18 March 2025 : Clinical Research
Impact of Nurse-Led Versus Surgeon-Led Preoperative Counseling and Follow-Up on Postoperative Outcomes in Pediatric Tonsillectomy: A Longitudinal Observational Study
Mengting Fan
ABCF 1, Peiyu Xue CDEF 1*
DOI: 10.12659/MSM.945597
Med Sci Monit 2025; 31:e945597
Table 2 Outcome measures of the enrolled children after curative surgeries for tonsillitis.
| Parameters | Cohorts | Comparisons between FSS and UUS | ||||||
|---|---|---|---|---|---|---|---|---|
| NCC | FSS | UUS | ||||||
| Healthcare professionals associated with non-treatment interventions | Nurse | Surgeon | None | |||||
| Numbers of children | 29 | 35 | #p-value | 38 | #p-value | $p-value | KW | |
| Outcome | Value | Value | Value | |||||
| Postoperative pain intensity | At discharge | 4 (5–4) | 6 (6–5) | <0.001 | 6 (7–6) | <0.001 | <0.001 | 56 |
| 1-months after surgeries | 0 (0–0) | 1 (1–0) | <0.05 | 2 (3–1) | <0.001 | <0.001 | 55 | |
| Between at the time of discharge and 1-months after surgeries | -value | <0.001 | <0.001 | N/A | <0.001 | N/A | ||
| Fr | 58 | 45 | N/A | 43 | N/A | |||
| Postoperative analgesic dosage (mg) | 575 (613–525) | 675 (725–600) | <0.01 | 800 (875–725) | <0.001 | <0.001 | 60 | |
| Hospital stays (days) | 2 (2–1) | 2 (2–2) | 0.2512 | 2 (2–2) | <0.01 | 0.2855 | 13 | |
| Personal satisfaction | 1.5 (2–1.25) | 1.25 (1.5–1) | <0.05 | 0.75 (0.75–0.5) | <0.001 | <0.001 | 64 | |
| Variables are depicted as median (Q3–Q1). Faces Pain Scale-Revised scale in the range of 0 to 10. 0 indicates no pain and 10 indicates maximum possible pain. Kruskal-Wallis’ test (between cohorts), Mann-Whitney test (between cohorts), or Friedman test (within cohort) was used for statistical analysis. Dunn’s multiple comparisons test was used for analysis. # Compared to the NCC cohort; $ between FSS and USS cohorts. N/A – not applicable; KW – Kruskal-Wallis’ Statistic (corrected for ties); Fr – Friedman Statistic (corrected for ties). The grading of personal satisfaction (for prehospital service, hospital stay, and posthospital service) was provided as 0: completely dissatisfied, 0.25: dissatisfied, 0.5: partially satisfied, 0.75: satisfied, 1: extremely satisfied. The total score was 3, the higher the score higher is satisfaction level. A -value less than 0.05 was considered significant. | ||||||||