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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
A randomized controlled trial of the effectiveness of educating parents about distraction to decrease postoperative
Helga Lára Helgadóttir1, Margaret E Wilson2
1Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Summary
Educating parents on distraction techniques alongside pain medication management significantly reduces children
Area of Science:
- Pediatric Surgery
- Pain Management
- Child Psychology
Background:
- Increasing parental involvement in pediatric postoperative pain management is crucial due to early hospital discharge.
- Effective home-based pain management strategies are needed for children undergoing procedures like tonsillectomy.
Purpose of the Study:
- To evaluate the effectiveness of parent education on distraction techniques combined with pharmacologic pain management.
- To assess the impact on reducing postoperative pain in children aged 3-7 years at home.
Main Methods:
- Randomized controlled trial involving 93 children (ages 3-7) undergoing tonsillectomy.
- Two groups: pharmacologic pain management education (control) and education plus distraction techniques (experimental).
- Pain assessed via parent-reported pain behaviors and child-reported pain intensity on postoperative days 1 and 2.
Main Results:
- Parent education incorporating distraction significantly decreased mean pain behavior scores (p < .001), adjusting for initial pain.
- No significant difference in pain intensity was observed between the groups.
- Initial pain intensity on postoperative day 1 was strongly associated with follow-up pain intensity (p < .001).
Conclusions:
- Parental education on distraction techniques, in addition to pain medication management, is important for reducing children's postoperative pain behaviors.
- Distraction is a valuable component of home-based pain management strategies for pediatric tonsillectomy patients.
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Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
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Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...