The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward: A randomized controlled trial
Background Postoperative pain has adverse effects on children after urology treatment, including sleep disturbance, incision dehiscence, bleeding, and delayed recovery. Parents, as the most direct caregivers of children, can make accurate assessments of children´s personal behaviors and responses, w...
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| Veröffentlicht in: | Journal of nursing scholarship 2022-09, Vol.54 (5), p.554-561 |
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| creator | Yang, Jin‐Xia Yao, Wen‐Ying Zhang, Fang Jiang, Wen‐Ting Gu, Ying Xu, Hong‐Zhen |
| description | Background
Postoperative pain has adverse effects on children after urology treatment, including sleep disturbance, incision dehiscence, bleeding, and delayed recovery. Parents, as the most direct caregivers of children, can make accurate assessments of children´s personal behaviors and responses, which is very important for the management of postoperative pain in children.
Purpose
The purpose of the current study was to develop a Parent Participation in Postoperative Pain Management Program for children in a urology ward and to evaluate its effects on children's postoperative pain scores and other outcome indicators.
Design
This research comprised two phases. The first phase was the development of a Parent Participation in Postoperative Pain Management Program. The second phase was a randomized controlled trial between two groups, and was carried out in a 45‐bed inpatient urology ward of a tertiary children's hospital in China. In the trial, 211 children and their parents were randomly selected as a control group between July 1 and August 15, 2019, and 202 children and their parents were randomly selected as an intervention group between August 16 and September 15, 2019.
Methods
Following the framework and methods of the Evidence‐based Continuous Quality Improvement Model developed at Fudan University Evidence‐Based Nursing Center, we systematically gathered evidence regarding parental involvement in postoperative pain management in children to construct the program. To evaluate the program's effectiveness, the control group performed routine postoperative pain management, while the intervention group underwent the Parent Participation in Postoperative Pain Management Program. The management period was during hospitalization, and generally ranged 3–7 days. The Statistical Table of Pain Assessment for Children after Urology was employed by researchers.
Findings
The results revealed no significant differences in demographic characteristics between the two groups of children and their parents. Children's pain scores during dressing removal (Z = −3.108, p = 0.002), at discharge (Z = −2.185, p = 0.029) and during catheter removal (Z = −6.553, p = 0.000) were significantly lower in the intervention group compared with the control group.
Conclusions and clinical relevance
The Parent Participation in Postoperative Pain Management Program was found to be effective for alleviating postoperative pain scores among children, and provided useful information regarding p |
| doi_str_mv | 10.1111/jnu.12762 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2614753617</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2614753617</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-dbe811b28aa1ea30ca3810b75139f174ff3f1fa6e06d2b114b3e52b582adcc9f3</originalsourceid><addsrcrecordid>eNp1kctu1TAQhi1ERcuBBS-ALLGBRdqMHefCrqq4VRVs2nU0ccanPkrsYCdUh9fghXF6SheV8GZGns-fRv4ZewP5KaRztnPLKYiqFM_YCaiiylReNs_XXlRZqYrymL2McZfneQmVfMGOZdGoGqryhP25viVOxpCe7S9yFCP3hiOfMJCb1zJbbSecrXfcOj75OPuJAq54GqerER1uabzHg98GHCM3PnB9a4c-WdZnyJfgB7_d8zsM_Ud-zgO63o_2N_Vcezen6ZDaOVgcXrEjg0Ok1w91w24-f7q--Jpd_fjy7eL8KtNSSZH1HdUAnagRgVDmGmUNeVcpkI2BqjBGGjBYUl72ogMoOklKdKoW2GvdGLlh7w_etPbPheLcjjZqGgZ05JfYihKKSsn1zzbs3RN055fg0natqABUkkKTqA8HSgcfYyDTTsGOGPYt5O2aVJuSau-TSuzbB-PSjdQ_kv-iScDZAbizA-3_b2ovv98clH8BSjGgHg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2711558219</pqid></control><display><type>article</type><title>The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward: A randomized controlled trial</title><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Yang, Jin‐Xia ; Yao, Wen‐Ying ; Zhang, Fang ; Jiang, Wen‐Ting ; Gu, Ying ; Xu, Hong‐Zhen</creator><creatorcontrib>Yang, Jin‐Xia ; Yao, Wen‐Ying ; Zhang, Fang ; Jiang, Wen‐Ting ; Gu, Ying ; Xu, Hong‐Zhen</creatorcontrib><description>Background
Postoperative pain has adverse effects on children after urology treatment, including sleep disturbance, incision dehiscence, bleeding, and delayed recovery. Parents, as the most direct caregivers of children, can make accurate assessments of children´s personal behaviors and responses, which is very important for the management of postoperative pain in children.
