Parental postoperative pain management: Attitudes, assessment, and management

Rachel Yaffa Zisk Rony, Michelle A. Fortier, Jill Mac Laren Chorney, Danielle Perret, Zeev N. Kain

    Research output: Contribution to journalArticlepeer-review

    121 Scopus citations

    Abstract

    OBJECTIVES: Previous studies suggested that parents frequently do not adequately treat postoperative pain that is experienced at home. Reasons for these parental practices have not been extensively studied. Aims of this study were to examine parental postoperative pain assessment and management practices at home as well potential attitudinal barriers to such pain practices. METHODS: This was a longitudinal study involving 132 parents of children who were aged 2 to 12 years and undergoing elective outpatient surgery. Parental attitudes about pain assessment and management were assessed preoperatively, and children's pain severity and analgesic administration were assessed postoperatively for the first 48 hours after discharge. RESULTS: Although postoperative parental ratings indicated significant pain, parents provided a median of only 1 dose of analgesics (range: 0-3) during the first 48 hours after surgery. In the attitudinal survey, parents' responses have indicated significant barriers. For example, 52% of parents indicated that analgesics are addictive, and 73% reported worries concerning adverse effects. Also, 37% of parents thought that "the less often children receive analgesics, the better they work." Regression analysis demonstrated that, overall, more preoperative attitudinal barriers to pain management were significantly associated with provision of fewer doses of analgesics by parents (P<.05). CONCLUSIONS: Parents detected pain in their children yet provided few doses of analgesics. Parents may benefit from interventions that provide them with information that addresses individual barriers regarding assessing and treating pain.

    Original languageAmerican English
    Pages (from-to)e1372-e1378
    JournalPediatrics
    Volume125
    Issue number6
    DOIs
    StatePublished - Jun 2010

    Keywords

    • Attitudinal barriers
    • Children
    • Pain assessment
    • Pain management
    • Parents
    • Postoperative pain

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