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Journal of Child Health Care
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Parental assessment and management of children's postoperative pain: a randomized clinical trial

Vanessa Unsworth, BSc, RN Child, DipN

Academic Division of Child Health, University of Nottingham, Derby, UK

Linda S. Franck, RSCN, PhD, FRCPCH, FAAN

Centre for Nursing and Allied Health Professions Research, Institute of Child Health, London

Imti Choonara, MBChB, MD

University of Nottingham, Derby, UK, imti.choonara{at}nottingham.ac.uk

As day case surgery increases, one needs to improve the management of pain in children at home. This study wished to determine whether the use of a self-report pain scale would result in children receiving more analgesia. Eighty-eight children aged four to 12 years undergoing tonsillectomy, whose parents agreed they could participate, were randomly assigned into two groups. Group A received the routine postoperative advice and a three-day prescription of paracetamol, ibuprofen and codeine. In addition, group B used the Wong—Baker Faces Pain Scale. Seventy-two children completed the study. There was no difference in the total number of analgesics administered to children in the two groups (p = 0.26, Mann— Whitney U-test). It appears that a self-report pain scale does not improve the postoperative management of pain in children at home.

Key Words: children • pain assessment • postoperative analgesia • self-reporting

Journal of Child Health Care, Vol. 11, No. 3, 186-194 (2007)
DOI: 10.1177/1367493507079558
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