Evaluation of postoperative pain by the parent,nurse and an independent observer among 1-7 year old children

Gaye Erdoğan, Evaluation of Postoperative Pain by the Parent, Nurse and an Independent Observer among 1-7 year old Children. Bulent Ecevit University, Institute of Health Sciences, Department of Surgical Nursing, Master Thesis, Zonguldak, 2018. This study was performed as descriptive and cross sectional in order to compare the differences in the evaluations of postoperative pain by the parent, nurse and an independent observer among 1-7 year old children in Pediatric Surgery Clinic of Ankara Children Health and Diseases, Hematology and Oncology Training and Research Hospital. The sample of the study was composed of 236 pediatric patients. Data were collected between 04.01.2016 and 10.01.2016 by "Pediatric Information Form", "Parent Information Form", "Nurse Information Form"; and "NRS=Numeric Rating Scale" and "Wong-Baker Faces Pain Scale" that are used to determine the severity of pain. Written permission was obtained from Bulent Ecevit University Clinical Research Ethics Committee and Ankara Children Health and Diseases, Hematology and Oncology Training and Research Hospital in order to conduct the study. Doctors and nurses who were working in Pediatric Surgery Clinic were informed about the content of the study and their consents were taken. Parents of the children who were included in the study were instructed about the aim and implementation of the study, about that they could withdraw from the study whenever they wanted and the study would not give any harm to them; and their consents were also taken. SPSS 18.0 statistical package program was used to evaluate data in the study. Data were assessed by standard deviation, t test in the comparison of two independent groups, one-way ANOVA in the comparison of pain scores of three and more independent groups, Kruskal Wallis test and intraclass correlation coefficient besides descriptive statistical methods. Based on Numeric Rating Scale at operated pediatric patients' first admission to the service following the operation, it was found that pain rating scores of the parent, nurse and independent observer was incompatible with intraclass correlation coefficient of 0.676 in the study (p<0.05). Pain rating scores of the parent, nurse and independent observer at two hours after the admission of pediatric patient to the service following the operation were found to be compatible with intraclass correlation coefficient of 0.702 at a significant level (p<0.05). Based on Wong-Baker Faces Pain Scale in the study, pain rating scores which were given at first admission to the service (intraclass correlation coefficient of 0.696) and at two hours after the admission to the service (intraclass correlation coefficient of 0.684) were found to be incompatible (p<0.05). In conclusion, it was detected that parents found postoperative pain level among pediatric patients higher than the nurse and independent observer. With this study, it was determined that knowledge of the parents, nurses and independent observer should be strengthened by trainings about pain and pain management. Key Words: Postoperative pain, Pediatric patient, pain rating, Nurse, Parent.