Measurement of Pain Following Strabismus Surgery in Children.

Paik, Hae Jung; Ahn, Young Mee

Original Article

Journal of the Korean Ophthalmological Society 2000;41(4):985-992.
Published online April 1, 2000.

Measurement of Pain Following Strabismus Surgery in Children.

¹Department of Ophthalmology, Gachon Medical School, Gil Medical Center, Inchon, Korea.
²Department of Nursing, College of Medicine, Inha University, Inchon, Korea.

사시수술 후 소아환자가 느끼는 통증의 측정

안영미(Young Mee Ahn),백혜정(Hae Jung Paik)

Abstract

Children could experience more pain after strabismus surgery due to the limitation of communication skill in addition to surgery itself. This study was done to assess the acute pain after strabismus surgery using the Faces Pain Rating Scale and Numeric Scale in children. Patients of 50 children, 21 boys and 29 girls, with mean age of 7.3 years were studied at the timepoint of postoperative 2, 4, 6, 8, 24 hours and analyzed using RM-ANOVA. The results showed that the mean scores of pain decreased significantly along with times in both scales(F=24.620 ;p=.000 in Faces Pain Scale, F=20.668 ;p=.000 in Numeric Scale). The patterns of decreased pain were not influenced by age, sex, compliance and number of operated eye muscles. At postop. 2 hours, 60% of subjects in Faces Pain Scale and 68% in Numeric Scales complained moderate to severe pain. According to time changes, at postop. 8 hours 86%of subjects experienced no or mild pain in both scales. In addition, there were high correlation coefficiencies between two scales at each timepoint(.735

Key Words: Acute pain;Children;Pain assessment;Postoperative;Strabismus