Purpose
The purpose of the current study was to develop a Parent Participation in Postoperative Pain Management Program for children in a urology ward and to evaluate its effects on children's postoperative pain scores and other outcome indicators.
Design
This research comprised two phases. The first phase was the development of a Parent Participation in Postoperative Pain Management Program. The second phase was a randomized controlled trial between two groups, and was carried out in a 45‐bed inpatient urology ward of a tertiary children's hospital in China. In the trial, 211 children and their parents were randomly selected as a control group between July 1 and August 15, 2019, and 202 children and their parents were randomly selected as an intervention group between August 16 and September 15, 2019.
Methods
Following the framework and methods of the Evidence‐based Continuous Quality Improvement Model developed at Fudan University Evidence‐Based Nursing Center, we systematically gathered evidence regarding parental involvement in postoperative pain management in children to construct the program. To evaluate the program's effectiveness, the control group performed routine postoperative pain management, while the intervention group underwent the Parent Participation in Postoperative Pain Management Program. The management period was during hospitalization, and generally ranged 3–7 days. The Statistical Table of Pain Assessment for Children after Urology was employed by researchers.
Findings
The results revealed no significant differences in demographic characteristics between the two groups of children and their parents. Children's pain scores during dressing removal (Z = −3.108, p = 0.002), at discharge (Z = −2.185, p = 0.029) and during catheter removal (Z = −6.553, p = 0.000) were significantly lower in the intervention group compared with the control group.
Conclusions and clinical relevance
The Parent Participation in Postoperative Pain Management Program was found to be effective for alleviating postoperative pain scores among children, and provided useful information regarding postoperative pain management in children involving four aspects of parental involvement: cognition, guidance, documentation and support.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12762</identifier><identifier>PMID: 34958176</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Analgesics ; Behavior ; Bleeding ; Caregivers ; Catheterization ; Child development ; children ; Children & youth ; Clinical trials ; Cognition ; Control groups ; Delayed ; Demography ; Dressing ; Education ; Evidence-based nursing ; Families & family life ; Hospitalization ; Inpatient care ; Intervention ; Morphine ; Nurses ; Pain management ; Parent participation ; Parents & parenting ; Postoperative pain ; Postoperative period ; Quality improvement ; Quality management ; Side effects ; Sleep ; Surgery ; Tables ; Urology</subject><ispartof>Journal of nursing scholarship, 2022-09, Vol.54 (5), p.554-561</ispartof><rights>2021 Sigma Theta Tau International</rights><rights>2021 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. Sep 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-dbe811b28aa1ea30ca3810b75139f174ff3f1fa6e06d2b114b3e52b582adcc9f3</citedby><cites>FETCH-LOGICAL-c3532-dbe811b28aa1ea30ca3810b75139f174ff3f1fa6e06d2b114b3e52b582adcc9f3</cites><orcidid>0000-0002-6293-6563</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjnu.12762$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjnu.12762$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,12846,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34958176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Jin‐Xia</creatorcontrib><creatorcontrib>Yao, Wen‐Ying</creatorcontrib><creatorcontrib>Zhang, Fang</creatorcontrib><creatorcontrib>Jiang, Wen‐Ting</creatorcontrib><creatorcontrib>Gu, Ying</creatorcontrib><creatorcontrib>Xu, Hong‐Zhen</creatorcontrib><title>The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward: A randomized controlled trial</title><title>Journal of nursing scholarship</title><addtitle>J Nurs Scholarsh</addtitle><description>Background
Postoperative pain has adverse effects on children after urology treatment, including sleep disturbance, incision dehiscence, bleeding, and delayed recovery. Parents, as the most direct caregivers of children, can make accurate assessments of children´s personal behaviors and responses, which is very important for the management of postoperative pain in children.
Purpose
The purpose of the current study was to develop a Parent Participation in Postoperative Pain Management Program for children in a urology ward and to evaluate its effects on children's postoperative pain scores and other outcome indicators.
Design
This research comprised two phases. The first phase was the development of a Parent Participation in Postoperative Pain Management Program. The second phase was a randomized controlled trial between two groups, and was carried out in a 45‐bed inpatient urology ward of a tertiary children's hospital in China. In the trial, 211 children and their parents were randomly selected as a control group between July 1 and August 15, 2019, and 202 children and their parents were randomly selected as an intervention group between August 16 and September 15, 2019.
