Children's pre-operative tonsillectomy pain education: Clinical outcomes

Margie Crandall, Cathleen R Lammers, Craig W Senders, Jerome V. Braun, Marilyn Savedra

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To examine the effects of pre-operative tonsillectomy pain education on children's (7-13 years) self-reported pre-operative anxiety and post-operative clinical outcomes (i.e., anxiety, pain intensity, quality of pain and sleep, oral intake, perceptions of pre-operative education, and pain expectation). Method: A prospective, repeated measures, quasi-experimental design using an age appropriate pain education booklet (n = 30) and a standard care comparison group (n = 30) was employed to investigate children's pre- and post-education anxiety and post-operative tonsillectomy with or without adenoidectomy subjective experiences in the hospital and home settings. Group comparisons were performed using the Wilcoxon test, Fisher's exact test, repeated measures analysis of variance, and mixed model regression. Results: There were no significant differences between groups for measures of anxiety, pain intensity, quality of pain and sleep, oral intake, or expected pain. There was no change in anxiety before or after pre-operative education (P = 0.85). Ninety-six percent (n = 25) of the children in the intervention group reported that pre-operative pain education helped with their post-operative pain and 72% (n = 16) in the control group stated that it would be helpful to learn about pain before surgery. The majority of children in both the intervention and control groups (96%, 91%, respectively) stated learning about the 0-10 numeric pain intensity scale helped or would be helpful to learn pre-operatively. Conclusion: Pre-operative pain education did not affect anxiety. Children valued pre-operative pain education. Pre-operative pain education may influence children's perceptions of medical care.

Original languageEnglish (US)
Pages (from-to)1523-1533
Number of pages11
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume72
Issue number10
DOIs
StatePublished - Oct 2008

Fingerprint

Tonsillectomy
Education
Pain
Anxiety
Sleep
Adenoidectomy
Control Groups
Pamphlets

Keywords

  • Post-operative pain
  • Pre-operative education
  • Tonsillectomy outcomes

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Children's pre-operative tonsillectomy pain education : Clinical outcomes. / Crandall, Margie; Lammers, Cathleen R; Senders, Craig W; Braun, Jerome V.; Savedra, Marilyn.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 72, No. 10, 10.2008, p. 1523-1533.

Research output: Contribution to journalArticle

@article{e8f428b0ea2949e89b109b9341e7596a,
title = "Children's pre-operative tonsillectomy pain education: Clinical outcomes",
abstract = "Objective: To examine the effects of pre-operative tonsillectomy pain education on children's (7-13 years) self-reported pre-operative anxiety and post-operative clinical outcomes (i.e., anxiety, pain intensity, quality of pain and sleep, oral intake, perceptions of pre-operative education, and pain expectation). Method: A prospective, repeated measures, quasi-experimental design using an age appropriate pain education booklet (n = 30) and a standard care comparison group (n = 30) was employed to investigate children's pre- and post-education anxiety and post-operative tonsillectomy with or without adenoidectomy subjective experiences in the hospital and home settings. Group comparisons were performed using the Wilcoxon test, Fisher's exact test, repeated measures analysis of variance, and mixed model regression. Results: There were no significant differences between groups for measures of anxiety, pain intensity, quality of pain and sleep, oral intake, or expected pain. There was no change in anxiety before or after pre-operative education (P = 0.85). Ninety-six percent (n = 25) of the children in the intervention group reported that pre-operative pain education helped with their post-operative pain and 72{\%} (n = 16) in the control group stated that it would be helpful to learn about pain before surgery. The majority of children in both the intervention and control groups (96{\%}, 91{\%}, respectively) stated learning about the 0-10 numeric pain intensity scale helped or would be helpful to learn pre-operatively. Conclusion: Pre-operative pain education did not affect anxiety. Children valued pre-operative pain education. Pre-operative pain education may influence children's perceptions of medical care.",
keywords = "Post-operative pain, Pre-operative education, Tonsillectomy outcomes",
author = "Margie Crandall and Lammers, {Cathleen R} and Senders, {Craig W} and Braun, {Jerome V.} and Marilyn Savedra",
year = "2008",
month = "10",
doi = "10.1016/j.ijporl.2008.07.004",
language = "English (US)",
volume = "72",
pages = "1523--1533",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "10",

