Effectiveness of orientation tour on children's anxiety before elective surgeries

Karimi, Rogaieh; Fadaiy, Zeinab; Nasrabadi, Alireza Nikbakht; Godarzi, Zahra; Mehran, Abbas

doi:10.1111/j.1742-7924.2012.00223.x

Cited by 17 publications

(12 citation statements)

References 9 publications

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“…With this experimental study, we wanted to test the effectiveness of a new method to reduce PA in children, which combines the effectiveness of the intervention of clown physicians [19][20][21][22] and of preprocedure information through a guided tour of the OR [15][16][17][18] and which is administered to children through an NITD.…”

Section: Discussionmentioning

confidence: 99%

“…14 An effective method for giving children information is the guided tour of the OR prior to an elective surgical intervention, currently used in various pediatric hospitals (PHs). [15][16][17][18] Even the use of clowns in PHs is an effective method for reducing PA in children. To date, 4 randomized clinical trials, which included 257 children aged up to 12 years, have evaluated the effectiveness of interventions involving clowns vs routine care for reducing PA levels.…”

mentioning

confidence: 99%

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Effectiveness of an App for Reducing Preoperative Anxiety in Children

Liguori¹,

Stacchini

Ciofi

et al. 2016

JAMA Pediatr

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Effectiveness of an App for Reducing Preoperative Anxiety in Children

Liguori¹,

Stacchini

Ciofi

et al. 2016

JAMA Pediatr

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“…Educational interventions can range from single episodes of face-to-face instruction or provision of written information to more intensive multicomponent preoperative interventions including a computer-based intervention, a photo file, an operating area tour or teaching coping skills 10,[14][15][16] . Such forms of support can be offered by all individuals involved in the therapeutic process, in particular by nurses 17 and psychologists 18 .…”

Section: Introductionmentioning

confidence: 99%

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Tomaszek¹,

Cepuch²,

Fenikowski³

2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims/Background. The proportion of patients who experience anxiety prior to planned surgery, even a minimally invasive one, is estimated at 50-70%. Thoracic surgery, causes significant preoperative anxiety, especially in children. The aim of this study was to determine the effect of an important component of psychological preparation for a surgery as information support on levels of anxiety, pain and satisfaction with postoperative analgesia. Methods. The randomized double blind study including patients aged 9-18 years qualified for lateral thoracotomy or Ravitch procedure. The subjects were randomized to the control group (n=56) provided with a routine preoperative information by a nurse, and the experimental group (n=56) offered additional psychological consultation. Data were collected via the State-Trait Anxiety Inventory. Results. In the experimental group, the level of state anxiety at 48 h post-surgery was significantly lower than prior to the procedure, but only in subjects with preoperative trait anxiety <7/10 sten. In the control group, the level of postoperative anxiety was significantly higher than prior to the surgery; this effect was observed irrespectively of preoperative trait anxiety level. Lack of preoperative psychological consultation (β=-0.23), trait anxiety ≥7 sten (β=0.25), and higher level of preoperative state anxiety (β=0.65) were independent predictors of greater state anxiety at 48 h post-surgery. Patients from the experimental group did not differ significantly from the controls in terms of their median pain scores and satisfaction with postoperative analgesia. Greater state anxiety was associated with 22% lesser likelihood of complete satisfaction with the analgesia. Conclusion. Information support from a psychologist offered prior to a thoracic surgery decrease the level of postoperative state anxiety solely in children with lower levels of trait anxiety. Higher level of postoperative state anxiety negatively affect patients' satisfaction with post-surgical analgesia.

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“…As a result, there are other drugs that have been studied in order to be used instead of midazolam, such as clonidine [ 8 , 9 ], melatonin [ 10 ], dexmedetomidine [ 11 ], and ketamine alone [ 12 ] or in combination with midazolam [ 13 ]. Also, there are other nonpharmacological interventions, such as parental presence at induction of anesthesia [ 14 , 15 ], the use of clowns, toys, and art therapy [ 16 , 17 ], traditional or web-based informational and orientation programs [ 18 , 19 ], and family-centered preoperative [ 20 ] and educational [ 21 ] preparation workshops, that can be used instead. Special mention should be made in parental presence at induction of anesthesia since it is a common practice in many countries although its benefits cannot be generalized internationally [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Anxiety in Greek Children and Their Parents When Presenting for Routine Surgery

Charana

Tripsianis

Matziou

et al. 2018

Anesthesiology Research and Practice

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Background A surgical operation in pediatric patients is a rather stressful experience for both children and their parents. The aim of this study was to assess the effect of specific demographic characteristics in parent's and children's preoperative anxiety. Methods The sample was composed of 128 Greek-speaking children (1–14 years of age) who had to undergo minor surgery in a University General Hospital. Before surgical operation, the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire and a questionnaire for the social-demographic characteristics were completed by the parents. Children's preoperative anxiety was evaluated using the Modified Yale Preoperative Anxiety Scale (m-YPAS). Results The independent predictors of increased anxiety levels in parents are child's age (p=0.024) and gender (girls: p=0.008), living in rural areas (parents: p < 0.001; children: p=0.009), being a mother (p=0.046), high or low education level (p=0.031), a no premedicated child (p=0.007), and high baseline parental anxiety (p=0.003). Previous hospitalization (p=0.019), high situational parental anxiety (p < 0.001), no premedication (p=0.014), and being the only child in the family (p=0.045) are found to be the main determinants of preoperative anxiety control in children. Conclusions This study identifies possible risk factors of preoperative anxiety in parents and their children, which are high parental anxiety, child's age, no premedication, being the only child in the family, living in rural areas, education level, and previous hospitalization.

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Effectiveness of orientation tour on children's anxiety before elective surgeries

Abstract: Implementation of an orientated tour of the preoperative room can decrease anxiety levels in children before elective surgeries, but it has no clinical effect on vital signs.

Cited by 17 publications

References 9 publications

Effectiveness of an App for Reducing Preoperative Anxiety in Children

Effectiveness of an App for Reducing Preoperative Anxiety in Children

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Preoperative Anxiety in Greek Children and Their Parents When Presenting for Routine Surgery

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