+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Evaluation of the effectiveness of patient-controlled analgesia in children with sickle cell anemia from the perspective of healthcare professionals and parents



Evaluation of the effectiveness of patient-controlled analgesia in children with sickle cell anemia from the perspective of healthcare professionals and parents



Agri 28(3): 150-154



This study evaluated the efficacy of patient-controlled analgesia (PCA) used by children with sickle cell anemia (SCA) based on the attitudes of parents and healthcare professionals. A total of 86 individuals were involved in the study: 54 parents of children with SCA who were receiving treatment and 32 healthcare providers (doctors, nurses). To evaluate the effectiveness of the PCA method, a questionnaire was prepared to determine the level of knowledge of the participants about the PCA method and their perception of its advantages and disadvantages. According to 65.6% (n=21) of the healthcare providers, PCA should be used during acute phase of pain. The great majority of the participants (93%; n=80) thought that pain was effectively controlled both during the day and at night. PCA reduced the fear of unavailability of analgesic drugs in 83.3% (n=45) of parents and in 87.5% (n=28) of healthcare providers. More parents (37%) reported a reduction in the fear of return of pain than healthcare providers (9.4%) (p<0.05). Most parents (87%; n=47) reported that they preferred to wait until their child complained of severe pain to use on-demand doses of analgesic due to concerns about overdose and addiction. Resolving machine alarms (48%; n=26) and the length of time required to refill the machine (48%; n=26) were reported as disadvantages of PCA method. In this study, parents and healthcare professionals found PCA to be effective in relieving pain in children with SCA; however, fears and biased knowledge of users about the analgesic drug are thought to inhibit reaching sufficient dosage. Educational courses for users about PCA and the drugs used may increase the effectiveness of PCA method.

(PDF emailed within 1 workday: $29.90)

Accession: 057817894

Download citation: RISBibTeXText

PMID: 27813033


Related references

A comparison of two regimens of patient-controlled analgesia for children with sickle cell disease. Journal of Pediatric Nursing 13(1): 15-19, 1998

Patient-controlled analgesia pain management for children with sickle cell disease. Journal of the Association for Academic Minority Physicians 1(3): 93-96, 1990

Partnership between families of children with muscular dystrophy and healthcare professionals: From parents' perspective. Asian Nursing Research 2018, 2018

Healthcare professionals' perspective on the delivery of care to children with Acquired Brain Injury (ABI) and communication with their parents. Journal of Pediatric Rehabilitation Medicine 11(2): 125-131, 2018

Effect of hydroxyurea in sickle cell anemia: a clinical trial in children and teenagers with severe sickle cell anemia and sickle cell beta-thalassemia. Pediatric Hematology and Oncology 16(3): 221-232, 1999

Meperidine-induced seizure in a sickle cell patient using a patient-controlled analgesia pump. Journal of the American Board of Family Practice 7(6): 520-522, 1994

Development of a Hydroxyurea Decision Aid for Parents of Children With Sickle Cell Anemia. Journal of Pediatric Hematology/Oncology 2018, 2018

Hematopoietic stem cell transplantation in children with sickle cell anemia: The parents' experience. Pediatric Transplantation 2019: E13376, 2019

Sickle cell anemia in turkey evaluation of 97 cases with parents findings. Scandinavian Journal of Haematology 19(1): 85-92, 1977

Promoting active patient participation in management of painful sickle cell crisis utilizing patient controlled analgesia. Blood 86(10 SUPPL 1): 644A, 1995

Sickle cell disease patients and patient-controlled analgesia. British Journal of Nursing 12(3): 144-153, 2003

Patient controlled analgesia pca dosing in sickle cell crisis. Pain (SUPPL 5): S185, 1990

Patient-controlled analgesia for sickle-cell-related pain. Journal of Pain and Symptom Management 8(1): 22-28, 1993

Patient-controlled analgesia versus continuous infusion of morphine during vaso-occlusive crisis in sickle cell disease, a randomized controlled trial. American Journal of Hematology 82(11): 955-960, 2007

Infusional patient-controlled analgesia in sickle-cell vasoocclusive crises. Pain Clinic 6(2): 113-119, 1993