School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
Pain Manag Nurs. 2020 Dec;21(6):565-571. doi: 10.1016/j.pmn.2020.04.003. Epub 2020 Jun 14.
Adolescents are typically admitted for a short period of time after inpatient surgery, leaving much of their recovery to occur at home. Pain, and thus pain management, is a major component of recovery at home. Research among pediatric outpatient surgical patients has found that pain experienced in the community setting after discharge is often severe and is related to knowledge deficits resulting in inadequate pain management. However, there is little research on community pain management after inpatient surgery.
This study aimed to explore the pain experiences of seven adolescents who underwent inpatient surgery.
This study used Interpretative Phenomenological Analysis as a methodology.
This study took place at a pediatric tertiary care hospital in Canada.
7 adolescents participated, all of whom underwent inpatient surgery with admission between 2-14 days in length.
Semi-structured interviews were conducted 2 to 6 weeks post-discharge.
Three themes were identified that described their experiences, including managing severe pain at home with minimal preparation, changes in the parent-child relationship, and difficulties returning to school and regular activities.
Involving adolescents directly in discharge education, particularly with the use of novel interventions and coaching, may improve outcomes.
Adolescent patients experience significant pain after discharge from hospital after inpatient surgical procedures. Adolescents are in need of adolescent-specific pain management education to increase skill and knowledge and address pain management-related misconceptions. Greater emphasis on involving adolescents in their own pain care and novel intervention could prove useful in improving outcomes.
青少年在住院手术后通常会接受短期住院治疗，大部分康复过程都在家中进行。疼痛是在家中康复的主要组成部分，因此疼痛管理至关重要。儿科门诊手术患者的研究发现，出院后在社区环境中经历的疼痛通常较为严重，且与知识不足导致的疼痛管理不当有关。然而，对于住院手术后的社区疼痛管理，研究甚少。
本研究旨在探讨 7 名接受住院手术的青少年的疼痛体验。
本研究采用解释性现象学分析作为研究方法。
本研究在加拿大一家儿科三级护理医院进行。
7 名参与者均接受住院手术，住院时间为 2-14 天。
出院后 2 至 6 周进行半结构化访谈。
确定了三个主题，描述了他们的体验，包括在家中应对轻微准备下的剧烈疼痛、亲子关系的变化以及重返学校和常规活动的困难。
直接让青少年参与出院教育，特别是使用新型干预措施和辅导，可能会改善结果。
青少年在住院手术后出院后会经历明显的疼痛。青少年需要接受专门针对青少年的疼痛管理教育，以提高技能和知识，并纠正与疼痛管理相关的误解。更加注重让青少年参与自己的疼痛护理和新型干预措施可能有助于改善结果。
