<総説>在宅で生活する小児慢性疾患患者における医療処置に伴う疼痛への対応の検討

概要

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Clinical management in pain control for children with chronic diseases, who visited our outpatient clinic for pediatric endocrine and metabolic disorders, was reported. Some young patients with growth hormone deficiency, who refused the hormone injection at first, could accept the injection after watching their mothers inject themselves, and the others needed lidocaine tape before receiving daily hormone injections at home in spite of the use of the least painful injection devices. Several patients received growth hormone injections while a sleep. Home-blood sampling by finger prick followed by mailing the blood filter paper to our institute was started for a patient with phenylketonuria, who, at age two, refused to visit clinic due to painful procedures. The finger prick was done during sleep without local anesthesia at first, although lidocaine tape was needed from around 4 years of age on. Our experiences with the patients mentioned above and the others with chronic diseases to whom painful treatments were repeated in outpatient clinic and at home, indicated the importance of supporting their mothers, who were not fully confident of the necessity of the treatment for their children.
福井大学の論文
2000-03-31