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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.
Purpose:
We tested home pain management for children for effects on pain intensity, analgesics administered, satisfaction, and use of healthcare services over 3 post-discharge days.
Design And Methods:
In this quasi-experimental study with 108 children and their parents, we used the numeric rating scale or the Faces Pain Scale-Revised, calculated percentages of analgesics administered, and asked questions about expectations, satisfaction, and services. Between-group differences were tested with t-tests and analysis of variance.
Results:
After home pain management for children, children reported moderate pain, and parents administered more analgesics on study days. Parents and children were satisfied; parents used few services. Written instructions and a brief interactive session were not sufficient to change parents' analgesic administration practices to relieve their children's pain.
Practice Implications:
Further research is needed to develop and test effective education interventions to facilitate relief of children's postoperative pain.
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Assessment: