An Analysis of the Anxiety Levels of Mothers Who Participate in Education and Therapeutic Games About Their Children's Surgeries

Büyük, Esra Tural; Bolişik, Bahire

doi:10.1016/j.jopan.2016.09.011

Cited by 17 publications

(9 citation statements)

References 9 publications

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“…Various studies conducted with other distraction methods, including age-appropriate audio-visual interventions, such as cartoons and interactive games, found that they were effective in reducing preoperative anxiety in children (Chow et al, 2016). Other methods found to decrease children's preoperative anxiety include preoperative education and therapeutic play techniques (Tural & Bolıs ¸ık, 2018), psychological preparation for surgery (Meletti et al, 2019) and playing video games (Rostami et al, 2022;Sakızcı et al, 2021). Aytekin et al (2016) found that distraction applied to children in the preoperative period significantly reduced anxiety and separation anxiety.…”

Section: Discussionmentioning

confidence: 99%

The effect of storybook reading on children's preoperative fear and anxiety levels: A randomized controlled study

Sarıalioğlu

Kurudirek

Oluç

2023

Child

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Background The aim of this study was to evaluate the effect of reading a preoperative preparation‐themed storybook on children's preoperative fear and anxiety levels. Methods The research design was a randomized controlled experiment. The research sample included 80 children (40 in the story group and 40 in the control group) who met the inclusion criteria. Data collection tools were collected through face‐to‐face interviews with the ‘Survey Form’, ‘Child Fear Scale (CFS)’ and ‘Modified Yale Preoperative Anxiety Scale (mYPAS)’. In the research, the book named Elif Has Surgery was used as an intervention tool. In the story group, the preoperative preparation‐themed storybook was read to the child in their room at the clinic by their mother within 10 min. The control group received only clinical routine. The study was approved by the ethics committee. Results There was a statistically significant difference between the groups in the mean scores of the CFS and mYPAS scales in the control and story groups (p < 0.05). Conclusions This study found that reading a preoperative preparation‐themed storybook reduced children's fear and anxiety before surgery. It may be recommended to expand the use of preoperative preparation‐themed storybooks in order to prevent fear and anxiety experienced before surgery in paediatric surgery clinics. Story reading is an effective, cheap, non‐pharmacological intervention. The clinical trial registration number is NCT05478369.

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Section: Discussionmentioning

confidence: 99%

The effect of storybook reading on children's preoperative fear and anxiety levels: A randomized controlled study

Sarıalioğlu

Kurudirek

Oluç

2023

Child

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“…Furthermore, a child's age is inversely related to the anxiety that their parents' experience, that is, parents of younger children tend to experience more anxiety than the parents of school-aged children (Chahal et al, 2009). Parental anxiety and stress are caused by uncertainty and the lack of control in a new situation (Buyuk & Bolişik, 2018). Parents need to understand their role in the hospital, and can reduce anxiety by being present, providing distractions, as well as encouraging and rewarding their children.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, parents often experience anxiety and stress that they can pass on to the child, ultimately manifesting as pain and fear (Carlsson & Henningsson, 2018; Gabriel et al, 2018; Pomicino et al, 2018). This is a natural response to a new situation, with parents experiencing guilt, unawareness, separation anxiety and a lack of control (Buyuk & Bolişik, 2018). The situation is complicated by the fact that parents have diverse roles in preparing their child for day surgery; for example, they need to bear responsibility, make important decisions and support the child (Chang et al, 2020; Healy, 2013).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of interventions used to prepare preschool children and their parents for day surgery: A systematic review and meta‐analysis of randomised controlled trials

Kerimaa

Ruotsalainen

Kyngäs

et al. 2021

Journal of Clinical Nursing

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Background. To evaluate how effective preparatory interventions for pediatric day surgery are at reducing parents' anxiety and stress and children's pain and fear.Methods. A systematic review was conducted according to Joanna Briggs Institute (JBI) guidelines and reported using the PRISMA 2020 checklist. PubMed, CINAHL (EBSCO), Scopus, Medic and Web of Science were screened for original research published up until December 2020, while Mednar and EBSCO Open Dissertations were used to identify any relevant grey literature. The methodological quality and risks of bias were evaluated according to JBI guidelines by two authors. The eligibility criteria were parents of a preschool (2-6-year-old) child going through day surgery with preparatory interventions, outcomes measured anxiety, stress (parent), fear and pain (child), and randomised controlled trial (RCT).Results. Two thousand and three hundred and fourteen RCTs were screened. Fifteen studies (including 1514 participants) were chosen for narrative synthesis of parental anxiety and stress and children's fear and pain. Nine studies underwent a meta-analysis of parental anxiety (n = 970). The interventions were categorized as functional, informative or a combination of both. Four interventions reduced parents' anxiety while two significantly alleviated children's postoperative pain. The interventions found to be effective combined various ways of providing information. The metaanalysis did reveal a statistically significant impact on parents' anxiety (SMD = 0.22, 95% Cl [0.03, 0.41], z = 2.28, p = 0.023). None of the studies dealt with parental stress or fear in children. Conclusions.The studied interventions used various preparatory approaches, some of which were effective at reducing parental anxiety. More RCT studies are needed to find the most effective methods for preparing parents and their children for day surgery.Relevance to Clinical Practice. Preparation for day surgery through appropriate interventions can reduce anxiety among parents and postoperative pain in children.

