Related Experiment Video
Updated: Oct 8, 2025
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward:
Jin-Xia Yang1, Wen-Ying Yao1, Fang Zhang1
1Deparment of Nursing, Children's Hospital of Soochow University, Suzhou, China.
Insights
A parent participation program significantly reduced postoperative pain scores in children undergoing urology treatment. This approach enhances pain management through parental involvement in cognition, guidance, documentation, and support.
Area of Science:
- Pediatric Nursing
- Pain Management
- Surgical Care
Background:
- Postoperative pain in children after urology treatment can lead to adverse outcomes like sleep disturbance and delayed recovery.
- Parental assessment of children's behaviors and responses is crucial for effective postoperative pain management.
- Involving parents directly in pain management can improve outcomes for pediatric patients.
Purpose of the Study:
- To develop a Parent Participation in Postoperative Pain Management Program for pediatric urology patients.
- To evaluate the program's effectiveness on children's postoperative pain scores and other indicators.
- To enhance the quality of care for children experiencing pain after urology procedures.
Main Methods:
- A randomized controlled trial was conducted in a tertiary children's hospital urology ward.
- The study involved two phases: program development and a randomized controlled trial with control and intervention groups.
- The intervention group received the Parent Participation in Postoperative Pain Management Program, while the control group received routine care.
Main Results:
- Children in the intervention group had significantly lower pain scores during dressing removal, at discharge, and during catheter removal compared to the control group.
- No significant demographic differences were observed between the intervention and control groups.
- The program demonstrated a statistically significant reduction in pain indicators.
Conclusions:
- The Parent Participation in Postoperative Pain Management Program effectively alleviates postoperative pain in children undergoing urology treatment.
- Parental involvement, encompassing cognition, guidance, documentation, and support, is vital for pediatric pain management.
- This program offers valuable insights for improving postoperative care and pain control in pediatric urology.
Background:
Postoperative pain has adverse effects on children after urology treatment, including sleep disturbance, incision dehiscence, bleeding, and delayed recovery. Parents, as the most direct caregivers of children, can make accurate assessments of children´s personal behaviors and responses, which is very important for the management of postoperative pain in children.
Purpose:
The purpose of the current study was to develop a Parent Participation in Postoperative Pain Management Program for children in a urology ward and to evaluate its effects on children's postoperative pain scores and other outcome indicators.
Design:
This research comprised two phases. The first phase was the development of a Parent Participation in Postoperative Pain Management Program. The second phase was a randomized controlled trial between two groups, and was carried out in a 45-bed inpatient urology ward of a tertiary children's hospital in China. In the trial, 211 children and their parents were randomly selected as a control group between July 1 and August 15, 2019, and 202 children and their parents were randomly selected as an intervention group between August 16 and September 15, 2019.
Methods:
Following the framework and methods of the Evidence-based Continuous Quality Improvement Model developed at Fudan University Evidence-Based Nursing Center, we systematically gathered evidence regarding parental involvement in postoperative pain management in children to construct the program. To evaluate the program's effectiveness, the control group performed routine postoperative pain management, while the intervention group underwent the Parent Participation in Postoperative Pain Management Program. The management period was during hospitalization, and generally ranged 3-7 days. The Statistical Table of Pain Assessment for Children after Urology was employed by researchers.
Findings:
The results revealed no significant differences in demographic characteristics between the two groups of children and their parents. Children's pain scores during dressing removal (Z = -3.108, p = 0.002), at discharge (Z = -2.185, p = 0.029) and during catheter removal (Z = -6.553, p = 0.000) were significantly lower in the intervention group compared with the control group.
Conclusions And Clinical Relevance:
The Parent Participation in Postoperative Pain Management Program was found to be effective for alleviating postoperative pain scores among children, and provided useful information regarding postoperative pain management in children involving four aspects of parental involvement: cognition, guidance, documentation and support.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:25Analgesia and Pain Management