A descriptive feasibility study to evaluate scheduled oral analgesic dosing at home for the management of postoperative pain in preschool children following tonsillectomy.
A descriptive feasibility study to evaluate scheduled oral analgesic dosing at home for the management of postoperative pain in preschool children following tonsillectomy.
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一项描述性可行性研究，旨在评估在家中安排口服镇痛药剂量以管理学龄前儿童扁桃体切除术后的术后疼痛。
DOI：
10.1111/j.1526-4637.2011.01324.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Miaskowski,Christine
中科院分区：
文献类型：
--
作者：
Sutters,KimberlyA;Holdridge-Zeuner,Danielle;Waite,Steven;Paul,StevenM;Savedra,MarilynC;Lanier,Brent;Mahoney,Karla;Miaskowski,Christine
目的：本研究的目的，在学龄前儿童（年龄3-5岁; N = 47）的样本中，是为了评估在门诊扁桃体切除术后计划镇痛剂量的可行性，以优化疼痛management.Methods.父母被指示给他们的孩子对乙酰氨基酚与氢可酮（167 mg/5 mL），每4小时24小时，在手术后的前3天。父母使用面部、腿部、活动、哭泣和可安慰性（FLACC）行为疼痛量表记录他们孩子吞咽/不吞咽疼痛的评分，疼痛缓解评分和家庭日记中镇痛副作用的严重程度。录音采访进行了与父母的记录描述他们的经验，在管理他们的孩子的疼痛在home.Results.Mean FLACC分数与/不吞咽小于两个在每个测量时间和疼痛缓解分数随着时间的推移而增加。术后前3天，总镇痛剂量减少，漏服剂量增加。中度至重度日间镇静，恶心，呕吐和便秘的报告由parents.Discussion.研究结果表明，对乙酰氨基酚与氢可酮是有效的，在减轻学龄前儿童的疼痛扁桃体切除术后，家长坚持一个预定的镇痛方案随着时间的推移而减少。依时间而定的剂量与中度至重度副作用相关，应在出院时与家长一起进行教学。研究结果提供了深入了解家长的角度来看，疼痛管理在家里扁桃体切除术和方法，以减轻他们的孩子的疼痛。
Objectives.The purpose of this study, in a sample of preschool children (ages 3–5 years; N = 47), was to evaluate the feasibility of scheduled analgesic dosing following outpatient tonsillectomy in order to optimize pain management.Methods.Parents were instructed to give their child acetaminophen with hydrocodone (167 mg/5 mL) every 4 hours around the clock for the first 3 days following surgery. Parents recorded ratings of their child's pain with/without swallowing using the Faces, Legs, Activity, Cry, and Consolability (FLACC) behavioral pain scale, pain relief ratings, and severity of analgesic side effects in a home diary. Audiotaped interviews were conducted with parents to document descriptions of their experiences in managing their child's pain at home.Results.Mean FLACC scores with/without swallowing were less than two at each measurement time and pain relief scores increased over time. Total analgesic dose decreased, and the number of missed doses increased over the first 3 days after surgery. Moderate-to-severe daytime sedation, nausea, vomiting, and constipation were reported by parents.Discussion.Study results suggest that acetaminophen with hydrocodone is effective in relieving preschool children's pain following tonsillectomy and that parental adherence to a scheduled analgesic regimen decreases over time. Time-contingent dosing was associated with moderate to severe side effects and should be addressed in discharge teaching with parents. Findings provide insight into parents' perspective of pain management at home following tonsillectomy and methods for relieving their child's pain.
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影响因子：
8.8
作者：
Brown, KA;Laferrière, A;Moss, IR
通讯作者：
Moss, IR
3 至 7 岁儿童扁桃体切除术后的疼痛模式和镇痛药使用。
DOI：
10.1016/j.pmn.2006.09.005
发表时间：
2006
期刊：
Pain management nursing : official journal of the American Society of Pain Management Nurses
影响因子：
--
作者：
Margaret E. Wilson;H. Helgadóttir
通讯作者：
H. Helgadóttir
DOI：
10.1016/s0165-5876(01)00553-5
发表时间：
2001-12-01
影响因子：
1.5
作者：
Temple, RH;Timms, MS
通讯作者：
Timms, MS
撤回通知：目前儿童扁桃体切除术后呕吐的处理
影响因子：
1.5
作者：
Y. Fujii
通讯作者：
Y. Fujii
影响因子：
7.4
作者：
Chambers, CT;Reid, GJ;Finley, GA
通讯作者：
Finley, GA