Title: Prevalence of Pediatric Pain in Hospitals in Northeastern (Isan) Thailand.
Authors: Pulsuk Siripul1, Kesanee Boonyawattanangkool2, Darunee Jongudomkarn1Sucheela Kasetwatin2, Somboon Thienthong3, Allen Finley4, Paula Forgeron4, Srivieng Pairojkul5, Wimonrat Sriraj3, Raza Abidi6
Institute: 1 Faculty of Nursing, Khon Kaen University, 2 Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, 3 Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, 4 IWK Health center, Dalhousie University, 5 Department of Pediatrics, Faculty of Medicine, Khon Kaen University, 6 Department of Computer Science, Dalhousie University
Aim of Research: To determine prevalence of pain among pediatric hospital in-patients and the current pain management.
Background: Children in developing countries have less access to pain care. Previous studies have not addressed the prevalence of pain in Thai Isan children. This study is one part of a collaborative action research between Thai and Canadian researchers, conducted to establish a community of practice for effective pediatric pain care in Northeastern Thailand.
Methods: Seven hospitals in Isan participated in the main project. Participants were children aged 0 to 15 years and their parents and were willing to participate. These patients were surveyed as in-patients on pediatric, surgery, and orthopedic wards over a one-day period at each participating hospital. Research staff interviewed patients and/or their parents using a questionnaire to assess children’s pain, pain management, including use of non-pharmacological methods, and reviewed patient charts to identify analgesic orders.
Results: 542 children (25% of infants, 20% of toddlers, 15% of pre-school age children, 26% of school age children and 14% of adolescents) and their parents participated in this study. The majority (59.8%) of them were males. 43 % had current pain and half had moderate and severe pain. Regarding worst pain in the past 24 hours, 81% of pediatric patients with pain were facing moderate to severe pain and received less pain treatment than required. Paracetamol was commonly used (90% of doctor orders) as the first pain medication. However, only 38% of these orders were actually given to the patients. Touching (57%), consoling (48%), and distraction (28%) were preferred non-pharmacological methods used for pain management. Pain assessment and records were under reported and incomplete.
Conclusion: Results from this survey provided significant information for further development of pediatric pain management for hospitals in Northeastern Thailand.
Presenter’s Name Sucheela Kasetwatin
Poster Session Date Tuesday, June 9, 2009
Poster Room Exhibit Hall - Ballroom C
Poster Session Number Poster Session 2
Poster Title PO2-074 - Prevalence of Pediatric Pain in Hospitals in Northeastern (Isan) Thailand
Duration of Poster Session 1h 30 min
ขอบพระคุณ ผศ. ดร. พูลสุข ศิริพูล 1st Author และทีมวิจัยทุกท่าน
Kesanee..update..Apr 21, 2009, 8:40 pm
พี่เกศคะอย่าลืมเเวะไปอ่านบันทึกล่าสุดของกุ้งนะคะ ตกลงเราจะจัด CoP วันที่ 30 นะคะกุ้งเวรบ่ายไม่อยากเลื่อนค่ะเดือนนี้ พีภัทรเชิญให้เเล้วอยากเชิญอาจารย์สุรพล อาจารย์ศรีเวียงจังพี่เกศ ตามมาอ่านบันทึกล่าสุดของกุ้งนะคะมาเลยค่ะแล้วก็จะหยุดยาวแล้วค่ะ ไปหาคนข้างบนนี้ค่ะ