关键词: 阴茎修复, 疼痛管理, 困境, 应对体验, 质性研究, 儿科护理学

Abstract:

Objective To understand the predicament and coping experience of parents of children undergoing penile repair surgery in pain management，and to provide a reference basis for formulating effective perioperative pain management plans.Methods By the purposive sampling method，from January to March 2025，16 parents of children who underwent the penile repair surgery and were hospitalized in a tertiary A hospital in Zhejiang Province were selected as research subjects. Each parent underwent 3 semi-structured interviews on 3 days after the operation，on the day of discharge，and 2 weeks after discharge respectively. The interview data were extracted and encoded，clustered and screened，and interpreted and verified by the Colaizzi 7-step analysis method.Results A total of 5 themes and 12 sub-themes were extracted，including communication and emotional dilemmas arising from the particularity of genital surgery，cognitive conflicts and role confusion regarding participation in pain management，responsibility overload and support gap during the transition from hospital to home，seeking growth and positive coping amidst caregiving difficulties，and the expectation to establish an in-depth pain management partnership with healthcare professionals.Conclusion Medical staff should understand the knowledge and emotional needs of parents of children undergoing penile repair surgery regarding pain management，pay attention to privacy-sensitive communication challenges in pain-related discussions，establish a collaborative decision-making management model，strengthen the support system during the transition period，identify and empower positive coping resources，and implement a family-centered pain management model to comprehensively enhance the quality of pain management.

Key words: Penile Repair, Pain Management, Predicament, Coping Experience, Qualitative Research, Pediatric Nursing