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Telephone Counseling for Children Recovering from Tonsil Surgery-A Randomized Controlled Feasibility Study.
Helena Rosén1, Kajsa Landgren1, Eva Olofsson2
1Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
Healthcare (Basel, Switzerland)
|September 28, 2024
Summary
This study explored nurse-led telephone follow-up for children after tonsil surgery. While parents appreciated the support, the small sample size and design limitations prevented definitive conclusions on improving postoperative symptoms or quality of life.
Area of Science:
- Pediatric nursing
- Surgical recovery
- Health services research
Background:
- Tonsillectomy in children often leads to significant postoperative pain and limitations.
- Postoperative nursing care is typically transferred to parents, highlighting a need for parental support.
- This study addresses the need for evaluating supportive interventions for families post-tonsillectomy.
Purpose of the Study:
- To test the design of a randomized controlled trial (RCT) for a nurse-led telephone follow-up intervention.
- To evaluate the feasibility of a telephone follow-up program for pediatric tonsillectomy patients.
- To assess the impact of nurse-led telephone support on postoperative symptoms and quality of life.
Main Methods:
- A randomized controlled trial involving 17 children (aged 3-17) undergoing tonsil surgery.
- Intervention group received nurse-led telephone counseling on postoperative days 1, 3, 5, and 10.
- Outcomes were measured using the Postoperative Recovery in Children (PRiC) and EQ-5D-Y quality of life instruments.
Main Results:
- Slightly higher throat pain reported in the intervention group on the operation day and four days post-op, potentially due to uneven surgery types.
- Parents highly valued the telephone counseling provided by nurses.
- No unplanned revisits occurred in the intervention group, but participant recruitment was challenging and assessment tools were not always fully completed.
Conclusions:
- The feasibility study indicated a need for adjustments to the study design.
- Low participant numbers and design limitations prevent drawing explicit conclusions.
- Further research with an optimized design is required to confirm the effectiveness of nurse-led telephone follow-up.
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