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Master Thesis

Douleur induite par les soins au sein des établissements accueillant des enfants avec handicap moteur : DIS-HANDI

Abstract : Introduction: Pain is the most frequently reported impairment in children with physical disabilities, reducing their quality of life and participation in social and academic activities. However, care-related pain was few studied even if these children need a lot of care throughout their daily life. Objective: To characterize qualitatively and quantitatively the care-related pain in children with physical disabilities followed in rehabilitation centre or specialized institution. Methods: Children with physical disabilities, aged 0 to 18 years, followed in 16 establishments (rehabilitation centre, medical-educational institution, educational institution) in Brittany (France) between April 2016 and July 2017 were recruited at random. The revised Face Legs Activity Cry Consolability (FLACC-R) scale was performed at each physical contact over 5 days and 1 night for each patient to assess pain. Results: 280 children (mean age 12 years (±4.1); 51.4% of female) were included. 7689 gestures were collected. 6% of all care were painful, and 48% of children had at least one painful care. The most frequently painful care were equipment (25%), bandage (20%) or invasive respiratory care (19%), while nursing care concerned most pain patients (n=86). The most dependent children were at risk of care-related pain (p< 0,001). Only 25.4% of children received prevention before care. Conclusion: Care-related pain was frequent on a daily basis and concerned any health personnel in contact with children with physical disabilities in rehabilitation centre and specialized institutions. There is a need to integrate the assessment and prevention of care-related pain into routine clinical practice.
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Master Thesis
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Submitted on : Thursday, April 22, 2021 - 12:37:42 PM
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Caroline Hall. Douleur induite par les soins au sein des établissements accueillant des enfants avec handicap moteur : DIS-HANDI. Médecine humaine et pathologie. 2020. ⟨dumas-03205480⟩



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