The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial
Introduction: Lack of effective control in postoperative pain can cause sleep disturbance, decreased fluid intake and incidence of behavioral changes, such as restlessness, irritability and reduced activity and play. Therefore, this study was performed with the aim of determining the effectiveness o...
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Hamadan University of Medical Sciences
2017
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oai:doaj.org-article:b755453046534eabbcedcfe9dcde14c72021-12-02T11:09:25ZThe Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial2676-57482676-5748https://doaj.org/article/b755453046534eabbcedcfe9dcde14c72017-04-01T00:00:00Zhttp://nmj.umsha.ac.ir/article-1-1570-en.htmlhttps://doaj.org/toc/2676-5748https://doaj.org/toc/2676-5748Introduction: Lack of effective control in postoperative pain can cause sleep disturbance, decreased fluid intake and incidence of behavioral changes, such as restlessness, irritability and reduced activity and play. Therefore, this study was performed with the aim of determining the effectiveness of Around-The-Clock (ATC) analgesic administration on the quality of sleep and behavioral changes in children after surgery. Methods: In this clinical trial, 68 children, 6 to 12 years old, admitted for tonsillectomy with one parent, were selected and randomly divided to control and case groups. For the case group, an intervention was performed by the Around-The-Clock (ATC) analgesic administration training after discharge. The data collection tool was a home dairy that was completed by parents. Data were analyzed with SPSS 16 by repeated measures, post-hoc, independent t and chi-square tests. Results: According to the independent t test, there were significant differences between children of case and control groups in average sleep quality scores on the first day after discharge (P = 0.008). According to chi-square test, except for appetite (P = 0.00), no significant differences were shown between children of the two groups in the other behavioral changes. Conclusions: Training of Around-The-Clock (ATC) analgesic administration in the first three days after ambulatory surgery, such as tonsillectomy, could prevent inappropriate behavioral changes in children and increase the quality of their sleep and appetite.saeide almasiTayebeh Hassan TehraniGhodratollah RoshanaeiFatollah Behnoodarash khalilifateme cheraghiHamadan University of Medical Sciencesarticlebehavioral changessleepchildsurgeryNursingRT1-120FAمراقبت پرستاری و مامایی ابن سینا, Vol 25, Iss 1, Pp 69-75 (2017) |
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| topic |
behavioral changes sleep child surgery Nursing RT1-120 |
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behavioral changes sleep child surgery Nursing RT1-120 saeide almasi Tayebeh Hassan Tehrani Ghodratollah Roshanaei Fatollah Behnood arash khalili fateme cheraghi The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial |
| description |
Introduction: Lack of effective control in postoperative pain can cause sleep disturbance,
decreased fluid intake and incidence of behavioral changes, such as restlessness, irritability
and reduced activity and play. Therefore, this study was performed with the aim of determining
the effectiveness of Around-The-Clock (ATC) analgesic administration on the
quality of sleep and behavioral changes in children after surgery.
Methods: In this clinical trial, 68 children, 6 to 12 years old, admitted for tonsillectomy
with one parent, were selected and randomly divided to control and case groups. For the
case group, an intervention was performed by the Around-The-Clock (ATC) analgesic administration
training after discharge. The data collection tool was a home dairy that was
completed by parents. Data were analyzed with SPSS 16 by repeated measures, post-hoc,
independent t and chi-square tests.
Results: According to the independent t test, there were significant differences between
children of case and control groups in average sleep quality scores on the first day after
discharge (P = 0.008). According to chi-square test, except for appetite (P = 0.00), no significant
differences were shown between children of the two groups in the other behavioral
changes.
Conclusions: Training of Around-The-Clock (ATC) analgesic administration in the first
three days after ambulatory surgery, such as tonsillectomy, could prevent inappropriate behavioral
changes in children and increase the quality of their sleep and appetite. |
| format |
article |
| author |
saeide almasi Tayebeh Hassan Tehrani Ghodratollah Roshanaei Fatollah Behnood arash khalili fateme cheraghi |
| author_facet |
saeide almasi Tayebeh Hassan Tehrani Ghodratollah Roshanaei Fatollah Behnood arash khalili fateme cheraghi |
| author_sort |
saeide almasi |
| title |
The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial |
| title_short |
The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial |
| title_full |
The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial |
| title_fullStr |
The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial |
| title_full_unstemmed |
The Effect of Around-The-Clock (ATC) Analgesic Administration on the Quality of Sleep and Behavioral Changes in Children after Surgery: A Randomized Clinical Trial |
| title_sort |
effect of around-the-clock (atc) analgesic administration on the quality of sleep and behavioral changes in children after surgery: a randomized clinical trial |
| publisher |
Hamadan University of Medical Sciences |
| publishDate |
2017 |
| url |
https://doaj.org/article/b755453046534eabbcedcfe9dcde14c7 |
| work_keys_str_mv |
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