Li Mandy M J, Larche Cynthia L, Vickers Kelsey, Vigouroux Marie, Ingelmo Pablo M, Hovey Richard, Ferland Catherine E
McGill University, Montreal, Canada.
Shriners Hospitals for Children-Canada, Montreal, Canada.
J Patient Exp. 2022 Apr 7;9:23743735221092632. doi: 10.1177/23743735221092632. eCollection 2022.
After surgery, the adverse effects (AEs) of analgesics are common and critical factors influencing the postoperative experience of pediatric patients. Inadequate management of AEs has been found to prolong hospital stay, increase readmission rates and decrease satisfaction with care. The aim of this qualitative descriptive study was to better understand the AEs of analgesics from the perspective of adolescent patients with idiopathic scoliosis after spinal surgery. A total of 7 patients participated in the study. Semistructured interviews were conducted at discharge and 1 week after discharge. Transcribed data were analyzed using qualitative content analysis and themes were identified. Overall, participants most frequently reported gastrointestinal and cognitive AEs, with constipation being the most persistent and bothersome. The pediatric participants used a combination of 3 strategies to mitigate analgesic AEs, namely pharmacologic, nonpharmacologic, and reduction of analgesic intake. Participants demonstrated a lack of understanding of AEs and involvement in their own care. Future studies should be conducted to evaluate the efficacy of nonpharmacological strategies in managing analgesic AEs for pediatric patients after surgery.
手术后，镇痛药的不良反应是影响小儿患者术后体验的常见且关键的因素。已发现对不良反应管理不当会延长住院时间、增加再入院率并降低护理满意度。这项定性描述性研究的目的是从脊柱手术后特发性脊柱侧弯青少年患者的角度更好地了解镇痛药的不良反应。共有7名患者参与了该研究。在出院时和出院后1周进行了半结构化访谈。对转录的数据进行了定性内容分析并确定了主题。总体而言，参与者最常报告胃肠道和认知方面的不良反应，便秘是最持久且最困扰人的。儿科参与者使用了三种策略来减轻镇痛药的不良反应，即药物治疗、非药物治疗和减少镇痛药摄入量。参与者对不良反应缺乏了解，也未参与自身护理。未来应开展研究以评估非药物策略在管理小儿患者术后镇痛药不良反应方面的疗效。