}

TY - JOUR

T1 - Children's pre-operative tonsillectomy pain education

T2 - Clinical outcomes

AU - Crandall, Margie

AU - Lammers, Cathleen R

AU - Senders, Craig W

AU - Braun, Jerome V.

AU - Savedra, Marilyn

PY - 2008/10

Y1 - 2008/10

N2 - Objective: To examine the effects of pre-operative tonsillectomy pain education on children's (7-13 years) self-reported pre-operative anxiety and post-operative clinical outcomes (i.e., anxiety, pain intensity, quality of pain and sleep, oral intake, perceptions of pre-operative education, and pain expectation). Method: A prospective, repeated measures, quasi-experimental design using an age appropriate pain education booklet (n = 30) and a standard care comparison group (n = 30) was employed to investigate children's pre- and post-education anxiety and post-operative tonsillectomy with or without adenoidectomy subjective experiences in the hospital and home settings. Group comparisons were performed using the Wilcoxon test, Fisher's exact test, repeated measures analysis of variance, and mixed model regression. Results: There were no significant differences between groups for measures of anxiety, pain intensity, quality of pain and sleep, oral intake, or expected pain. There was no change in anxiety before or after pre-operative education (P = 0.85). Ninety-six percent (n = 25) of the children in the intervention group reported that pre-operative pain education helped with their post-operative pain and 72% (n = 16) in the control group stated that it would be helpful to learn about pain before surgery. The majority of children in both the intervention and control groups (96%, 91%, respectively) stated learning about the 0-10 numeric pain intensity scale helped or would be helpful to learn pre-operatively. Conclusion: Pre-operative pain education did not affect anxiety. Children valued pre-operative pain education. Pre-operative pain education may influence children's perceptions of medical care.

AB - Objective: To examine the effects of pre-operative tonsillectomy pain education on children's (7-13 years) self-reported pre-operative anxiety and post-operative clinical outcomes (i.e., anxiety, pain intensity, quality of pain and sleep, oral intake, perceptions of pre-operative education, and pain expectation). Method: A prospective, repeated measures, quasi-experimental design using an age appropriate pain education booklet (n = 30) and a standard care comparison group (n = 30) was employed to investigate children's pre- and post-education anxiety and post-operative tonsillectomy with or without adenoidectomy subjective experiences in the hospital and home settings. Group comparisons were performed using the Wilcoxon test, Fisher's exact test, repeated measures analysis of variance, and mixed model regression. Results: There were no significant differences between groups for measures of anxiety, pain intensity, quality of pain and sleep, oral intake, or expected pain. There was no change in anxiety before or after pre-operative education (P = 0.85). Ninety-six percent (n = 25) of the children in the intervention group reported that pre-operative pain education helped with their post-operative pain and 72% (n = 16) in the control group stated that it would be helpful to learn about pain before surgery. The majority of children in both the intervention and control groups (96%, 91%, respectively) stated learning about the 0-10 numeric pain intensity scale helped or would be helpful to learn pre-operatively. Conclusion: Pre-operative pain education did not affect anxiety. Children valued pre-operative pain education. Pre-operative pain education may influence children's perceptions of medical care.

KW - Post-operative pain

KW - Pre-operative education

KW - Tonsillectomy outcomes

UR - http://www.scopus.com/inward/record.url?scp=50649123521&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=50649123521&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2008.07.004

DO - 10.1016/j.ijporl.2008.07.004

M3 - Article

C2 - 18757103

AN - SCOPUS:50649123521

VL - 72

SP - 1523

EP - 1533

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

IS - 10

ER -