Kankkunen Päivi, Vehviläinen-Julkunen Katri, Pietilä Anna-Maija, Kokki Hannu, Halonen Pirjo
Department of Nursing Science, University of Kuopio, Kuopio University Hospital, PO Box 1627, 70211 Kuopio, Finland.
Paediatr Anaesth. 2003 Feb;13(2):132-40. doi: 10.1046/j.1460-9592.2003.00998.x.
Children are found to suffer from unnecessarily severe postoperative pain following day surgery. Reasons for parents' insufficient use of analgesics may be based on misleading perceptions of children's analgesics. The purpose of this study was to describe parents' perceptions and use of analgesics for children after discharge at home.
In this survey, 840 questionnaires were given to parents, and answers from 201 mothers and 114 fathers whose children, aged 1-6 years, had undergone day surgery in 10 Finnish hospitals are presented.
One-third (36%) of the children were assessed as having moderate or severe postoperative pain after discharge. More than three-quarters of the parents had given analgesics to the child. Analgesics were given mostly to children who were assessed to have pain and found to have several types of pain behaviour. Most of the parents had accurate perceptions of children's analgesics, but some of them had misleading perceptions of the nature and adverse effects of children's analgesics, which were related to giving analgesics to the child. Fathers, more often than mothers, seem to have such misleading perceptions.
Parents tended to give analgesics to children who actually needed pain alleviation. Parents' perceptions of children's analgesics were mostly accurate. However, misleading perceptions of children's analgesics also exist among the parents. These misleading perceptions appear to decrease parents' use of children's postoperative pain medication.
发现儿童在日间手术后遭受不必要的严重术后疼痛。父母对镇痛药使用不足的原因可能基于对儿童镇痛药的误解。本研究的目的是描述父母对家中出院后儿童镇痛药的认知和使用情况。
在本次调查中，向父母发放了840份问卷，呈现了来自201名母亲和114名父亲的回答，他们1至6岁的孩子在芬兰10家医院接受了日间手术。
三分之一（36%）的儿童在出院后被评估为有中度或重度术后疼痛。超过四分之三的父母给孩子服用了镇痛药。镇痛药大多给了被评估为疼痛且有多种疼痛行为的孩子。大多数父母对儿童镇痛药有准确的认知，但其中一些人对儿童镇痛药的性质和不良反应存在误解，这与给孩子服用镇痛药有关。父亲比母亲更常出现这种误解。
父母倾向于给实际需要缓解疼痛的孩子服用镇痛药。父母对儿童镇痛药的认知大多是准确的。然而，父母中也存在对儿童镇痛药的误解。这些误解似乎减少了父母对儿童术后止痛药的使用。
