Evaluation of Postoperative Pain and Nursing Emphasis in Young Children with Cleft Lip and Palate
Objective This paper aims to explore how to easily identify postoperative pain in children with cleft lip and palate under 3 years old and conduct targeted nursing.Methods A total of 134 children with cleft lip and palate aged 2.5 months to 3 years in the author's hospital from May 2020 to May 2022 were selected to study the postoperative pain of the children combined with FLACC pain assessment scale and subjective questionnaire scores of parents.Results According to the number of cries within 6 hours after surgery,the children were conveniently divided into 4 groups:Group 1(0-3 times),Group 2(4-6 times),Group 3(7-10 times),and Group 4(more than 10 times).According to the FLACC pain assessment scale,the pain degree of the first to third group increased,but the pain degree of the fourth group and the first group was close to low.It was considered that the fourth group of children had anxiety,fear,and other adverse emotions.The sleep time 24 hours after surgery was similar in Group 1(8.43±2.88)h,Group 2(10.15±3.41)h,and Group 3(10.42±2.97)h,and was significantly higher than that in Group 4(6.67±1.67)h,which was consistent with the adverse mood in Group 4.In terms of sleep quality,except for Group 4(2.17±0.83),Group 1(1.71±0.95)was also at a low level,indicating that although Group 1 had less pain and cried less,it might also have psychological and emotional problems that needed attention.Conclusion This study proposes a convenient classification method for identifying postoperative pain and nursing problems according to the number of crying in children with cleft lip and palate aged 0 to 3 years.It summarizes the key points of nursing for children in different groups.For children in groups 1 and 4,emotional comfort and guidance in postoperative nursing are particularly key.It provides a new idea for the development of targeted perioperative analgesic nursing programs.
cleft lip and palaterepairyoung childrenanalgesiapostoperative carecrying
万方数据
维普
