Cargando…
Experience and Management of the Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective
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...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016538/ https://www.ncbi.nlm.nih.gov/pubmed/35450091 http://dx.doi.org/10.1177/23743735221092632 |
_version_ | 1784688549688246272 |
---|---|
author | Li, Mandy M. J. Larche, Cynthia L. Vickers, Kelsey Vigouroux, Marie Ingelmo, Pablo M. Hovey, Richard Ferland, Catherine E. |
author_facet | Li, Mandy M. J. Larche, Cynthia L. Vickers, Kelsey Vigouroux, Marie Ingelmo, Pablo M. Hovey, Richard Ferland, Catherine E. |
author_sort | Li, Mandy M. J. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9016538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-90165382022-04-20 Experience and Management of the Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective Li, Mandy M. J. Larche, Cynthia L. Vickers, Kelsey Vigouroux, Marie Ingelmo, Pablo M. Hovey, Richard Ferland, Catherine E. J Patient Exp Research Article 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. SAGE Publications 2022-04-07 /pmc/articles/PMC9016538/ /pubmed/35450091 http://dx.doi.org/10.1177/23743735221092632 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Article Li, Mandy M. J. Larche, Cynthia L. Vickers, Kelsey Vigouroux, Marie Ingelmo, Pablo M. Hovey, Richard Ferland, Catherine E. Experience and Management of the Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective |
title | Experience and Management of the Adverse Effects of Analgesics After
Surgery: A Pediatric Patient Perspective |
title_full | Experience and Management of the Adverse Effects of Analgesics After
Surgery: A Pediatric Patient Perspective |
title_fullStr | Experience and Management of the Adverse Effects of Analgesics After
Surgery: A Pediatric Patient Perspective |
title_full_unstemmed | Experience and Management of the Adverse Effects of Analgesics After
Surgery: A Pediatric Patient Perspective |
title_short | Experience and Management of the Adverse Effects of Analgesics After
Surgery: A Pediatric Patient Perspective |
title_sort | experience and management of the adverse effects of analgesics after
surgery: a pediatric patient perspective |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016538/ https://www.ncbi.nlm.nih.gov/pubmed/35450091 http://dx.doi.org/10.1177/23743735221092632 |
work_keys_str_mv | AT limandymj experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective AT larchecynthial experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective AT vickerskelsey experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective AT vigourouxmarie experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective AT ingelmopablom experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective AT hoveyrichard experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective AT ferlandcatherinee experienceandmanagementoftheadverseeffectsofanalgesicsaftersurgeryapediatricpatientperspective |