Rosén Helena, Landgren Kajsa, Olofsson Eva, Drevenhorn Eva, Gudnadottir Gunnhildur, Gagnemo Persson Rebecca
Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
Department of Paediatric and Adolescent Medical Care, Skaraborg Hospital, 54185 Skövde, Sweden.
Healthcare (Basel). 2024 Sep 16;12(18):1862. doi: 10.3390/healthcare12181862.
Even though children after tonsil surgery experience pain and other limitations in their daily lives, nursing care is transferred to parents after tonsil surgery, and they might need some kind of support. The aim of the study was to test the design of a randomized controlled trial intended to evaluate a nurse-led telephone follow-up after tonsil surgery on postoperative symptoms and quality of life.
Of the seventeen children aged 3-17 years scheduled to tonsil surgery, nine were randomized to the intervention group and eight to the control group using a randomization list. The parents in the intervention group were contacted by telephone on days 1, 3, 5, and 10 postoperatively for counseling by a nurse. The instruments Postoperative Recovery in Children (PRiC) and the health-related quality of life instrument (EQ-5 D-Y) were used to evaluate postoperative symptoms and quality of life, respectively.
Eight participants in the intervention group reported throat pain compared to five participants in the control group on the operation day and four days after, possibly due to an uneven distribution of the type of surgery between the study groups. The parents appreciated the telephone counseling, and there were no unplanned revisits in the intervention group. However, it was difficult to recruit participants and the assessment tools were not always fully completed.
No explicit conclusions can be drawn from this feasibility study due to the low number of participants and the study design needs adjustments.
尽管扁桃体手术后的儿童在日常生活中会经历疼痛和其他限制，但扁桃体手术后的护理工作会移交给家长，他们可能需要某种支持。本研究的目的是测试一项随机对照试验的设计，该试验旨在评估护士主导的扁桃体手术后电话随访对术后症状和生活质量的影响。
在计划进行扁桃体手术的17名3至17岁儿童中，使用随机列表将9名儿童随机分配到干预组，8名儿童随机分配到对照组。干预组的家长在术后第1、3、5和10天通过电话接受护士的咨询。分别使用儿童术后恢复量表（PRiC）和健康相关生活质量量表（EQ-5 D-Y）来评估术后症状和生活质量。
干预组有8名参与者报告喉咙疼痛，而对照组在手术当天和四天后有5名参与者报告喉咙疼痛，这可能是由于研究组之间手术类型的分布不均所致。家长对电话咨询表示满意，干预组没有出现意外复诊情况。然而，招募参与者存在困难，评估工具也并非总是完全填写完整。
由于参与者数量较少且研究设计需要调整，因此无法从这项可行性研究中得出明确结论。
