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Abstract

As day case surgery increases, one needs to improve the management of pain in children at home. This study wished to determine whether the use of a self-report pain scale would result in children receiving more analgesia. Eighty-eight children aged four to 12 years undergoing tonsillectomy, whose parents agreed they could participate, were randomly assigned into two groups. Group A received the routine postoperative advice and a three-day prescription of paracetamol, ibuprofen and codeine. In addition, group B used the Wong—Baker Faces Pain Scale. Seventy-two children completed the study. There was no difference in the total number of analgesics administered to children in the two groups (p = 0.26, Mann— Whitney U-test). It appears that a self-report pain scale does not improve the postoperative management of pain in children at home.

Keywords

children pain assessment postoperative analgesia self-reporting

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References

Beyer J.E. (2003) `Key Issues Surrounding the Assessment of Pain in Children', in I. Choonara , A.J. Nunn and G. Kearns (eds) Introduction to Paediatric and Perinatal Drug Therapy, pp. 151—75. Nottingham: Nottingham University Press.

Chambers, C.T. , Reid, G.J. , Mcgrath P.J. and Finley, G.A. (1996) `Development and Preliminary Validation of a Postoperative Measure for Parents', Pain 68(2—3): 307—13.

Chambers, C.T. , Finley, G.A. , McGrath, P.J. and Walsh, T.M. (2003) `The Parent's Postoperative Pain Measure: Replication and Extension to 2—6 Year Old Children', Pain 105(3): 437—43.

Finley, G.A. , McGrath, P.J. , Forward, S.P. , McNeil, G. and Fitzgerald, P. (1996) `Parents' Management of Children's Pain Following Minor Surgery', Pain 64(1): 83—7.

Forward, S.P. , Brown, T.L. and McGrath, P.L. (1996) `Mothers' Attitudes and Behaviour towards Medicating Children's Pain', Pain 67(2—3): 469—74.

Gedlay-Duff, V. and Ziebarth, D. (1994) `Mothers' Management of Adenoidtonsillectomy Pain in 4—6 Year Olds: a Preliminary Study', Pain 57(3): 293—9.

Greenberg, R.S. , Billet, C. , Zahurak, M. and Yaster, M. (1999) `Videotape Increases Parental Knowledge about Paediatric Pain Management', Anaesthesia and Analgesia 89(4): 899—903.

Hammers, J.P. and Abu-Saad, H.H. (2002) `Children's Pain at Home following (Adeno) Tonsillectomy ', Pain 6(3): 213—19.

Kanerva, M. and Tarkkila Pit Karanta, A. (2003) `Day Case Tonsillectomy in Children: Parental Attitudes and Consultation Rates', International Journal of Pediatric Otorhinolaryngology 67(7): 777—84.

10.

Kankkunnen, P. , Vehvilainen-Julkuen, K. , Pietila, A.M. and Halonen, P. (2003) `Is the Sufficiency of Discharge Instructions Related to Children's Postoperative Pain at Home after Day Surgery?', Scandinavian Journal of Caring Sciences 17(4): 365—72.

11.

Knight, J.C. (1994) `Postoperative Pain in Children after Day Case Surgery', Paediatric Anaesthesia 4(3): 45—51.

12.

Kokki, H. and Ahonen, R. (1997) `Pain and Activity Disturbance after Paediatric Day Case Adenoidectomy', Paediatric Anaesthesia 7(3): 227—31.

13.

Machin, D. , Campbell, M. , Fayers, P. and Pinol, A. (1997) Sample Sizes for Clinical Studies. Oxford: Blackwell Science.

14.

Morgan, J. , Peden, V. , Bhasker, K. , Vater, M. and Choonara, I. (2001) `Assessment of Pain by Parents in Young Children ', Paediatric Anaesthesia 11(4): 449—52.

15.

Romsing, J. , Hertel, S. , Harder, A. and Rosmussen M. (1998) `Examination of Acetaminophen for Outpatient Management of Postoperative Pain', Paediatric Anaesthesia 8(3): 235—9.

16.

Royal College of Paediatrics and Child Health ( 1999) Medicines for Children. London: Royal College of Paediatrics and Child Health.

17.

Warnock, F.F. and Lander, J. (1998) `Pain, Progression Intensity and Outcomes following Tonsillectomy', Pain 75(1): 37—45.

18.

Wilson, G.A.M. and Doyle, E. (1996) `Validation of Three Paediatric Pain Scores for Use by Parents', Anaesthesia 51(11): 1005—7.

19.

Wolf, A.R. (1999) `Tears at Bedtime: a Pitfall of Extending Paediatric Day Case Surgery without Extending Analgesia', British Journal of Anaesthesia 82(3): 319—20.

20.

Wong, D.L. and Baker, L.M. (1988) `Pain in Children: Comparison of Assessment Scales ', Pediatric Nursing 14(1): 9—16.

Parental assessment and management of children's postoperative pain: a randomized clinical trial

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