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“…Their situation is rather complicated as parents play several roles in preparing their children for day surgery: they bear responsibility, make important decisions, and support the child through the process [ 5 , 6 ]. Therefore, it is understandable that parents often experience anxiety and stress [ 3 , 7 , 8 ], which are natural responses to a new, challenging situation [ 9 ]. Preschool children (aged 2-6 y) also find day surgery scary [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…This anxiety may be transferred to the child, amplifying their feelings of pain and fear [ 3 , 7 , 8 ]. Parental anxiety and stress are caused by uncertainty, lack of control in a new situation [ 9 ], and various fears about pediatric surgery [ 5 , 6 ]. Parents’ lack of knowledge can lead them to experience guilt, ignorance, and separation anxiety and feel out of control [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Mobile App Intervention for Preparing Preschool Children and Parents for Day Surgery: Randomized Controlled Trial

Kerimaa,

Hakala,

Haapea

et al. 2023

J Med Internet Res

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Background Day surgery allows families to return home quickly. Only a few approaches to preparing for day surgery have demonstrated how digital solutions can support families and children. Objective This study aims to evaluate the effectiveness of a mobile app intervention on preschool children’s fear and pain and parents’ anxiety and stress in preparing children for day surgery. Methods This study was conducted at the Pediatric Day Surgical Department of a university hospital in Finland between 2018 and 2020. Parents of children (aged 2-6 y) who were in a queue for elective day surgery were randomized into the intervention group (IG; n=36) and control group (CG; n=34). The CG received routine preparations, whereas the IG was prepared using a mobile app. Parents’ and children’s outcomes were measured using validated scales at 4 different points: at home (T1 and T4) and at the hospital (T2 and T3) before and after surgery. Group differences were analyzed using statistical methods suitable for the material. Results Before surgery, parents in both groups experienced mild anxiety, which decreased after surgery. Parental anxiety did not differ between groups preoperatively (P=.78) or postoperatively (P=.63). Both groups had less anxiety at home after surgery compared with before. The IG showed a significant decrease (P=.003); the CG also improved (P=.002). Preoperatively at home, most parents in both groups experienced no stress or mild stress (P=.61). Preoperatively at the hospital, parents in both groups experienced mild stress; however, parents in the IG experienced more stress during this phase (P=.02). Parents in the IG experienced significantly less stress postoperatively than those in the CG (P=.05). Both groups showed decreased stress levels from before to after surgery (IG: P=.003; CG: P=.004) within each group. There were no significant differences in children’s pain levels between the groups and measurement points. This was observed before surgery at home (P=.25), before surgery at the hospital (P=.98), and after surgery at the hospital (P=.72). Children’s fear decreased more in the IG (P=.006) than in the CG (P=.44) comparing the phases before and after surgery at home. Fear did not differ between the IG and CG preoperatively at home (P=.20) or at the hospital (P=.59) or postoperatively at the hospital (P=.62) or at home (P=.81). Conclusions The mobile app intervention did not reduce anxiety or pain. However, it was observed that parents in the IG experienced substantially heightened stress levels before surgery at the hospital, which decreased significantly after surgery at home. In addition, fear levels in children in the IG decreased over time, whereas no significant change was observed in the CG. These results are important for developing health care service chains and providing families with innovative and customer-oriented preparation methods. Trial Registration ClinicalTrials.gov NCT03774303; https://classic.clinicaltrials.gov/ct2/show/NCT03774303

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An Analysis of the Anxiety Levels of Mothers Who Participate in Education and Therapeutic Games About Their Children's Surgeries

Cited by 17 publications

References 9 publications

The effect of storybook reading on children's preoperative fear and anxiety levels: A randomized controlled study

The effect of storybook reading on children's preoperative fear and anxiety levels: A randomized controlled study

Effectiveness of interventions used to prepare preschool children and their parents for day surgery: A systematic review and meta‐analysis of randomised controlled trials

Effectiveness of a Mobile App Intervention for Preparing Preschool Children and Parents for Day Surgery: Randomized Controlled Trial

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