Nonpharmacological interventions for managing postoperative pain and anxiety in children: A randomized controlled trial.

IF 3.2 Q1 PEDIATRICS Clinical and Experimental Pediatrics Pub Date : 2024-10-31 DOI:10.3345/cep.2023.01690
Edlin Mathias, Mamatha Pai, Vijay Kumar, Dinesh Narayanakurup, Malavika Kulkarni, Vasudeva Guddattu, Ann-Cathrine Bramhagen, Baby Nayak, Anice George
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Abstract

Background: Hospitalizations and surgical procedures are unpleasant for both children and their parents. Therefore, postoperative pain assessments and management are less commonly performed in younger children than in adults.

Purpose: To evaluate the effects of nonpharmacological interventions on postoperative pain and anxiety in children.

Methods: In this randomized controlled trial, 160 children were randomly allocated to experimental (n=80) and control (n=80) groups. The children in the experimental group received age-appropriate distraction interventions for 3 postoperative days along with usual care. Children in the control group received standard care only. Each patient's pain was assessed using the EVENDOL pain scale, while their anxiety was measured using the modified Yale Preoperative Anxiety Scale. The data were analyzed using SPSS 23.0. Descriptive statistics (frequency, percentage, mean, and standard deviation) and repeated-measures analysis of variance were used to analyze the data.

Results: The children in the experimental group showed significantly decreased pain, anxiety, and physiological parameters (heart rate, respiratory rate, and oxygen saturation) compared to those in the control group. Significant intergroup differences were noted in the mean and standard deviation values of the pain, anxiety, and physiological parameters.

Conclusion: The distraction interventions provided by nurses reduced the pain and anxiety levels and improved the postoperative recovery of pediatric surgical patients.

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控制儿童术后疼痛和焦虑的非药物干预措施:随机对照试验。
背景介绍住院和手术过程对儿童及其父母来说都是令人不快的。目的:评估非药物干预对儿童术后疼痛和焦虑的影响:在这项随机对照试验中,160 名儿童被随机分配到实验组(80 人)和对照组(80 人)。实验组儿童在接受常规护理的同时,在术后 3 天内接受与年龄相适应的转移注意力干预。对照组儿童只接受标准护理。使用 EVENDOL 疼痛量表评估每位患者的疼痛程度,同时使用改良的耶鲁术前焦虑量表测量他们的焦虑程度。数据使用 SPSS 23.0 进行分析。数据分析采用了描述性统计(频率、百分比、平均值和标准差)和重复测量方差分析:与对照组相比,实验组患儿的疼痛、焦虑和生理参数(心率、呼吸频率和血氧饱和度)明显减少。疼痛、焦虑和生理参数的平均值和标准差在组间存在明显差异:护士提供的分散注意力干预降低了儿科手术患者的疼痛和焦虑水平,改善了他们的术后恢复。
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来源期刊
CiteScore
8.00
自引率
2.40%
发文量
88
审稿时长
60 weeks
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