A randomized clinical trial of a nurse telephone follow‐up on paediatric tonsillectomy pain management and complications

Abstract

Nurse telephone follow-up was beneficial for some pain management and prevention of complications, although better analgesic treatments are needed. The intervention was simple, safe, and appreciated by parents.

Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

“…Reports about the effects on pain of posttonsillectomy nursing interventions administered on children and parents are largely inconsistent. Our results are similar with a prior finding that postoperative nursing intervention did not have a significant impact on the administration of analgesics and pain intensity (Paquette et al, ; Zhu et al, ). This is in contrast to the findings of a systematic review (Chorney, Twycross, Mifflin, & Archibald, ), which demonstrated that interventions to improve parent management of postoperative pain at home improved the children's pain outcomes.…”

Children's postoperative symptoms at home through nurse‐led telephone counseling and its effects on parents’ anxiety: A randomized controlled trial

“…Telephone counseling has been used as a follow‐up measure for children at home (Gischler, Mazer, Poley, Tibboel, & Dijk, ; Jones et al., ; Paquette, May, Fiola, Villeneuve, & Lapointe, ; Pfeil et al., ; Rosbe, Jones, Jalisi, & Bray, ; Stewart, Ragg, Sheppard, & Chalkiadis, ; Young, Siden, & Tredwell, ). As an example, for families of children with congenital abnormalities, nurse‐based counseling on a 24‐hr basis created a chance for early intervention (Gischler et al., ).…”

“…Education before the hospital discharge can be organized for pain management for patients and, accordingly, a pain management protocol developed (Courtenay & Carey, 2008;Howard et al, 2014;Shum et al, 2012). Telephone monitoring has been provided after pediatric spinal surgery (Czarnecki, Garwood, & Weisman, 2007), pediatric tonsillectomy (Paquette et al, 2013), and by a nurse in the management of outpatient postoperative surgical pain and complications (Jonas, 2003). All three studies support the use of telephone monitoring for pain management after hospital discharge.…”

The Effects of Tonsillectomy Education Using Smartphone Text Message for Mothers and Children Undergoing Tonsillectomy: A Randomized Controlled Trial

“…3,4 Tonsillectomy patients may experience numerous complications during the early postoperative phase. 1,5,6 Many patients experience pain, nausea, vomiting, decreased fluid and food intake, fever, hemorrhage, dizziness, and constipation. 5 It is therefore important to enhance patients' and caregivers' competency to ensure that they engage in their appropriate role during recovery periods.…”

“…10 Follow-up intervention in the form of telephone calls from a nurse has been shown to improve pain management and reduce the occurrence of complications. 5 Studies of preoperative education have presented the positive effects of standardized educational programs for both parents and patients of children who are undergoing inpatient elective surgery. Such programs are designed to improve the parents' knowledge, attitudes, and behavior in relation to their children's postoperative pain management.…”