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Imagery to reduce children's postope...
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Huth, Myra Martz.
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Imagery to reduce children's postoperative pain.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Imagery to reduce children's postoperative pain./
作者:
Huth, Myra Martz.
面頁冊數:
201 p.
附註:
Source: Dissertation Abstracts International, Volume: 63-07, Section: B, page: 3230.
Contained By:
Dissertation Abstracts International63-07B.
標題:
Health Sciences, Nursing. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3058835
ISBN:
9780493744797
Imagery to reduce children's postoperative pain.
Huth, Myra Martz.
Imagery to reduce children's postoperative pain.
- 201 p.
Source: Dissertation Abstracts International, Volume: 63-07, Section: B, page: 3230.
Thesis (Ph.D.)--Case Western Reserve University (Health Sciences), 2002.
This experimental study investigated the effectiveness of distraction using imagery, in addition to routine analgesics, in reducing tonsillectomy and/or adenoidectomy pain in 7--12-year old children during ambulatory surgery and at home based on the Neuman Systems (1995) and McCaul/Malott (1984) Models. Children were recruited from five Ambulatory Surgery Centers (ASC) and Short Stay Surgery Units (SSU). Thirty-six children were randomly assigned to two groups. The experimental group watched a professionally developed videotape on the use of imagery and then listened to a 30-minute audio tape of imagery approximately one week prior to surgery (T1). They listened to only the audio tape one to four hours after surgery (T2), and 22--27 hours after discharge from the ASC or SSU (T3). The 37 children in the comparison group received standard care. Pain was measured at each time point in both groups. Measures of sensory pain were the Oucher and amount of analgesics used in the ASCU/SSU and home; measures of affective pain were the Facial Affective Scale (FAS) and State Anxiety Inventory for Children (SAIC).
ISBN: 9780493744797Subjects--Topical Terms:
1017798
Health Sciences, Nursing.
Imagery to reduce children's postoperative pain.
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Source: Dissertation Abstracts International, Volume: 63-07, Section: B, page: 3230.
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This experimental study investigated the effectiveness of distraction using imagery, in addition to routine analgesics, in reducing tonsillectomy and/or adenoidectomy pain in 7--12-year old children during ambulatory surgery and at home based on the Neuman Systems (1995) and McCaul/Malott (1984) Models. Children were recruited from five Ambulatory Surgery Centers (ASC) and Short Stay Surgery Units (SSU). Thirty-six children were randomly assigned to two groups. The experimental group watched a professionally developed videotape on the use of imagery and then listened to a 30-minute audio tape of imagery approximately one week prior to surgery (T1). They listened to only the audio tape one to four hours after surgery (T2), and 22--27 hours after discharge from the ASC or SSU (T3). The 37 children in the comparison group received standard care. Pain was measured at each time point in both groups. Measures of sensory pain were the Oucher and amount of analgesics used in the ASCU/SSU and home; measures of affective pain were the Facial Affective Scale (FAS) and State Anxiety Inventory for Children (SAIC).
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There were significant positive correlations between all measures of sensory and affective pain at both time points, except for the amount of opioids at T2 and T3, and non-opioids at T3. While controlling for trait anxiety and opioid and non-opioid intake 1--4 hours before the pain measures MANCOVA showed significantly lower pain in the treatment group at T2 but not at T3. A two-way RM MANOVA indicated no significant differences in combined opioid and non-opioid use between the groups, but significantly more of both were given at T2 than at T3. Additional analysis revealed 69% of the sample received less than the recommended dose of opioids at T2 and 58% at T3. Also, 78% received less than the recommended dose of acetaminophen and ibuprofen at T2 and 75% at T3.
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Nurses, with appropriate training, should use imagery to reduce postoperative pain following tonsillectomy and/or adenoidectomy in the surgical setting. Teaching parents about adequate home administration of analgesics may be essential for imagery effectiveness in the home.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3058835
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