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Parents' management of children's pain at home after surgery

Catherine Vincent1, Maria Chiappetta, Abigail Beach

  • 1University of Illinois at Chicago College of Nursing, Chicago, Illinois, USA. vincentc@uic.edu

Insights

Home pain management for children resulted in moderate pain and increased analgesic use. Current educational methods were insufficient for improving parents' pain relief practices for children post-discharge.

Area of Science:

  • Pediatric Pain Management
  • Postoperative Care
  • Evidence-Based Practice

Background:

  • Effective home pain management is crucial for children after hospital discharge.
  • Parents require adequate education to manage their child's pain effectively.
  • Current interventions may not sufficiently empower parents in analgesic administration.

Purpose of the Study:

  • To evaluate the impact of home pain management strategies on children's pain intensity.
  • To assess the quantity of analgesics administered by parents post-discharge.
  • To determine patient and parent satisfaction and healthcare service utilization.

Main Methods:

  • A quasi-experimental study involving 108 children and their parents.
  • Utilized the numeric rating scale or Faces Pain Scale-Revised for pain assessment.
  • Analyzed analgesic administration, satisfaction, and service use, with statistical comparisons between groups.

Main Results:

  • Children reported moderate pain levels during the 3-day post-discharge period.
  • Parents administered a higher percentage of analgesics on study days.
  • Written instructions and brief interactive sessions did not significantly alter parents' pain management practices.

Conclusions:

  • Standard educational approaches are insufficient for optimizing children's postoperative pain relief at home.
  • There is a need for developing and testing more effective educational interventions.
  • Further research is required to improve pediatric pain management strategies.
Abstract

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