Kankkunen Päivi, Vehviläinen-Julkunen Katri, Pietilä Anna-Maija, Halonen Pirjo
Department of Nursing Science, University of Kuopio, Kuopio, Finland.
Scand J Caring Sci. 2003 Dec;17(4):365-72. doi: 10.1046/j.0283-9318.2003.00238.x.
Parents are expected to alleviate their children's pain at home after day surgery, and the methods of pain alleviation should be taught to the parents by the hospital staff. However, the lack of information related to children's pain alleviation has been pointed out in several studies.
To describe the relationship between the parent-rated sufficiency of discharge instructions and the postoperative pain behaviours of 1- to 6-year-old children at home after day surgery.
Questionnaires were handed out to mothers (n = 201) and fathers (n = 114) whose child had undergone minor day surgery in 10 Finnish central hospitals. Percentages and cross-tabulation with chi-square test were used in data analysis.
The ethical board in each hospital accepted the study. Parental participation was voluntary.
The parents considered the discharge instructions to be fairly sufficient, but criticized their content, method of providing and timing. Insufficiency of the instructions was related to children's postoperative pain behaviours at home.
The fairly low response rate of this study prevents generalization of the findings to all Finnish parents.
Both the content, the methods of providing and the timing of discharge instruction need to be developed in children's day surgery. Special attention should be paid to written instructions, which should be given to the parents prior to the day of the child's surgery. Further research is needed to explore the skills of hospital staff in advising the parents and other factors explaining children's postoperative pain at home.
日间手术后，家长应在家中减轻孩子的疼痛，医院工作人员应向家长传授减轻疼痛的方法。然而，多项研究指出，关于儿童疼痛缓解的信息存在不足。
描述家长对出院指导充分性的评价与1至6岁儿童日间手术后在家中的术后疼痛行为之间的关系。
向在芬兰10家中心医院接受小型日间手术患儿的母亲（n = 201）和父亲（n = 114）发放问卷。数据分析采用百分比和卡方检验的交叉表。
每家医院的伦理委员会均批准了该研究。家长参与是自愿的。
家长认为出院指导基本充分，但对其内容、提供方式和时间提出了批评。指导不足与儿童在家中的术后疼痛行为有关。
本研究的回复率较低，因此无法将研究结果推广至所有芬兰家长。
儿童日间手术的出院指导在内容、提供方式和时间方面均需改进。应特别关注书面指导，应在孩子手术当天之前提供给家长。需要进一步研究以探索医院工作人员为家长提供建议的技巧以及其他解释儿童在家中术后疼痛的因素。