Methods
Following the framework and methods of the Evidence‐based Continuous Quality Improvement Model developed at Fudan University Evidence‐Based Nursing Center, we systematically gathered evidence regarding parental involvement in postoperative pain management in children to construct the program. To evaluate the program's effectiveness, the control group performed routine postoperative pain management, while the intervention group underwent the Parent Participation in Postoperative Pain Management Program. The management period was during hospitalization, and generally ranged 3–7 days. The Statistical Table of Pain Assessment for Children after Urology was employed by researchers.
Findings
The results revealed no significant differences in demographic characteristics between the two groups of children and their parents. Children's pain scores during dressing removal (Z = −3.108, p = 0.002), at discharge (Z = −2.185, p = 0.029) and during catheter removal (Z = −6.553, p = 0.000) were significantly lower in the intervention group compared with the control group.
Conclusions and clinical relevance
The Parent Participation in Postoperative Pain Management Program was found to be effective for alleviating postoperative pain scores among children, and provided useful information regarding postoperative pain management in children involving four aspects of parental involvement: cognition, guidance, documentation and support.</description><subject>Analgesics</subject><subject>Behavior</subject><subject>Bleeding</subject><subject>Caregivers</subject><subject>Catheterization</subject><subject>Child development</subject><subject>children</subject><subject>Children & youth</subject><subject>Clinical trials</subject><subject>Cognition</subject><subject>Control groups</subject><subject>Delayed</subject><subject>Demography</subject><subject>Dressing</subject><subject>Education</subject><subject>Evidence-based nursing</subject><subject>Families & family life</subject><subject>Hospitalization</subject><subject>Inpatient care</subject><subject>Intervention</subject><subject>Morphine</subject><subject>Nurses</subject><subject>Pain management</subject><subject>Parent participation</subject><subject>Parents & parenting</subject><subject>Postoperative pain</subject><subject>Postoperative period</subject><subject>Quality improvement</subject><subject>Quality management</subject><subject>Side effects</subject><subject>Sleep</subject><subject>Surgery</subject><subject>Tables</subject><subject>Urology</subject><issn>1527-6546</issn><issn>1547-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctu1TAQhi1ERcuBBS-ALLGBRdqMHefCrqq4VRVs2nU0ccanPkrsYCdUh9fghXF6SheV8GZGns-fRv4ZewP5KaRztnPLKYiqFM_YCaiiylReNs_XXlRZqYrymL2McZfneQmVfMGOZdGoGqryhP25viVOxpCe7S9yFCP3hiOfMJCb1zJbbSecrXfcOj75OPuJAq54GqerER1uabzHg98GHCM3PnB9a4c-WdZnyJfgB7_d8zsM_Ud-zgO63o_2N_Vcezen6ZDaOVgcXrEjg0Ok1w91w24-f7q--Jpd_fjy7eL8KtNSSZH1HdUAnagRgVDmGmUNeVcpkI2BqjBGGjBYUl72ogMoOklKdKoW2GvdGLlh7w_etPbPheLcjjZqGgZ05JfYihKKSsn1zzbs3RN055fg0natqABUkkKTqA8HSgcfYyDTTsGOGPYt5O2aVJuSau-TSuzbB-PSjdQ_kv-iScDZAbizA-3_b2ovv98clH8BSjGgHg</recordid><startdate>202209</startdate><enddate>202209</enddate><creator>Yang, Jin‐Xia</creator><creator>Yao, Wen‐Ying</creator><creator>Zhang, Fang</creator><creator>Jiang, Wen‐Ting</creator><creator>Gu, Ying</creator><creator>Xu, Hong‐Zhen</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6293-6563</orcidid></search><sort><creationdate>202209</creationdate><title>The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward: A randomized controlled trial</title><author>Yang, Jin‐Xia ; Yao, Wen‐Ying ; Zhang, Fang ; Jiang, Wen‐Ting ; Gu, Ying ; Xu, Hong‐Zhen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-dbe811b28aa1ea30ca3810b75139f174ff3f1fa6e06d2b114b3e52b582adcc9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analgesics</topic><topic>Behavior</topic><topic>Bleeding</topic><topic>Caregivers</topic><topic>Catheterization</topic><topic>Child development</topic><topic>children</topic><topic>Children & youth</topic><topic>Clinical trials</topic><topic>Cognition</topic><topic>Control groups</topic><topic>Delayed</topic><topic>Demography</topic><topic>Dressing</topic><topic>Education</topic><topic>Evidence-based nursing</topic><topic>Families & family life</topic><topic>Hospitalization</topic><topic>Inpatient care</topic><topic>Intervention</topic><topic>Morphine</topic><topic>Nurses</topic><topic>Pain management</topic><topic>Parent participation</topic><topic>Parents & parenting</topic><topic>Postoperative pain</topic><topic>Postoperative period</topic><topic>Quality improvement</topic><topic>Quality management</topic><topic>Side