Levels of anxiety in parents in the 24 hr before and after their child's surgery: A descriptive study

Pomicino, Laura; Maccacari, Elena; Buchini, Sara

doi:10.1111/jocn.13895

Cited by 69 publications

(86 citation statements)

References 55 publications

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“…Most factors identified in the current study have previously been identified as predictive of preoperative anxiety in children especially at induction of anesthesia . The original finding of this study is a combination of psychological factors and events leading to such anxiety, described via trait and state assessments at the preanesthetic consultation and on the day of surgery.…”

Section: Discussionmentioning

confidence: 84%

“…Many risk factors have been investigated for preoperative anxiety in children. They include child age, child temperament, pharmacological premedication, maternal anxiety, lack of knowledge about the perioperative period, lack of knowledge about anesthetic practice—and in particular gas induction via face mask, and lack of knowledge about anesthetic and surgical safety . Subsequently, measures have been developed to reduce preoperative anxiety including premedication, preoperative workshops, distraction, clown doctors, parental presence during anesthesia induction, information leaflets, and video or web‐based content …”

Section: Introductionmentioning

confidence: 99%

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Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Delivet

Beauvais

Mialot

et al. 2018

Pediatric Anesthesia

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Summary Background Preventive strategies are available to reduce preoperative anxiety in children, the ideal time for implementing such strategies remains poorly determined. Aims The aim of this study was to determine psychological factors and events involved in the development of preoperative anxiety in children. Methods This study consisted of prospective evaluations of anxiety trait and state during the preoperative period. Attendance at a preanesthetic consultation is obligatory for all patients undergoing surgery in France. Anxiety trait and state assessments were quantified in mothers and children before and after the preanesthetic consultation using visual analog and faces numerical scales. Preoperative anxiety in children was assessed immediately before induction of anesthesia using an analog scale. Other data recorded included demographic and medical data and type of hospital stay. Univariate and multivariate logistic regression analyses were used. Results Overall 111 consecutive patients were included. The following factors emerged leading to anxiety state at induction of anesthesia: maternal anxiety state before the preanesthetic consultation, a feeling of not being reassured by the anesthesiologist, maternal anxiety state after the consultation, and anxiety trait in the child. Logistic regression found this combination of factors (OR = 4 [1.4 ‐12]) and inpatient stay (OR = 3 [1.4‐7]), predicting anxiety with an accuracy of 69%. Conclusion The present study identified a combination of psychological factors and events associated with the development of anxiety at induction of anesthesia in children. Parental anxiety impacts upon children and occurs before the preanesthetic consultation. This result may assist clinicians to prescribe personalized preventive strategies against anxiety.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Delivet

Beauvais

Mialot

et al. 2018

Pediatric Anesthesia

View full text Add to dashboard Cite

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“…In their study, Pomicino et al focused on the level of parental anxiety immediately before surgery. They also measured a higher level of anxiety in mothers than in fathers (OR = 4.7; P = .01) . It is of note that these four studies included all congenital malformations, and not only CHD.…”

Section: Discussionmentioning

confidence: 97%

“…This may reflect the quantity and quality of information given to parents during the preoperative visit, usually focusing on all potential complications. Indeed, the complexity of medical information provided to parents before their child's surgery, usually correlates with the level of parental anxiety, as shown by Pomicino et al Nevertheless, an inappropriate timing of the preoperative visit may play a more important role in parental anxiety than the level of medical information itself …”

Section: Discussionmentioning

confidence: 99%

Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences

Werner

Louali

Fouilloux

et al. 2019

Congenital Heart Disease

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Objective Medical information provided to parents of a child with a congenital heart disease can induce major stress. Visual analog scales have been validated to assess anxiety in the adult population. The aim of this study was to analyze parental anxiety using a visual analog scale and to explore the influencing factors. Design This prospective cross‐sectional study. Setting Tertiary care regional referral center for congenital heart disease of Marseille—La Timone university hospital. Patients Parents of children with a congenital heart disease, as defined by the ACC‐CHD classification, referred for cardiac surgery or interventional cardiac catheterization, were offered to participate. Intervention and outcome measure The parental level of anxiety was assessed using a visual analog scale (0‐10) before intervention and after complete information given by the cardiologist, the surgeon or the anesthetists. Results Seventy‐three children [7 days‐13 years], represented by 49 fathers and 71 mothers, were included in the study. A total of 42 children required cardiac surgery and 31 children underwent interventional cardiac catheterization. The mean score of maternal anxiety was significantly higher than the paternal anxiety (8.2 vs 6.3, P < .01). A high level of maternal anxiety (visual analog scale > 8) was associated with paternal anxiety (P = .02), the child's comorbidity (P = .03), the distance between home and referral center (P = .04), and the level of risk adjustment for congenital heart surgery (P = .01). In multivariate analysis, maternal anxiety was associated with paternal anxiety (OR = 4.9; 95% confidence interval [1.1‐19.2]), and the level of risk adjustment for congenital heart surgery (OR = 11.4; 95% confidence interval [1.2‐116.2]). No significant association was found between parental anxiety and prenatal diagnosis. Conclusion This study highlighted several factors associated with the parental anxiety. Identifying the parents at risk of high stress can be useful to set up psychological support during hospitalization.

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“…State anxiety reflects unpleasant emotional arousal in face of threatening demands and dangers, whereas trait anxiety refers to a general tendency to respond with state anxiety in the anticipation of threatening situations and is a relatively stable characteristic of an individual. Parents of children undergoing surgery react in different ways to this threatening event (Pomicino et al, ). Parental trait anxiety is a good predictor of parental state anxiety on the day of surgery (Fortier & Kain, ).…”

Section: Introductionmentioning

confidence: 99%

Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

Yu¹,

Kim

2019

Specialist Pediatric Nursing

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Purpose Pediatric tonsillectomy is a highly common surgery for children. The inclusion of tonsillectomy in the diagnosis‐related group payment system in Korea has resulted in a shorter hospital stay for patients who undergo tonsillectomy. This, in turn, provides parents with additional caregiver roles in the home. Objectives This study aimed to investigate the effects of a postdischarge management program (PDMP) using Mobile Instant Messenger (MIM) on parents’ knowledge and state anxiety about postoperative care, and their children's compliance with care instructions at home, frequency of bleeding, and pain intensity after tonsillectomy. Design and Methods A nonequivalent control group nonsynchronized design. Settings and Participants Participants were 52 tonsillectomy children aged 3–7 years and their 52 parents (27 for the experimental group and 25 for the control group) from a hospital, in Korea. The control group received a routine written and oral predischarge education, while the experimental group received a predischarge education and a daily MIM for 7 days. For the experimental group, bidirectional communication between the nurse and parent when necessary using MIM are available during the intervention period. Results Parents in the experimental group reported a significantly higher knowledge about postdischarge management and lower state anxiety than the control group. Children in the experimental group showed a significantly greater improvement in compliance with the care instructions at home than the control group. However, bleeding frequency and pain intensity were not significantly lower in the experimental group than that in the control group. Practical Implications Nurses play a critical role in preventing and managing the complications of tonsillectomy. Providing proper parental education about pediatric posttonsillectomy care at home is critical for a successful recovery. With the explosion of smartphone technology, the MIM‐based PDMP is a useful and effective strategy in helping parents and children in posttonsillectomy care at home.

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Levels of anxiety in parents in the 24 hr before and after their child's surgery: A descriptive study

Cited by 69 publications

References 55 publications

Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences

Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

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