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Journal of Child Health Care
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Pain experiences and non-pharmacological strategies for pain management after tonsillectomy: a qualitative interview study of children and parents

Ewa Idvall, PhD, RNT

Department of Medicine and Care, Division of Nursing Sciences, Linköping University and Division of Research, County Council Kalmar, Sweden, evaid{at}ltkalmar.se

Charlotta Holm, MSc, RN

Department of Pediatrics, Västervik Hospital, Sweden

Ingrid Runeson, PhD, RNT

Department of Health and Behavioural Sciences, University College of Kalmar, Sweden

Tonsillectomy is one of the most common paediatric surgical procedures. This study aimed to investigate children’s experience of pain and the nonpharmacological strategies that they used to manage pain after tonsillectomy. A further aim was to investigate parental views on these same phenomena. Six children (aged seven to 18 years) and their parents (four mothers and two fathers) were interviewed separately on the day after tonsillectomy. The data were analysed using a qualitative approach. Pain experiences were divided into the categories of physiological pain and psychological pain. Children rated their ‘worst pain’ during the past 24 hours between 6 and 10 (visual analogue scale, 0-10). The non-pharmacological strategies used most frequently to manage pain were thermal regulation (physical method) and distraction (cognitive-behavioural method) according to the framework used. Specific non-pharmacological strategies for pain management relative to different surgical procedures need to be considered.

Key Words: child nursing • non-pharmacological methods • post-operative pain • qualitative approaches • tonsillectomy

Journal of Child Health Care, Vol. 9, No. 3, 196-207 (2005)
DOI: 10.1177/1367493505054417
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M. Crandall, C. Lammers, C. Senders, and J. V. Braun
Children's tonsillectomy experiences: influencing factors
J Child Health Care, December 1, 2009; 13(4): 308 - 321.
[Abstract] [PDF]