Abstract
Objective:Tonsillectomy is the most common surgery in the field of ENT. Pain is the most common post tonsillectomy complaint. Considering the importance of nursing cares in relieving post-surgery pain in general and post-tonsillectomy pain in particular, this study is conducted with the aim of presenting nursing process in post tonsillectomy pain diagnosis for decreasing loss of appropriate opportunities in nursing cares and achieving appropriate results in taking care of the patients.Methods:This study is a targeted systematic review focusing on “effective nursing measures in relieving children’s post tonsillectomy pain”. The main stages of searching strategy included searching in electronic sources of Latin databases; Pub Med, Science Direct, and EMBASE and Persian databases; SID, Iran medex, ISC to find published articles from 2009 to 2014. In the end, final synthesis was done on eight articles in English.Findings:Effective nursing measurements for relieving post tonsillectomy pain include: decreasing children’s anxiety through children and their families’ psychological preparation by nurses and other caregivers, using cold compress to reduce neck and jaw pain, presenting distraction techniques, offering fluids and cold foods immediately in the period after surgery, creating a comfortable environment for the children, avoiding too much of talking and adequate sleep.Conclusion:It is recommended to the nursing managers and nurses to perform cares achieved from this systematic review to achieve appropriate results in relieving post tonsillectomy pain.
Highlights
Adenoids or throat tonsils are consisted of lymphatic tissue and are closeto the nose pharynx posterior wall
It is recommended to the nursing managers and nurses to perform cares achieved from this systematic review to achieve appropriate results in relieving post tonsillectomy pain
Key words including: nursing care, tonsillectomy, pain and pediatric were searched in the Latin databases: Cochran, Pub Med, Science Direct and EMBASE and the same key words in Persian were searched in the Persian databases: ISC, SID and Iran Medex
Summary
Adenoids or throat tonsils are consisted of lymphatic tissue and are closeto the nose pharynx posterior wall. Beta hemolytic-streptococci group A is the most common cause of tonsillitis. Infected adenoids are frequently along with acute tonsillitis. Tonsillectomy with or without Adenoidectomy is still the most common surgery in the field of ENT (Faramarzi & Heydari, 2010). There are several serious post tonsillectomy complications; pain is the most common post tonsillectomy complaint (Smith et al, 2009). Pain is a subjective experience that its presence or absence can’t be proved (Wright & Schutte, 2014). According to the definition of pain international association, pain is an unpleasant sensory and emotionally experience that is due to actual or probable tissue damage (Harden et al, 2010). Children cannot express pain verbally until achieving speaking ability completely and it is necessary to use concrete tools for measuring their pain (Sadeghi et al, 2012)
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