Department of Anaesthesiology, University of the Witwatersrand, Johannesburg, South Africa.
Afr J Paediatr Surg. 2023 Apr-Jun;20(2):124-129. doi: 10.4103/ajps.ajps_90_21.
Despite the benefits of analgesic suppositories, there remains controversy around their administration. The perceptions of the parents and caregivers regarding this are unknown in our population. We investigated the perceptions of parents/caregivers towards the use of analgesic suppositories in elective paediatric surgery. We also explored whether parents/caregivers perceived a need for additional consent for the administration of suppositories.
This was a prospective cross-sectional study conducted at Charlotte Maxeke Johannesburg Academic Hospital, South Africa. The primary outcome was to describe perceptions of parents/caregivers towards analgesic suppositories. Questionnaire-guided interviews were conducted with parents/caregivers of children presenting for elective paediatric surgery.
Three hundred and one parents/caregivers were enrolled in the study. Two hundred and sixty-two (87%) were female and 174 (13%) were male. Two hundred and seventy-six (92%) were parents and 24 (9%) were caregivers. There was a high level of acceptability of suppository use in 243 (81%) parents/caregivers. Majority (235, 78%) felt that they should be asked for permission before their child was given a suppository, and more than half (134, 57%) expressed that it should be in a written consent format. The parents/caregivers did not believe that suppositories would cause pain (unadjusted odds ratio [uOR]: 2.49; 95% confidence interval [CI]: 1.29-4.79; P = 0.006) but were unsure whether they would relieve post-operative pain (uOR: 0.25; 95% CI: 0.11-0.57; P = 0.001). Those who had previously used a suppository themselves were significantly more likely to accept the use of suppositories in children (uOR: 4.34; 95% CI: 1.56-12.07; P = 0.005).
There was a high level of acceptability of the use of analgesic suppositories. Our population showed a unique preference for written consent over verbal consent. There was a strong positive association between previous use of suppositories by parents/caregivers and acceptance for use in children.
尽管镇痛栓剂有很多益处，但在其使用方面仍存在争议。我们不清楚在我们的人群中，父母和照顾者对此的看法。我们调查了父母/照顾者对在择期儿科手术中使用镇痛栓剂的看法。我们还探讨了父母/照顾者是否认为需要额外的同意才能给予栓剂。
这是在南非夏洛特·马克斯克尔约翰内斯堡学术医院进行的一项前瞻性横断面研究。主要结果是描述父母/照顾者对镇痛栓剂的看法。对接受择期儿科手术的儿童的父母/照顾者进行了问卷引导的访谈。
本研究共纳入 311 名父母/照顾者。其中 262 名（87%）为女性，174 名（13%）为男性。276 名（92%）为父母，24 名（9%）为照顾者。243 名（81%）父母/照顾者高度接受使用栓剂。大多数（235 名，78%）认为在给孩子使用栓剂之前应该征求他们的同意，超过一半（134 名，57%）表示应该以书面同意的形式。父母/照顾者认为栓剂不会引起疼痛（未调整优势比[uOR]：2.49；95%置信区间[CI]：1.29-4.79；P = 0.006），但不确定栓剂是否能缓解术后疼痛（uOR：0.25；95%CI：0.11-0.57；P = 0.001）。那些自己以前用过栓剂的人，更有可能接受在儿童中使用栓剂（uOR：4.34；95%CI：1.56-12.07；P = 0.005）。
使用镇痛栓剂的接受程度很高。我们的人群对书面同意的偏好明显超过口头同意。父母/照顾者以前使用栓剂与接受在儿童中使用栓剂之间存在强烈的正相关关系。
