Postoperative pain management experiences among school-aged children: a qualitative study

被引:24
|
作者
Sng, Qian Wen [1 ]
Taylor, Beverley [2 ]
Liam, Joanne L. W. [1 ]
Klainin-Yobas, Piyanee [3 ]
Wang, Wenru [3 ]
He, Hong-Gu [3 ]
机构
[1] KK Womens & Childrens Hosp, Div Nursing, Singapore, Singapore
[2] Monash Univ, Sch Nursing & Midwifery, Gippsland, Vic, Australia
[3] Natl Univ Singapore, Yong Loo Lin Sch Med, Alice Lee Ctr Nursing Studies, Singapore 117595, Singapore
关键词
children; experience; interview; management; nursing; pain; postoperative; qualitative; school-aged; Singapore; NONPHARMACOLOGICAL METHODS; PSYCHOLOGICAL INTERVENTIONS; PARENTS USE; NURSES USE; DISTRESS; TONSILLECTOMY; IMMUNIZATIONS; DISTRACTION;
D O I
10.1111/jocn.12052
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and objectives To explore postoperative pain management experiences among school-aged children. Background Ineffective postoperative pain management among children has been commonly reported. School-aged children are able to evaluate how their pain is managed and what their preferred strategies are. Most studies in pain management have adopted quantitative methods and have overlooked children's pain management experiences. Design This is a qualitative study using face-to-face interviews. Methods Data were collected from 15 school-aged children admitted to a tertiary hospital in Singapore by in-depth interviews conducted between November 2010 and January 2011. Data were analysed by thematic analysis. Results Five themes were identified: children's self-directed actions to relieve their postoperative pain (e.g. using cognitive-behavioural methods of distraction and imagery, physical method of positioning, sleeping and drinking, seeking other people's help by informing parents and crying and using pain medications); children's perceptions of actions parents take for their postoperative pain relief (assessing pain, administering pain medications, using various cognitive-behavioural, physical methods and emotional support strategies, assisting in activities and alerting health professionals); children's perception of actions nurses take for their postoperative pain relief (administering medication, using cognitive-behavioural methods, emotional support strategies and helping with activities of daily living) and suggestions for parents (using distraction and presence) and nurses (administering medications, distraction and positioning) for their postoperative pain relief improvement. Conclusions This study contributed to the existing knowledge about children's postoperative pain management based on their own experiences. Children, their parents and nurses used various strategies, including pain medication and non-pharmacological methods, especially distraction, for children's postoperative pain relief. Relevance to clinical practice This study provides evidence for health care professionals to consider using more pain relief strategies when caring for children postoperatively and provide guidance for children to practice these strategies.
引用
收藏
页码:958 / 968
页数:11
相关论文
共 50 条
  • [1] An exploration of Singaporean parental experiences in managing school-aged children's postoperative pain: a descriptive qualitative approach
    Lim, Siew Hoon
    Mackey, Sandra
    Liam, Joanne Li Wee
    He, Hong-Gu
    JOURNAL OF CLINICAL NURSING, 2012, 21 (5-6) : 860 - 869
  • [2] SCHOOL-AGED CHILDREN AND PARENTS' EXPERIENCES OF EPILEPSY AND CARE: A QUALITATIVE STUDY
    Black, R. E. P.
    Harden, J.
    Pickersgill, M.
    Chin, R.
    EPILEPSIA, 2017, 58 : S83 - S83
  • [3] School-aged children's experiences of postoperative music medicine on pain, distress, and anxiety
    Nilsson, Stefan
    Kokinsky, Eva
    Nilsson, Ulrica
    Sidenvall, Birgitta
    Enskar, Karin
    PEDIATRIC ANESTHESIA, 2009, 19 (12) : 1184 - 1190
  • [4] Barriers to healthy eating practices among school-aged children in Armenia: A qualitative study
    Aslanyan, Lusine
    Demirchyan, Anahit
    APPETITE, 2024, 202
  • [5] Nurses' Provision of Parental Guidance Regarding School-Aged Children's Postoperative Pain Management: A Descriptive Correlational Study
    He, Hong-Gu
    Klainin-Yobas, Piyanee
    Ang, Emily Neo Kim
    Sinnappan, Rajammal
    Polkki, Tarja
    Wang, Wenru
    PAIN MANAGEMENT NURSING, 2015, 16 (01) : 40 - 50
  • [6] Neglect of Postoperative Pain Management in Children: A Qualitative Study Based on the Experiences of Parents
    Valizadeh, Fateme
    Ahmadi, Fazlollah
    Zarea, Kourosh
    JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES, 2016, 31 (04): : 439 - 448
  • [7] Eczema management in school-aged children
    Leins, Liz
    Orchard, David
    AUSTRALIAN FAMILY PHYSICIAN, 2017, 46 (12) : 896 - 899
  • [8] Long-term alteration of pain sensitivity in school-aged children with early pain experiences
    Hermann, Christiane
    Hohmeister, Johanna
    Demirakca, Sueha
    Zohsel, Katrin
    Flor, Herta
    PAIN, 2006, 125 (03) : 278 - 285
  • [9] Exploring the life experiences of school-aged children afflicted by tethered spinal cord syndrome: An interpretative qualitative study
    Lin, Nan
    Ren, Mingxian
    Xiang, Yujun
    Li, Jiahuan
    Wang, Dan
    Xu, Hongzhen
    HEALTH EXPECTATIONS, 2024, 27 (01)
  • [10] Injuries Among School-aged Children of Immigrants
    Chang, Jina
    Miller, Daniel P.
    JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2018, 20 (04) : 841 - 847