Kankkunen Päivi, Vehviläinen-Julkunen Katri, Pietilä Anna-Maija, Korhonen Anne, Nyyssönen Sirpa, Lehikoinen Nina-Maarit, Kokki Hannu
University of Kuopio, Department of Nursing Science, Kuopio, Finland.
Pediatr Nurs. 2009 Sep-Oct;35(5):298-303; quiz 304-5.
This study evaluated the influence of parental use of Parents' Post-Operative Pain Measure (PPPM) on 1 to 2-year-old children's pharmacological pain alleviation at home. Fifty parents whose child had undergone day surgery in three University Hospitals in Finland between January 2006 and June 2007 completed questionnaires. Parents of the intervention group (n=29) were provided with PPPM as an intervention to promote children's pain relief at home, while parents in the control group (n=1) did not receive the PPPM. The use of PPPM had a positive effect on pain management; total dosing of analgesics was higher in the intervention group on all three study days. However, the difference was not statistically significant. Optimal dosing was provided only for 12% of the children in the intervention group, whereas no children in the control group received optimal dosing. The parents of the intervention group did not consider analgesics to be helpful more often than the parents in the control group. In conclusion, the use the PPPM may promote parents' management of their child's post-operative pain at home. Larger samples in further studies are needed to verify the findings of this study.
本研究评估了父母使用《父母术后疼痛量表》（PPPM）对1至2岁儿童在家中药物止痛效果的影响。2006年1月至2007年6月期间，在芬兰三家大学医院为孩子进行日间手术的50位家长完成了问卷调查。干预组（n = 29）的家长被提供PPPM作为促进孩子在家中缓解疼痛的干预措施，而对照组（n = 21）的家长未接受PPPM。PPPM的使用对疼痛管理有积极影响；在所有三个研究日，干预组的镇痛药总剂量都更高。然而，差异无统计学意义。干预组中只有12%的儿童获得了最佳剂量，而对照组中没有儿童获得最佳剂量。干预组的家长并不比对照组的家长更经常认为镇痛药有帮助。总之，使用PPPM可能会促进家长在家中对孩子术后疼痛的管理。需要在进一步的研究中使用更大的样本量来验证本研究的结果。
