| Abstract [eng] |
Aim of the research. To analyze the implementation of non-pharmacological methods and to determine the factors related to pain management in hospitalized children’s pain relief. Tasks. To analyze nurses‘ role in hospitalized children‘s postoperative pain relief and to reveal the factors related to the implementation of non-pharmacological methods; To analyze parents' role in hospitalized children's postoperative pain relief and to reveal the factors related to parents participation in child‘s care. To analyze hospitalized children‘s role in postoperative pain relief and to reveal their expectations from the nursing staff and parents. Materials and methods. This survey was conducted from February 2016 to-April 2016. The data were collected using questionnaires from nurses (n=89) and parents (n=100) who were caring for children in pain on the pediatric surgical wards. Structured-interviews were conducted with 45 children who were in pateins at surcigal wards in one of children’s hospital in Vilnius city. Results and Conclusions. The nurses and parents reported using versatile non-pharmacological methods in children's surgical pain relief. Such methods as giving preparatory information (86,5%), positioning (82,1%), helping with daily activities (85,4%) and comforting/reassuring (84,3%) were well used strategies by nurses; distraction (81%) and creating a comfortable environment (91%) by parents. Two-thirds of nurses claimed to teach routinely the parents about ways to alleviate their child's pain in hospital.The most commonly guided methods were positioning (86,1%) distraction (82,6%), helping with daily activities (86%) and presence (86%). Some background factors specific to nurses (age, education, work experience and nurse's with their own children’s) and parents (education) were related to effective pain management in children. Concern and anxiety were the most common negative feelings experienced by the parents during their children’s hospitalization. And the most commonly mentioned reason were uncertainity of their children’s illness and further treatment, side effects and complications. According to children’s perception, the most common self-initiated used method was distraction (53,3%). The children also provided suggestions to their caregivers, especially nurses, regarding implementation of effective surgical pain relief (e.g.distraction and presence) and lack of being in good mood. However, most children reported their worst pain to be severe or moderate. |
