Purcell Mary, Longard Julie, Chorney Jill, Hong Paul
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.
Int J Pediatr Otorhinolaryngol. 2018 Mar;106:50-54. doi: 10.1016/j.ijporl.2017.12.028. Epub 2018 Jan 2.
Tonsillectomy is commonly performed as same-day surgery and parents are heavily relied upon for management of children's postoperative recovery. The objective of this study was to provide an in-depth description of the experiences parents face when managing their child's complicated postoperative recoveries at home.
An exploratory qualitative study at an academic pediatric hospital in Eastern Canada was performed. Participants included 12 parents of children aged 3-6 years who underwent adeno/tonsillectomy and experienced unexpected outcomes or complications during the postoperative recovery period. Parents participated in semi-structured interviews within 6 months of their child's surgery. Interviews were transcribed verbatim and thematic analysis was used to identify themes in the parents' experiences.
Parents described struggling to make the decision to come back to hospital, that adequate information does not prevent emotional difficulties, and feeling somewhat responsible for the unexpected outcome or complicated course of recovery. Communication with healthcare providers was considered very important in helping with the recovery process.
This research helps to inform healthcare professionals about how they might better support families during complicated recovery processes. Areas of action may include clear communication, setting expectations, and psychosocial support.
扁桃体切除术通常作为日间手术进行，儿童术后恢复的管理严重依赖父母。本研究的目的是深入描述父母在家庭中管理孩子复杂的术后恢复时所面临的经历。
在加拿大东部一家学术性儿科医院进行了一项探索性定性研究。参与者包括12名3至6岁儿童的父母，这些儿童接受了腺样体/扁桃体切除术，且在术后恢复期出现了意外结果或并发症。父母在孩子手术后6个月内参加了半结构化访谈。访谈逐字记录，并采用主题分析法确定父母经历中的主题。
父母描述了在决定返回医院时的挣扎，即充分的信息并不能避免情感困扰，并且对意外结果或复杂的恢复过程感到有些责任。与医疗服务提供者的沟通在帮助恢复过程中被认为非常重要。
本研究有助于告知医疗专业人员在复杂的恢复过程中如何更好地支持家庭。行动领域可能包括清晰的沟通、设定期望和心理社会支持。
