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Postprocedural effects of gastrointestinal endoscopy performed as a day case procedure in children: implications for patient and family education

Citation

Melville, D and Da Silva, MS and Young, J and McCann, D and Cleghorn, G, Postprocedural effects of gastrointestinal endoscopy performed as a day case procedure in children: implications for patient and family education, Gastroenterology Nursing, 30, (6) pp. 426-436. ISSN 1042-895X (2007) [Refereed Article]

DOI: doi:10.1097/01.SGA.0000305225.01275.35

Abstract

A prospective design that included a survey tool, nursing care records, and telephone interview was used to determine postprocedural effects experienced by children and families following gastrointestinal endoscopy performed as a day procedure. One hundred twenty-one children attending a pediatric gastroenterology unit for endoscopy under general anesthesia participated in the study. Physical symptoms, day care/school attendance, behavioral issues, and economic factors in the 72 hours post procedure were identified. Over half the children (n = 69, 57%) experienced pain in the hospital post procedure. Pain was reported by 73 children (60%) at home on the day of the procedure, by 55 children (45%) on Day 1 post procedure, and by 37 children (31%) on Day 2 post procedure. The throat was the most common site of pain. Nausea or vomiting was experienced by 37 children (31%) at some time following their procedure but was not associated with procedure type, age, or fasting time. Over half the children (n = 53, 51%) who usually attended day care or school did not attend the day following their procedure. Twenty-four parents (40%) who would normally have worked on the day after the procedure did not attend employment. These findings have been used to improve the preprocedural information and discharge management of patients treated in a pediatric gastroenterology ambulatory setting. The Society of Gastroenterology Nurses & Associates 2007. All Rights Reserved.

Item Details

Item Type:Refereed Article
Keywords:absenteeism; adolescent; article; Australia; child; female; gastrointestinal endoscopy; human; male; mental stress; nursing; pain; patient care planning; patient education; preschool child; prospective study
Research Division:Medical and Health Sciences
Research Group:Nursing
Research Field:Clinical Nursing: Secondary (Acute Care)
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Nursing
Author:McCann, D (Ms Damhnat McCann)
ID Code:63642
Year Published:2007
Web of Science® Times Cited:1
Deposited By:Faculty of Health
Deposited On:2010-05-20
Last Modified:2010-06-18
Downloads:0

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