caregivers.Nursing staff should utilize exercise guidance and cognitive behavioral therapy to help children manage pain,improve the disease cognition level of caregivers,encourage them to take individualized intervention,in an effort to shorten the pain duration,and improve the pain experience of children with growing pain.

关 键 词：生长痛 儿童 疼痛 维生素D 身体活动 同伴交往 疼痛管理 应对方式 

分 类 号：R473.72[医药卫生—护理学]