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Experience and Management of the Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective

Mandy M J Li1,2, Cynthia L Larche2, Kelsey Vickers2

  • 1McGill University, Montreal, Canada.

Journal of Patient Experience
|April 22, 2022
PubMed

Insights

Adolescent idiopathic scoliosis patients reported frequent gastrointestinal and cognitive adverse effects (AEs) from pain medications after surgery. They used multiple strategies to manage these AEs, but often lacked understanding of their own care.

Area of Science:

  • Pediatric Surgery
  • Adolescent Health
  • Pain Management

Background:

  • Adverse effects (AEs) of analgesics significantly impact pediatric postoperative experiences.
  • Inadequate AE management prolongs hospital stays and reduces patient satisfaction.
  • Understanding patient perspectives on analgesic AEs is crucial for improving care.

Purpose of the Study:

  • To explore adolescent patients' experiences with analgesic adverse effects after spinal surgery for idiopathic scoliosis.

Main Methods:

  • Qualitative descriptive study involving 7 adolescent patients.
  • Semistructured interviews conducted at discharge and 1 week post-discharge.
  • Qualitative content analysis to identify themes.

Main Results:

  • Gastrointestinal and cognitive AEs were most frequently reported.
  • Constipation was the most persistent and bothersome AE.
  • Patients employed pharmacologic, nonpharmacologic, and reduced intake strategies to manage AEs.
  • A lack of understanding regarding AEs and self-care was observed.

Conclusions:

  • Adolescent patients experience significant AEs from analgesics post-spinal surgery.
  • Current AE management strategies are varied, with room for improvement in patient education and involvement.
  • Further research into nonpharmacologic interventions for managing analgesic AEs in pediatric surgical patients is warranted.

Keywords:
adverse effectsanalgesiapatient perspectives/narrativespediatricspostoperative pain

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