Barraclough James
Department of Ear, Nose and Throat Surgery, Worcester Royal Hospital, Charles Hastings Way, WR5 1DD Worcester, UK.
Int J Pediatr Otorhinolaryngol. 2014 Nov;78(11):1974-80. doi: 10.1016/j.ijporl.2014.08.043. Epub 2014 Sep 6.
Decisions regarding tonsillectomy for children with recurrent sore throats are mainly based on guidelines that take the number of sore throat episodes into consideration. Anecdotally, parents report a number of additional factors that change after the operation. With this in mind, the first follow up tonsillectomy qualitative study was undertaken to identify what the operation truly offers this group of children.
Ten families were interviewed between 3 and 14 months after their child's operation. A narrative method was utilised. Interviews with families were transcribed and analysed to identify key themes that had changed due to the operation.
Themes identified included an improvement in general and specific symptoms. Psychosocial aspects such as education, socialising, family consequences and psychological consequences were also important factors that families noticed.
Tonsillectomy has much more to offer families and children than an improvement in the numbers of episodes of sore throats and this study could form the basis of a specific quality of life assessment tool.
对于复发性喉咙痛的儿童,扁桃体切除术的决策主要基于考虑喉咙痛发作次数的指南。据家长们反映,手术后还有许多其他因素发生了变化。考虑到这一点,开展了第一项扁桃体切除术后随访定性研究,以确定该手术真正为这群儿童带来了什么。
在10名儿童手术后3至14个月对其家庭进行了访谈。采用了叙事方法。对与家庭的访谈进行了转录和分析,以确定因手术而改变的关键主题。
确定的主题包括一般症状和特定症状的改善。心理社会方面,如教育、社交、家庭影响和心理影响,也是家庭注意到的重要因素。
扁桃体切除术给家庭和儿童带来的远不止喉咙痛发作次数的减少,本研究可为特定的生活质量评估工具奠定基础。