Saigh Fatmah I, Saigh Zainab I
Oncology and Palliative Care, King Abdullah Medical Complex, Jeddah, SAU.
Clinical Psychology, Mental Health Hospital in Jeddah, Jeddah, SAU.
Cureus. 2023 Feb 14;15(2):e34967. doi: 10.7759/cureus.34967. eCollection 2023 Feb.
Background Many children feel moderate to intense pain in the hospital following surgery. Untreated pain can have deleterious physical and psychological effects. Mothers' involvement in child pain care and management postoperatively has been shown to be important in improving the outcomes and experiences of children, mothers, and health professionals. Aims To explore mothers' involvement in postoperative pain care and management of their children during hospitalization and following discharge and identify approaches to improve management and participation activities. Methods We used a qualitative single case study design with thematic analysis. The analysis included 20 mother-child dyads and 21 nurses, involving observation of participants and semi-structured interviews of mothers and nurses. The analysis also incorporated a review of documents from the pediatric surgical department (hospital policies and forms). Findings The following main themes and sub-themes were generated from the data: (i) provision of pain information (expected type, frequency, and duration of pain after surgery, pain intensity score, pain relief medication, and pain management methods), (ii) communication deficiency (language barrier and breakdown in communication between health professionals), (iii) emotional and physical support (family support, environmental comfort, and sleep and meal requirements), (iv) social and cultural influences (patriarchal society, cultural and religious beliefs, and work status), and (v) hospital facilities, provisions, and services (entertainment, follow-up programs, education courses on pain management for nurses, and materials and services). Conclusions The study examined mothers' participation in postoperative pain care and management in a cohort of children admitted to a tertiary care setting in Saudi Arabia, highlighting key factors that influence involvement and suggesting approaches for improving participation.
许多儿童在术后住院期间会感到中度至剧烈疼痛。未经治疗的疼痛会产生有害的生理和心理影响。母亲参与孩子术后疼痛护理和管理已被证明对改善儿童、母亲和医护人员的结局及体验至关重要。目的：探讨母亲在孩子住院期间及出院后对其术后疼痛护理和管理的参与情况，并确定改善管理和参与活动的方法。方法：我们采用定性单案例研究设计并进行主题分析。分析包括20对母婴二元组和21名护士，涉及对参与者的观察以及对母亲和护士的半结构化访谈。分析还纳入了对儿科外科部门文件（医院政策和表格）的审查。结果：从数据中产生了以下主要主题和子主题：（i）疼痛信息提供（术后疼痛的预期类型、频率和持续时间、疼痛强度评分、止痛药物和疼痛管理方法），（ii）沟通不足（语言障碍以及医护人员之间的沟通中断），（iii）情感和身体支持（家庭支持、环境舒适度以及睡眠和饮食需求），（iv）社会和文化影响（父权制社会、文化和宗教信仰以及工作状况），以及（v）医院设施、供应和服务（娱乐、后续项目、护士疼痛管理教育课程以及材料和服务）。结论：该研究考察了沙特阿拉伯一家三级医疗机构中一组儿童的母亲对术后疼痛护理和管理的参与情况，突出了影响参与的关键因素，并提出了改善参与的方法。
