Adolescent Patients’ Management of Postoperative Pain after Discharge: A Qualitative Study

Dagg, Bill; Forgeron, Paula; Macartney, Gail; Chartrand, Julie

doi:10.1016/j.pmn.2020.04.003

Cited by 5 publications

(11 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some adolescents worry about the impact that the surgical procedure will have on their school results. This is in the line with another study where the negative effect on school performance was reported by adolescents because they were unable to attend school due to the pain and recovery time [19]. Associated with the absence from school activities is also the loss of contact with friends.…”

Section: Social Aspectssupporting

confidence: 90%

“…Associated with the absence from school activities is also the loss of contact with friends. Adolescents also have difficulty in resuming social activities with friends and the associated emotional stress, referring this was one of the worst parts of the recovery process [19,22]. However, they do use social networks to maintain contact with friends and colleagues.…”

Section: Social Aspectsmentioning

confidence: 99%

“…In addition to anxiety arising from the perioperative experience, there is the challenge of pain management [17]. In a qualitative study, where adolescents were interviewed, the main findings were that they felt unprepared for both the surgical procedure and to control the intensity of postoperative pain at home [18, 19]. The severity of reported pain suggested that most of the adolescents were not receiving adequate pain treatment at home [18–20,].…”

Section: Introductionmentioning

confidence: 99%

“…In a qualitative study, where adolescents were interviewed, the main findings were that they felt unprepared for both the surgical procedure and to control the intensity of postoperative pain at home [18, 19]. The severity of reported pain suggested that most of the adolescents were not receiving adequate pain treatment at home [18–20,]. Also, adolescents and their parents manifested limited knowledge and experience in pain management, and once at home, after surgery, they largely focused on pharmacological intervention (the primary method explained to them before discharge) [18, 19].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Pestana-Santos

Santos

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

Background Perioperative experience can be very distressing in adolescence if not managed properly by healthcare professionals. In the clinical context, the emotional expression of the adolescent is less spontaneous, which makes the assessment of anxiety, pain or even the desire to be involved in the perioperative process, difficult. Listening to their perioperative experiences will permit an understanding of their difficulties and expectations, regardless of the surgical intervention undergone. Aim To explore the adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery. Methods Qualitative exploratory study, with thematic analysis approach. A purposive sample of 40 adolescents aged 14–18 years and in the perioperative period, from two paediatric surgery settings in a university hospital, was questioned from January to July 2020. Data were collected using a semi‐structured interview and analysed inductively with qualitative thematic analysis. Results The data yielded one major theme, five themes, and 14 sub‐themes. The major theme, Adolescent in perioperative period, included the five themes: (1) emotional and psychological aspects; (2) physical aspects; (3) social aspects; (4) organizational aspects; (5) previous surgical experience. Adolescents expressed fear of the unknown, anxiety, difficulty in pain control, and feelings of autonomy loss. Issues related to withdrawal from school and friends is also a focus of adolescent concern during the perioperative period. Despite showing satisfaction with the way they were cared for, they complained about the lack of pre‐ and post‐operative preparation. Conclusion There are aspects that should be considered when caring for adolescents in perioperative period. As far as possible, programmes to prevent adolescents’ anxiety in perioperative period should be designed in a holistic perspective, with aim at the psychological, physical, sociocultural, and organisational aspects.

show abstract

Section: Social Aspectssupporting

confidence: 90%

Section: Social Aspectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Pestana-Santos

Santos

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“…The participants also demonstrated a lack of involvement in their own care. Participants’ reliance on caregivers was similarly reported by Dagg et al ( 19 ), who found that adolescent patients showed increased dependance on their parents after discharge, in part due to the experience of distress. The impact of the acute postoperative environment, including anesthetics and emotional stress, on cognitive function ( 20 – 22 ) may partially explain why most participants could only recall partial information regarding discharge instructions.…”

Section: Discussionsupporting

confidence: 58%

Experience and Management of the Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective

Larche

Vickers

et al. 2022

Journal of Patient Experience

View full text Add to dashboard Cite

After surgery, the adverse effects (AEs) of analgesics are common and critical factors influencing the postoperative experience of pediatric patients. Inadequate management of AEs has been found to prolong hospital stay, increase readmission rates and decrease satisfaction with care. The aim of this qualitative descriptive study was to better understand the AEs of analgesics from the perspective of adolescent patients with idiopathic scoliosis after spinal surgery. A total of 7 patients participated in the study. Semistructured interviews were conducted at discharge and 1 week after discharge. Transcribed data were analyzed using qualitative content analysis and themes were identified. Overall, participants most frequently reported gastrointestinal and cognitive AEs, with constipation being the most persistent and bothersome. The pediatric participants used a combination of 3 strategies to mitigate analgesic AEs, namely pharmacologic, nonpharmacologic, and reduction of analgesic intake. Participants demonstrated a lack of understanding of AEs and involvement in their own care. Future studies should be conducted to evaluate the efficacy of nonpharmacological strategies in managing analgesic AEs for pediatric patients after surgery.

show abstract

Emergency Department Discharge Teaching Interventions: A Scoping Review

Carey,

Starkweather,

Bai

et al. 2024

Journal of Emergency Nursing

View full text Add to dashboard Cite

Adolescent Patients’ Management of Postoperative Pain after Discharge: A Qualitative Study

Cited by 5 publications

References 32 publications

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Experience and Management of the Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective

Emergency Department Discharge Teaching Interventions: A Scoping Review

Contact Info

Product

Resources

About