Gillies M L, Smith L N, Parry-Jones W L
University Department of Child and Adolescent Psychiatry, Caledonia House, Royal Hospital for Sick Children, G3 8SJ, Glasgow, UK.
Int J Nurs Stud. 2001 Jun;38(3):329-37. doi: 10.1016/s0020-7489(00)00071-7.
This three-year study investigated the experience of postoperative pain and its management following elective surgery in an adolescent population aged 12-18 years (n=351) in 5 NHS trusts. In addition to the adolescents, one parent of each adolescent and a range of health professionals including surgeons, anaesthetists and registered nurses were interviewed concerning their views on acute pain in adolescent patients. The results presented in this paper are those related to the management of day and inpatient surgery in this adolescent population. Data were collected pre-operatively and postoperatively (days 1 and 3) using semi-structured interviews, telephone interviews, self-completion questionnaires and standardised tools to measure pain intensity (Adolescent Pediatric Pain Tool), psychological adjustment to adolescence (Offer Self-Image Questionnaire-Revised) and emotional state (Hospital Anxiety and Depression Scale). Day cases were discharged on the day of surgery while most inpatients were discharged on the first postoperative day.
这项为期三年的研究调查了5家国民保健服务信托机构中12至18岁青少年（n = 351）择期手术后的疼痛体验及其管理情况。除了青少年本人，还就他们对青少年患者急性疼痛的看法，采访了每位青少年的一位家长以及包括外科医生、麻醉师和注册护士在内的一系列医疗专业人员。本文呈现的结果是与该青少年群体日间手术和住院手术管理相关的结果。术前和术后（第1天和第3天）通过半结构化访谈、电话访谈、自填问卷以及测量疼痛强度（青少年儿童疼痛工具）、青少年心理调适（修订后的奥弗自我形象问卷）和情绪状态（医院焦虑抑郁量表）的标准化工具收集数据。日间手术患者在手术当天出院，而大多数住院患者在术后第一天出院。
