Vasiliki Matziou1, Efrosini Vlachioti2, Eustathia Megapanou3, Agapi Ntoumou4, Christina Dionisakopoulou5, Vasia Dimitriou6, Konstantinos Tsoumakas7, Theodora Matziou8, Pantelis Perdikaris9. 1. Professor of Pediatric Nursing, Faculty of Nursing, National & Kapodestrian University of Athens. 2. Head Nurse RN, MSc, PhD, General Children's Hospital of Athens 'Agia Sophia', Athens. 3. Doctor, Athens. 4. Nursing director of pediatric oncology sector, Pediatric Oncology Hospital 'Marianna Vardinogianni-Elpida', Athens. 5. Nurse RN, MSc, PhD (c), Faculty of Nursing, National & Kapodestrian University of Athens. 6. Nurse RN, MSc, Faculty of Nursing, National & Kapodestrian University of Athens. 7. Professor of Pediatrics, Faculty of Nursing, National & Kapodestrian University of Athens. 8. Nurse RN, Athens. 9. Nurse RN, MSC, PhD Pediatric Oncology Hospital 'Marianna Vardinogianni-Elpida', Athens, Greece pantperdikaris@ath.forthnet.gr.
Abstract
OBJECTIVE: The aim of the study was to assess pain levels and perceptions concerning pain by both children and their parents during hospitalization, as well as the impact of that pain upon parents' quality of life. METHODS: The sample of the study consisted of 92 pediatric cancer patients, 159 pediatric patients with musculoskeletal problems and one of their parents. The study was performed between November 2010 and May 2011. The Pediatric Pain Questionnaire (Parent Version) and the PedsQL-Family Impact Module were used for pain assessment and the quality of life by the parents. Young patients completed the pediatric version of the Pediatric Pain Questionnaire for the evaluation of pediatric pain. Pain was measured by using the Wong-Baker facial pain scale, included in both parent and child version of the Pediatric Pain Questionnaire. This rating scale is recommended for children 3 years and older. RESULTS: Young patients reported higher acute pain scores than their parents (z = -2.5, P = 0.011; 99% confidence interval: 0.008-0.013). Young patients with orthopedic disorders had higher acute and chronic pain scores in comparison to their parents' reports (z = -3.4, P = 0.001; 99% confidence interval: 0.000-0.001 and z = -2.3, P = 0.021; 99% confidence interval: 0.017-0.025, respectively). Girls reported higher pain scores than boys (z = -2.0, P = 0.047; 99% CI: 0.041-0.052). CONCLUSIONS: Parental reports tended to underestimated children's pain, especially acute pain. The sex of children, the age and the marital status affect the perceptions of both children and their parents about pain. The parental quality of life is affected especially when the pain is caused by life-threatening diseases such as cancer. However, it improves as the treatment of their children is completed with no complications.
OBJECTIVE: The aim of the study was to assess pain levels and perceptions concerning pain by both children and their parents during hospitalization, as well as the impact of that pain upon parents' quality of life. METHODS: The sample of the study consisted of 92 pediatric cancerpatients, 159 pediatric patients with musculoskeletal problems and one of their parents. The study was performed between November 2010 and May 2011. The Pediatric Pain Questionnaire (Parent Version) and the PedsQL-Family Impact Module were used for pain assessment and the quality of life by the parents. Young patients completed the pediatric version of the Pediatric Pain Questionnaire for the evaluation of pediatric pain. Pain was measured by using the Wong-Baker facial pain scale, included in both parent and child version of the Pediatric Pain Questionnaire. This rating scale is recommended for children 3 years and older. RESULTS: Young patients reported higher acute pain scores than their parents (z = -2.5, P = 0.011; 99% confidence interval: 0.008-0.013). Young patients with orthopedic disorders had higher acute and chronic pain scores in comparison to their parents' reports (z = -3.4, P = 0.001; 99% confidence interval: 0.000-0.001 and z = -2.3, P = 0.021; 99% confidence interval: 0.017-0.025, respectively). Girls reported higher pain scores than boys (z = -2.0, P = 0.047; 99% CI: 0.041-0.052). CONCLUSIONS: Parental reports tended to underestimated children's pain, especially acute pain. The sex of children, the age and the marital status affect the perceptions of both children and their parents about pain. The parental quality of life is affected especially when the pain is caused by life-threatening diseases such as cancer. However, it improves as the treatment of their children is completed with no complications.
Authors: Sara Zarnegar-Lumley; Katharine R Lange; Melissa D Mathias; Miho Nakajima-Hatano; Katharine M Offer; Ugochi O Ogu; Michael V Ortiz; Kay See Tan; Michael Kellick; Shakeel Modak; Stephen S Roberts; Ellen M Basu; R Scott Dingeman Journal: Pediatrics Date: 2019-08 Impact factor: 7.124
Authors: Sarah Xu; Sujay Turakhia; Michael Miller; Douglas Johnston; John Maddalozzo; Dana Thompson; Irina Trosman; Michael Grandner; Stephen H Sheldon; Vikas Ahluwalia; Bharat Bhushan Journal: J Clin Sleep Med Date: 2022-03-01 Impact factor: 4.062