effects</topic><topic>Sleep</topic><topic>Surgery</topic><topic>Tables</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Jin‐Xia</creatorcontrib><creatorcontrib>Yao, Wen‐Ying</creatorcontrib><creatorcontrib>Zhang, Fang</creatorcontrib><creatorcontrib>Jiang, Wen‐Ting</creatorcontrib><creatorcontrib>Gu, Ying</creatorcontrib><creatorcontrib>Xu, Hong‐Zhen</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central 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Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing scholarship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Jin‐Xia</au><au>Yao, Wen‐Ying</au><au>Zhang, Fang</au><au>Jiang, Wen‐Ting</au><au>Gu, Ying</au><au>Xu, Hong‐Zhen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward: A randomized controlled trial</atitle><jtitle>Journal of nursing scholarship</jtitle><addtitle>J Nurs Scholarsh</addtitle><date>2022-09</date><risdate>2022</risdate><volume>54</volume><issue>5</issue><spage>554</spage><epage>561</epage><pages>554-561</pages><issn>1527-6546</issn><eissn>1547-5069</eissn><abstract>Background
Postoperative pain has adverse effects on children after urology treatment, including sleep disturbance, incision dehiscence, bleeding, and delayed recovery. Parents, as the most direct caregivers of children, can make accurate assessments of children´s personal behaviors and responses, which is very important for the management of postoperative pain in children.
Purpose
The purpose of the current study was to develop a Parent Participation in Postoperative Pain Management Program for children in a urology ward and to evaluate its effects on children's postoperative pain scores and other outcome indicators.
Design
This research comprised two phases. The first phase was the development of a Parent Participation in Postoperative Pain Management Program. The second phase was a randomized controlled trial between two groups, and was carried out in a 45‐bed inpatient urology ward of a tertiary children's hospital in China. In the trial, 211 children and their parents were randomly selected as a control group between July 1 and August 15, 2019, and 202 children and their parents were randomly selected as an intervention group between August 16 and September 15, 2019.
Methods
Following the framework and methods of the Evidence‐based Continuous Quality Improvement Model developed at Fudan University Evidence‐Based Nursing Center, we systematically gathered evidence regarding parental involvement in postoperative pain management in children to construct the program. To evaluate the program's effectiveness, the control group performed routine postoperative pain management, while the intervention group underwent the Parent Participation in Postoperative Pain Management Program. The management period was during hospitalization, and generally ranged 3–7 days. The Statistical Table of Pain Assessment for Children after Urology was employed by researchers.
Findings
The results revealed no significant differences in demographic characteristics between the two groups of children and their parents. Children's pain scores during dressing removal (Z = −3.108, p = 0.002), at discharge (Z = −2.185, p = 0.029) and during catheter removal (Z = −6.553, p = 0.000) were significantly lower in the intervention group compared with the control group.
Conclusions and clinical relevance
The Parent Participation in Postoperative Pain Management Program was found to be effective for alleviating postoperative pain scores among children, and provided useful information regarding postoperative pain management in children involving four aspects of parental involvement: cognition, guidance, documentation and support.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>34958176</pmid><doi>10.1111/jnu.12762</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6293-6563</orcidid></addata></record> |
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| ispartof | Journal of nursing scholarship, 2022-09, Vol.54 (5), p.554-561 |
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| subjects | Analgesics Behavior Bleeding Caregivers Catheterization Child development children Children & youth Clinical trials Cognition Control groups Delayed Demography Dressing Education Evidence-based nursing Families & family life Hospitalization Inpatient care Intervention Morphine Nurses Pain management Parent participation Parents & parenting Postoperative pain Postoperative period Quality improvement Quality management Side effects Sleep Surgery Tables Urology |
| title | The effectiveness of a parent participation in postoperative pain management programs for children in a urology ward: A randomized controlled trial |
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