耳鼻喉科患兒父母參與術(shù)后疼痛管理的最佳證據(jù)應(yīng)用

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Application of best evidence for parental involvement in postoperative pain management of otolaryngology children

YANG Jinxia，ZHOU Yunfeng，MA Yumei，SHI Jufen，TAO Zhuan，ZHANG Jing，WANG Rui，ZHANG Fang，YAO Wenying，XU HongzhenCorresponding Author MA Yumei，E－mail：yjx19910109@126.com

Abstract Objective：To evaluate the impact of the best evidence of parental involvement in postoperative pain management in children with otolaryngology on their postoperative pain scores.Method：Surgical children hospitalized from April to July 2022 were selected as the study subjects.219 children from April to May 2022 were selected as the control group，and 221 children from June to July 2022 were selected as the intervention group.On the basis of previous evidence－based practical research，the best evidence of postoperative pain management in otolaryngology children was applied to observe the compliance of review indicators and the pain and sleep status of children before and after application.Result：After applying the best evidence，index 4，index 5 and index 8 were all increased from 0% to 100%，and the difference was statistically significant（P<0.05）.Indicators 1，2，6，9 and 15 were increased from 36.5%，64.4%，54.8%，54.8% and 18.2% to 87.3%，81.9%，85.5%，71.9% and 63.6%，respectively，and the difference was statistically significant（P＜0.05）.After the application of evidence，the pain scores of the children at 2 h，4 h，24 h after surgery and at discharge were lower than those before the application of evidence.There was no significant difference in pain score，effective sleep time and hospital stay when the children returned to the ward after surgery（P>0.05）.Conclusion：Applying the best evidence of parents′ involvement in postoperative pain management in otolaryngology clinical practice can improve parents′ involvement in postoperative pain management and alleviate the degree of postoperative pain in otolaryngology children.

Keywords parental participation;postoperative pain;otolaryngology;children;pain management;evidence－based practice

摘要 目的：通過應(yīng)用耳鼻喉科患兒父母參與術(shù)后疼痛管理的最佳證據(jù)，評估其對患兒術(shù)后疼痛的影響。（剩余7719字）