Pain in Children and Adolescents With Sickle Cell Disease: Multidimensional Assessment
| Autor: | Clara Abadesso, Susana Rebelo Pacheco, Gordon Allen Finley, Maria do Céu Machado |
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| Rok vydání: | 2020 |
| Předmět: |
Thorax
Male medicine.medical_specialty Activities of daily living Adolescent Visual analogue scale Multidimensional assessment MEDLINE Disease Anemia Sickle Cell 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life medicine Humans Young adult Child Pain Measurement business.industry Hematology Oncology 030220 oncology & carcinogenesis Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female business 030215 immunology |
| Zdroj: | Journal of pediatric hematology/oncology. 42(8) |
| ISSN: | 1536-3678 |
| Popis: | Background Patients with sickle cell disease (SCD) suffer from recurrent painful vaso-occlusive episodes with a significant impact on their quality of life. The aim of this study was to perform a multidimensional assessment of pain in Portuguese children and adolescents with SCD. Methods Subjects were children and adolescents and their parents recruited from the outpatient pediatric hematology clinic in a Portuguese Hospital. Pain frequency and a broader multidimensional evaluation was performed using the Pediatric Pain Questionnaire (PedsQL) (that includes Visual Analog Scales, color indicators, qualitative descriptors of pain [open question] and body diagram) and a structured questionnaire (PQ2), that included a term list of the Adolescent Pediatric Pain Tool, among other questions. Results Included 60 children and adolescents (36 boys and 24 girls) with a mean age of 11±4.0 years (range, 5 to 18). The majority of children (83.1%) reported no present pain and 57.6% reported pain last month, with several degrees of pain intensity. Abdomen, thorax, and limbs were the most frequent localizations. Red was the color most chosen to describe "severe pain," whereas blue and green were more used to describe "no pain." The number of pain descriptors is different using an open-ended question (2.1±1.5) than a given list of terms (15.3±8.1). The most frequent terms used in the open question were "strong/very strong," "hurts a lot," "makes cry," and "horrible." Parents used similar pain descriptors. "Makes cry," "horrible," "tiring," "unbearable," and "uncomfortable" were the most frequent terms chosen in the PQ2. Pain interfered variably with daily activities for most of the patients. Conclusion Pain experienced in SCD has a broad range of intensity levels, localization, and frequency. There are a number of pain descriptors and socio-emotional factors related to the pain experience. A comprehensive multidimensional assessment that includes both child's and parents' perspective seem to be the most adequate strategy to assess pain. |
| Databáze: | OpenAIRE |
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