A influência da atividade lúdica sobre a ansiedade da criança durante o período pré-operatório no centro cirúrgico ambulatorial

Abstract

Objective: To verify the influence of playful activities during the preoperative period on the anxiety of children participating in the therapeutic recreation project conducted at the outpatient surgical center of Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil. Methods:The modified Yale Preoperative Anxiety Scale (mYPAS) was administered to 50 children between 5 and 12 years of age undergoing medical procedures at the outpatient surgical center. The children were divided in two groups: recreation group (individuals who participated in playful interventions in the recreation room) and control group (individuals who did not participate in playful interventions). Anxiety was measured using the mYPAS at two different moments: soon after the individuals arrived at the outpatient surgical center (minute 0) and 15 minutes after the first measurement. Results:The results showed that soon after arriving at the outpatient surgical center, the patients did not have significant differences regarding anxiety, showing high values. However, after 15 minutes waiting or undergoing intervention, the children in the recreation group had reduced anxiety levels and those in the control group remained anxious. The anxiety caused by the hospital environment and surgical procedure may be harmful during the preoperative period because it might affect cognitive, social, and affective development, in addition to increasing negative behaviors during the child's postoperative period. 6-8 The child's negative experience during the period prior to the surgery might cause some disorders, such as eating and sleep disorders, and several changes in the child's attitude for some days. 9 ConclusionsAlthough there are so many negative disorders, responses to surgery may also be positive when they provide self- No conflicts of interest declared concerning the publication of this article.Suggested citation: Weber FS. The influence of playful activities on children's anxiety during the preoperative period at the outpatient surgical center. J Pediatr (Rio J). 2010;86(3):209-214.

Prevalence and factors associated with preoperative anxiety in children aged 5-12 years

“…Brazilian researchers estimated a high prevalence (81.6%) of anxiety among children (4.67±0.96 years) weeks prior to surgery, at the time of outpatient preoperative evaluation 22 . In the evaluation of children aged 4-8 years, prevalence rates of 38.9% 23 and 84.0% 24 were found in the preoperative holding area.…”

“…Before surgery, the child tends to understand this event as a threat that, in just few minutes, causes different feelings 12 . Contradictory prevalence of preoperative anxiety may be related to the age of the children 22 - 24 , anxiety measurement instrument 19 , lack of information about the surgery to be performed, separation from their parents 10 and previous experience in health care 3 - 4 .…”

Education in health in the waiting room: care and actions to the child who lives with HIV/aids

“…In an randomized clinical test it was verified that the influence of ludicrous activities realized in pre-operation on children's anxiety, concluding that the participating children diminished their anxiety compared to those whose just stayed in de waiting room for ate least 15 minutes 15 . The ludicrous in the waiting room not only valor the child's developing process but is also a strategy towards health promotion as it improves communication and interaction with health professionals 16 .…”

The Effect Of Games And Toys On Child Health

“…Hastanede yatma hastalarda önemli bir stres nedeni olmakla beraber, bu pediatri ile ilgili ise çocuk ve ailesinde kötü bir deneyim yaratacaktır (24) . Perioperatif dönemde oyuncak kullanımının çocuklarda anksiyeteyi etkili şekilde azalttığı bildirilmektedir (24)(25)(26) . Çocuk genellikle hastalığın akut aşamasında oyun oynamaz ya da oyuna çok az zaman ayırır.…”