The effects of preoperative guided imagery interventions on preoperative anxiety and postoperative pain: A meta-analysis

Álvarez-García, Cristina; Yaban, Züleyha Şimşek

doi:10.1016/j.ctcp.2019.101077

Cited by 43 publications

(55 citation statements)

References 49 publications

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“…Self-reported state and trait anxiety evaluations are often used to assess patients' anxiety before surgery ( 6 ). State anxiety can be defined as an emotional reaction in response to a perceived threat that occurs at a specific point in time and with varying intensity, comprised of both affective and cognitive components of the current emotional state.…”

Section: Introductionmentioning

confidence: 99%

Effects of Educational Video on Pre-operative Anxiety in Children - A Randomized Controlled Trial

et al. 2021

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Objective: Audio-visual interventions have been used to provide relevant patient information to reduce pre-operative anxiety in children. The aim of the study was to investigate whether self-reported state anxiety in children could be reduced by presenting a child-friendly educational video on the day of surgery.Methods: A prospective, single-blinded, two-armed, randomized controlled study was designed with three measurement time points including 90 children (6–17 years) and their parents. In the intervention group (IG), the children and their parents were shown a child-friendly video explaining the perioperative procedures that would be applied during the hospital stay, in addition to receiving standard information. In the control group (CG), children and parents received standard information provided by the nursing staff. The primary outcome was any change in the children's pre-operative state anxiety levels, as measured by the State-Trait Operation Anxiety Inventory (STOA). A secondary outcome was patient satisfaction regarding the received information.Results: Anxiety was significantly reduced in both groups after receiving either the intervention plus standard information or the standard information only. No significant difference in anxiety reduction was observed between the IG and the CG. However, the children and parents in the IG reported fewer worries than those in the CG.Conclusion: A child-friendly, educational video can be an additional tool for providing patient information and reducing pre-operative anxiety in children and their parents. Further studies should focus on the timing of the intervention and on age- and developmentally appropriate information formats and contents to address children's pre-operative anxiety.Clinical Trial Registration: Patient Anxiety Reduction in Children by Using Simple Explanation Videos, ID: NCT0441377; www.clinicaltrials.gov, Data Sharing Statement: Deidentified individual participant data will not be made available.

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Section: Introductionmentioning

confidence: 99%

Effects of Educational Video on Pre-operative Anxiety in Children - A Randomized Controlled Trial

et al. 2021

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“…Distraction is commonly used, and in a large number of publications proved as effective to reduce children's stress and anxiety by redirecting attention from a perceived threatening to a relaxing or entertaining stimuli 7 . The spectra of distractive stimuli evaluated with variated positive relations to children's reduction of perioperative distress include among others; hospital clowns, 24,25 smartphone or tablet‐based distraction (e.g., video games, smartphone apps, or video clips), 26–30 guided imagery, 31 hypnosis 32 and virtual reality 33–35 …”

Section: Strategies To Improve the Perioperative Process In Childrenmentioning

confidence: 99%

Role of information and preparation for improvement of pediatric perioperative care

Lööf

Lönnqvist

2022

Pediatric Anesthesia

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“…Nonpharmacological, complementary mind‐body interventions such as music, touch, guided imagery, virtual reality, and distraction seem beneficial to this aim in other pediatric populations. 7‐13 …”

Section: Introductionmentioning

confidence: 99%

Aromatherapy massage seems effective in critically ill children: an observational before‐after study

Heijden

O’Flaherty

Rosmalen

et al. 2022

Paediatric and Neonatal Pain

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Children treated in a pediatric intensive care unit (PICU) are at risk of distress and pain. This study investigated if aromatherapy massage can reduce children's distress and improve comfort. This observational before‐after study was performed in a 22‐bed PICU in Cape Town, South Africa. The aromatherapy massage consisted of soft massaging using the “M‐technique” and a 1% blend of essential oils of Lavender (Lavandula angustifolia), German Chamomile (Matricatia recutita) and Neroli (Citrus aurantium) mixed with a grapeseed carrier oil. All present children were eligible, except those who had recently returned, were asleep or deemed unstable. The primary outcome was distress measured with the COMFORT‐Behavior scale (COMFORT‐B). Secondary outcomes were heart rate, oxygen saturation (SatO2), the Numeric Rating Scale (NRS)‐Anxiety and pain assessed by the NRS‐Pain scale. Outcomes variables were evaluated with Wilcoxon signed‐rank test and multiple regression analysis. The intervention was applied to 111 children, fifty‐one of whom (45.9%) were younger than three years old. The group median COMFORT‐B score before intervention was 15 (IQR 12–19), versus 10 (IQR 6–14) after intervention. Heart rate and NRS‐Anxiety were significantly lower after the intervention (P < 0.001). Multiple regression analysis showed that interrupted massages were less effective than the uninterrupted massages. Parental presence did not influence the outcome variables. We did not find a significant change on the NRS‐Pain scale or for SatO2. Aromatherapy massage appears beneficial in reducing distress, as measured by the COMFORT‐B scale, heart rate and the NRS‐Anxiety scale, in critically ill children. Thus, the potential of aromatherapy in clinical practice deserves further consideration.

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The effects of preoperative guided imagery interventions on preoperative anxiety and postoperative pain: A meta-analysis

Cited by 43 publications

References 49 publications

Effects of Educational Video on Pre-operative Anxiety in Children - A Randomized Controlled Trial

Effects of Educational Video on Pre-operative Anxiety in Children - A Randomized Controlled Trial

Role of information and preparation for improvement of pediatric perioperative care

Aromatherapy massage seems effective in critically ill children: an observational before‐after study

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