Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use
Parental attitudes regarding pain interventions and perceptions of their child’s pain intensity likely influence the decision to administer postoperative analgesics. Our study examined the impact of daily fluctuations in child pain intensity and parental attitudes regarding complementary and alterna...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-11-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/7/11/236 |
| _version_ | 1797547490950512640 |
|---|---|
| author | Jaclyn Lee Katherine Delaney Molly Napier Elizabeth Card Brittany Lipscomb Jay Werkhaven Amy S. Whigham Andrew D. Franklin Stephen Bruehl Amanda L. Stone |
| author_facet | Jaclyn Lee Katherine Delaney Molly Napier Elizabeth Card Brittany Lipscomb Jay Werkhaven Amy S. Whigham Andrew D. Franklin Stephen Bruehl Amanda L. Stone |
| author_sort | Jaclyn Lee |
| collection | DOAJ |
| description | Parental attitudes regarding pain interventions and perceptions of their child’s pain intensity likely influence the decision to administer postoperative analgesics. Our study examined the impact of daily fluctuations in child pain intensity and parental attitudes regarding complementary and alternative medicine (CAM) on analgesic administration following pediatric tonsillectomy. Parents of children undergoing tonsillectomy (n = 33) completed a survey assessing CAM attitudes and a 7-day postoperative electronic daily diary to record their child’s daily pain intensity and analgesic medications (acetaminophen, ibuprofen, or oxycodone). Generalized linear mixed models with Poisson distributions evaluated the effects of within-person (child’s daily pain intensity) and between-person (average postoperative pain, parental CAM attitudes) components on the number of medication doses administered. Higher daily pain intensity was associated with more oxycodone doses administered on a given day, but not acetaminophen or ibuprofen. Positive parental CAM attitudes were associated with less oxycodone use, beyond the variations accounted for by the child’s daily pain intensity and average postoperative pain. Both parental CAM attitudes and their child’s daily pain intensity were independently associated with parental decisions to administer opioids following tonsillectomy. Understanding factors influencing individual variability in analgesic use could help optimize children’s postoperative pain management. |
| first_indexed | 2024-03-10T14:44:51Z |
| format | Article |
| id | doaj.art-72f2029b3e7644f6a6ca388c40238c76 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T14:44:51Z |
| publishDate | 2020-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-72f2029b3e7644f6a6ca388c40238c762023-11-20T21:28:35ZengMDPI AGChildren2227-90672020-11-0171123610.3390/children7110236Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic UseJaclyn Lee0Katherine Delaney1Molly Napier2Elizabeth Card3Brittany Lipscomb4Jay Werkhaven5Amy S. Whigham6Andrew D. Franklin7Stephen Bruehl8Amanda L. Stone9Vanderbilt University School of Medicine, Nashville, TN 37212, USAMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN 37212, USAMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN 37212, USAExecutive Nursing Administration, Nursing Research Office, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, USAParental attitudes regarding pain interventions and perceptions of their child’s pain intensity likely influence the decision to administer postoperative analgesics. Our study examined the impact of daily fluctuations in child pain intensity and parental attitudes regarding complementary and alternative medicine (CAM) on analgesic administration following pediatric tonsillectomy. Parents of children undergoing tonsillectomy (n = 33) completed a survey assessing CAM attitudes and a 7-day postoperative electronic daily diary to record their child’s daily pain intensity and analgesic medications (acetaminophen, ibuprofen, or oxycodone). Generalized linear mixed models with Poisson distributions evaluated the effects of within-person (child’s daily pain intensity) and between-person (average postoperative pain, parental CAM attitudes) components on the number of medication doses administered. Higher daily pain intensity was associated with more oxycodone doses administered on a given day, but not acetaminophen or ibuprofen. Positive parental CAM attitudes were associated with less oxycodone use, beyond the variations accounted for by the child’s daily pain intensity and average postoperative pain. Both parental CAM attitudes and their child’s daily pain intensity were independently associated with parental decisions to administer opioids following tonsillectomy. Understanding factors influencing individual variability in analgesic use could help optimize children’s postoperative pain management.https://www.mdpi.com/2227-9067/7/11/236childrenoxycodonepediatric painadenotonsillectomyotolaryngologyopioids |
| spellingShingle | Jaclyn Lee Katherine Delaney Molly Napier Elizabeth Card Brittany Lipscomb Jay Werkhaven Amy S. Whigham Andrew D. Franklin Stephen Bruehl Amanda L. Stone Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use Children children oxycodone pediatric pain adenotonsillectomy otolaryngology opioids |
| title | Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use |
| title_full | Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use |
| title_fullStr | Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use |
| title_full_unstemmed | Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use |
| title_short | Child Pain Intensity and Parental Attitudes toward Complementary and Alternative Medicine Predict Post-Tonsillectomy Analgesic Use |
| title_sort | child pain intensity and parental attitudes toward complementary and alternative medicine predict post tonsillectomy analgesic use |
| topic | children oxycodone pediatric pain adenotonsillectomy otolaryngology opioids |
| url | https://www.mdpi.com/2227-9067/7/11/236 |
| work_keys_str_mv | AT jaclynlee childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT katherinedelaney childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT mollynapier childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT elizabethcard childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT brittanylipscomb childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT jaywerkhaven childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT amyswhigham childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT andrewdfranklin childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT stephenbruehl childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse AT amandalstone childpainintensityandparentalattitudestowardcomplementaryandalternativemedicinepredictposttonsillectomyanalgesicuse |