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Postprocedural Effects of Gastrointestinal Endoscopy Performed as a Day Case Procedure in Children: Implications for Patient and Family Education

Melville, Diane RGN, Endorsed Midwife; da Silva, Mary Soares BA, RGN, Endorsed Midwife; Young, Jeanine PhD, BSc (Hons), Diploma of Advanced Nursing Care, RGN, Endorsed Midwife; McCann, Damhnat RGN, Graduate Diploma in Nursing (Pediatrics), MPH; Cleghorn, Geoffrey MBBS, FRACP, FACG

doi: 10.1097/01.SGA.0000305225.01275.35
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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.

Diane Melville, RGN, Endorsed Midwife, is Clinical Nurse, Gastroenterology Unit, Royal Children's Hospital, Herston, Queensland, Australia.

Mary Soares da Silva, BA, RGN, Endorsed Midwife, is Nurse Unit Manager, Gastroenterology Unit, Royal Children's Hospital, Herston, Queensland, Australia.

Jeanine Young, PhD, BSc (Hons), Diploma of Advanced Nursing Care, RGN, Endorsed Midwife, is Nursing Director–Research and Neonatal Nurse, Royal Children's Hospital, Herston, Queensland, Australia.

Damhnat McCann, RGN, Graduate Diploma in Nursing (Pediatrics), MPH, is Lecturer, School of Nursing, University of Tasmania, Launceston, Tasmania.

Geoffrey Cleghorn, MBBS, FRACP, FACG, is Professor and Head, Discipline of Paediatrics and Child Health, University of Queensland, and Clinical Director, Children's Nutrition Research Centre, Royal Children's Hospital, Brisbane, Queensland, Australia.

Correspondence to: Jeanine Young, PhD, BSc (Hons), Diploma of Advanced Nursing Care, RGN, Endorsed Midwife, Royal Children's Hospital, Herston Road, Herston 4029, Queensland, Australia (e-mail: Jeanine_Young@health.qld.gov.au).

Received February 1, 2007; accepted May 4, 2007.

© The Society of Gastroenterology Nurses & Associates 2007. All Rights Reserved.