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Children’s tonsillectomy experiences: influencing factors

Department of Patient Care Services, University of California, Davis, Health System, USA, margie.crandall{at}ucdmc.ucdavis.edu

Cathy Lammers, MD

Department of Anesthesiology and Pain Medicine, University of California, Davis, Health System, USA

Craig Senders, MD

Department of Otolaryngology, University of California, Davis, Health System, USA

Jerome V. Braun, PHD

Department of Statistics, University of California, Davis, USA

The aim of this study was to explore factors influencing children’s (7—13 years) tonsillectomy experiences and outcomes. A prospective, repeated measures, design was used to investigate the effect of age, gender, ethnicity, time, and previous pain, hospitalization and surgery on children’s (N = 60) perceptions of anxiety, pain intensity, quality of pain and sleep, and oral intake. The relationship between postoperative pain and anxiety was also examined. Using a diary, three days of data were collected. Descriptive statistics, Pearson correlation coefficient, and a mixed linear regression model were used for analysis. Children’s tonsillectomy experiences and outcomes were affected by time, previous experience, age, and anxiety. Moderate correlations were found between level of anxiety and pain intensity. These findings provide clinicians with additional knowledge to guide their perioperative practice and care of children.

Key Words: acute care • child health • post-operative care

This version was published on December 1, 2009

Journal of Child Health Care, Vol. 13, No. 4, 308-321 (2009)
DOI: 10.1177/1367493509344821


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