Construction of an Evidence Ecosystem-Based Postoperative Pain Management Programme for Paediatric Patients

Area of Science:

• Pediatric Surgery
• Evidence-Based Medicine
• Pain Management

Background:

• Effective postoperative pain management in children is crucial.
• Existing programs may lack a comprehensive, evidence-based framework.
• The evidence ecosystem theory offers a novel approach to program construction.

Purpose of the Study:

• To construct an evidence ecosystem-based postoperative pain management program for children.
• To integrate assessment, principles, and methods into a cohesive program.
• To ensure the program's scientific rigor and practicality.

Main Methods:

• A mixed-methods research design combining qualitative and quantitative studies.
• Literature review to identify key components of pain management.
• Two rounds of Delphi expert consultation to refine the program.

Main Results:

• The program was developed using the evidence ecosystem theory framework.
• Expert consensus achieved high authority (0.83) and agreement (Kendall's W > 0.64).
• The final program comprises three levels with 11 level 2 and eight level 3 entries.

Conclusions:

• The constructed program is practical and scientifically grounded.
• The evidence ecosystem approach provides a robust framework for pediatric pain management.
• Further controlled studies are needed to verify the program's clinical effectiveness.