Adolescent Patients' Management of Postoperative Pain after Discharge: A Qualitative Study.
Journal
Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
21
11
2019
revised:
30
03
2020
accepted:
18
04
2020
pubmed:
20
6
2020
medline:
4
8
2021
entrez:
20
6
2020
Statut:
ppublish
Résumé
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.
Sections du résumé
BACKGROUND
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.
AIM
This study aimed to explore the pain experiences of seven adolescents who underwent inpatient surgery.
DESIGN
This study used Interpretative Phenomenological Analysis as a methodology.
SETTING
This study took place at a pediatric tertiary care hospital in Canada.
PARTICIPANTS
7 adolescents participated, all of whom underwent inpatient surgery with admission between 2-14 days in length.
METHODS
Semi-structured interviews were conducted 2 to 6 weeks post-discharge.
RESULTS
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.
CONCLUSIONS
Involving adolescents directly in discharge education, particularly with the use of novel interventions and coaching, may improve outcomes.
KEY PRACTICE POINTS
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.
Identifiants
pubmed: 32553416
pii: S1524-9042(20)30117-X
doi: 10.1016/j.pmn.2020.04.003
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
565-571Informations de copyright
Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.