Assessment of the behavior of children in painful situations: literature review.

J Pediatr (Rio J)

Programa de Pós-Graduação em Saúde Mental, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

Published: August 2009

AI Article Synopsis

  • The study analyzes research from 2001 to 2006 on assessing pain in preschool children, focusing on empirical articles.
  • It identifies 33 articles, with a majority (18) studying the psychometric properties of pain measurement tools, while others explore their application and intervention methods.
  • The findings highlight a trend towards using one-dimensional instruments that primarily rely on facial expressions to gauge pain intensity, and note progress in assessing pain in preschool children with special needs.

Article Abstract

Objective: To analyze the scientific production published between 2001 and 2006 describing studies assessing children in painful situations, with a focus on preschool children.

Sources: Searches were run for empirical articles indexed in electronic databases using the keywords pain assessment and behavior and their equivalents in Portuguese.

Summary Of The Findings: A total of 33 articles were identified, 18 of which were studies of the psychometric properties of instruments for the measurement of pain, while 11 dealt with the application of such instruments and four were studies of intervention procedures for the relief of pain.

Conclusions: The results indicate that more recent literature on the assessment of preschool children's behavior in painful situations is focused on testing the psychometric properties of measurement instruments. Acute pain, especially during surgical procedures, was most often assessed using one-dimensional instruments. Pain in children was most often assessed using facial activity as indicator and intensity as dimension. With relation to assessment of pain in special populations, advances were observed related to assessment of pain in preverbal children or preschool children with special needs.

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Source
http://dx.doi.org/10.2223/JPED.1830DOI Listing

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