Construction Of A Model For Perceptual Rearing Style, Temperament And Postoperative Pain In 3-to-7-year-old Children With OSAHS

Objective: The purpose of the study was (1) to describe perceptual rearing style, temperament and postoperative pain intensity of children with OSAHS; (2) to investigate the relationships among perceptual rearing style, temperament and self-reported postoperative pain intensity; (3) to explore the predictors of postoperative pain intensity of children.Methods: A cross-sectional design was employed. By purposeful sampling, two hundreds and twenty hospitalized children aged 3 to 7 years with OSAHS and their parents participated in the study. Perceptual Rearing Style Scale, Chinese Preschool Temperament Scale (CTPS) and Wong-Baker Faces Rating Scale were adopted to measure children's rearing style, temperament and postoperative pain intensity respectively. The statistical methods include descriptive analysis, Wilcoxon signed rank sum test, t-test analysis and logistic regression analysis. All the data were analyzed with SPSS 13.0 .Results: (1) Authoritarian type had the largest proportion of children's perceptual rearing style and neglecting type had the smallest proportion. (2) The proportions of children's temperament types were in decreasing order of Intermediate low , Easy, Intermediate high, Difficult and Slow-to-warm-up; Scores on the seven dimensions of temperament were significantly higher than the normal ranges. (3) More children had higher scores of self-reported pain intensity at the fourth hour without swallowing and the sixth hour with swallowing after surgery. (4) Statistically significant were found between the child's self-reported pain intensity and temperament as well as child's rearing style. (5) Mood, distract, adaptability and temperament types finally entered the logistic regression models. Negative mood, high distract scales, temperamentally active and poor adaptability increased the risk of pain intensity. Compared to Difficult of temperament types, Intermediate high, Intermediate low and Easy reduce the risk of children's postoperative pain intensity in turn.Conclusions: (1) The influencial factors of children's postoperative pain intensity included parents'professional rank, perceptual rearing style, temperament type and some temperament dimensions. (2) Perceptual rearing style wasn't the predictor of children's postoperative pain intensity. (3) Temperament type and some temperament dimensions can predict 3-to-7-year-old children's postoperative pain intensity. Children's postoperative pain can be relieved by implementing targeted guidance, improving negative mood, distracting or increasing active activity. (4) Mood, which stably existed in Logistic forecast equation of four time point, played a important role in predictive effect of temperament type. (5) Our research constructed a credible model for forecasting children's postoperative pain by applying optimal statistiacal methods to control confounding factors.