Educational intervention through a comic book for preoperative anxiety in children, adolescents, and their parents: A randomized clinical trial

Avila, Marla Andréia Garcia de; Prata, Rafaela Aparecida; Jacob, Francine Letícia da Silva; Nóbrega, Francisca Miriam De Oliveira; Barros, Gabriela Ribeiro De; Sugiura, Beatriz Mayumi Gonsales

doi:10.1016/j.pedn.2022.07.010

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…Previous studies have shown similar results. In Garcia’s ( 62 ) study, picture books were distributed to preoperative children and their parents and the result showed it reduced preoperative anxiety of children and relieved psychological stress of parents. Caregivers in our study expressed two major benefits from reading the picture book: establishing supportive family relationships and reshaping the cognition towards the reality.…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers’ psychological stress: a mixed method study

Yang,

Ye,

Zhu

et al. 2024

Front. Psychiatry

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IntroductionThe rapid increasing prevalence of ASD has become a significant global health issue. Caregivers of children with ASD are experiencing higher level of psychological stress and mental disorders. However, interventions to improve the psychological health of caregivers of children with ASD have largely been neglected.MethodsBased on the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model, we initially did in-depth interviews with 8 caregivers, and conducted field observation in two rehabilitation centers to analyze the daily lives, the empowered components, the emotional moments of the children with autism and their caregivers. Then we designed the outline of the picture book, and developed it by a multi-disciplinary team by 4 rounds. After that, this picture book was sent out to 54 caregivers of children with ASD for family-child reading in one month. A quantitative questionnaire was administered before and after their reading to evaluate the efficacy of reducing their stress and affiliate stigma, and improving self-efficacy, resilience, empowerment capacity; and exit interviews were conducted after their initial reading to assess the acceptability, content appropriateness, perceived benefits and generalizability of this picture book. Quantitative data were analyzed by descriptive analysis and paired t-tests using IBM SPSS 26.0. Qualitative data were analyzed using template analysis.ResultsIn total, 54 caregivers read the picture book with their child, with the total of 149 (an average of 2.76 per family) times reading in one month. Among them, 39 caregivers returned the following-up questionnaires. Although most of the outcome measures did not showed significant changes except the stress level decreased statistically significant (13.38 ± 3.864 to 11.79 ± 3.238, P=0.001), caregivers reported that the picture book echoed their daily lives and gave them a sense of warmth, inspiration, and hope, as well as some insight on family relationships and attitudes towards the disorder. They also expressed a willingness to disseminate the book to other families with children suffering ASD and the public.ConclusionThis specially designed picture book has been proven to be an acceptable, content-appropriate, and effective family-centered psychological intervention, which could be easily scaled up.

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Section: Discussionmentioning

confidence: 99%

Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers’ psychological stress: a mixed method study

Yang,

Ye,

Zhu

et al. 2024

Front. Psychiatry

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“…El instrumento utilizado con mayor frecuencia para evaluar la ansiedad preoperatoria en este tipo de pacientes fue la Escala de Ansiedad Preoperatoria de Yale modificada (mYPAS), utilizada en 11 de los estudios 11, [13][14][15][16][17][18]20,21,23,29 y su versión corta (mYPAS-SF) usada en cuatro estudios 26,27,30,31 ; aunque también se utilizaron otras escalas como la Escala de medición de ansiedad infantil (CAM-S) 12 , la Escala de Ansiedad Estatal de Inventario de Ansiedad Estado y Rango (STAIC) 22,24 o la Escala Visual Analógica de la Ansiedad (VAS-A) 16 . En cinco estudios también se evaluó la frecuencia cardiaca 14,19,21,25,28 y en tres los valores de la presión arterial 14,25,28 como instrumentos medidores de la ansiedad preoperatoria en estos participantes.…”

Section: Instrumentos Utilizadosunclassified

“…También predominan intervenciones que utilizan la musicoterapia 14,19,30 o libros de cuentos informativos y didácticos 15,16,28 adaptados a la edad de los participantes. Además, se usaron otras intervenciones como la utilización de un medio de transporte a quirófano más familiar y divertido para el niño (vagón de tren, correpasillos en lugar de la camilla de hospital) 20,26 , actividades con pinturas 23,29 , juegos interactivos 17,23 , animaciones audiovisuales 13,18,24 y tablets con videojuegos 13 .…”

Section: Intervenciones Utilizadasunclassified

“…Otras actividades como el uso de la musicoterapia 14,19,30 o libros y cómics informativos personalizados con respecto a la edad de los pacientes 15,16,28 son de gran utilidad y resultan eficaces para evitar el aumento de esta ansiedad en algunas ocasiones.…”

Section: Eficacia De Las Intervencionesunclassified

“…Por otro lado, utilizar libros y/o cómics con información sobre la cirugía adaptada a la edad del paciente resulta ser eficaz en la reducción de dicha ansiedad porque aumenta el nivel de conocimientos sobre la situación 28 , aunque en otro de los estudios no se consiguen resultados positivos con respecto a esta intervención 16 .…”

Section: Eficacia De Las Intervencionesunclassified

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Nursing interventions for the management of preoperative anxiety in the pediatric patient

Villena-Rico

2024

Enferm. Cuid.

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Introduction: Preoperative anxiety in pediatric patients has a high prevalence, negatively affecting the perioperative process of children, increasing the possibility of complications and causing poor pain control. Objectives: Know the existing interventions to reduce preoperative anxiety in pediatric, to study the effectiveness of them and identify the factors that influence it. Methodology: A literature review was performed in three recognized databases between November and December 2022, using as search equation: (intervention) AND (preoperative anxiety) AND (children OR pediatric). The selected studies passed the appropriate methodological quality scale. Results: paciente y el nivel socioeconómico, sobre todo. También estarían implicados factores como el sexo del menor, la separación de los padres que supone la intervención, el aislamiento del entorno social, experiencias previas del menor con el ambiente sanitario/hospitalario y la falta de información acerca del proceso quirúrgico information through comics do not show clear efficacy. The child´s age, level of development and previous experience with the hospital environment influence the effectiveness of these interventions. Conclusion: Interventions that involve a high level of distraction, that provide information and help the child to become familiar with the environment, are the most effective to reduce anxiety in this type of patients, with virtual reality being the most effective in recent studies. In addition, taking into account the characteristics of each patient is crucial to the choice of these interventions and to achieve the greatest effectiveness.

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Developing and validating a 2D digital version of the Brazilian Children's anxiety questionnaire

Martins,

da Silva,

Francisco

et al. 2024

Journal of Pediatric Nursing

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Educational intervention through a comic book for preoperative anxiety in children, adolescents, and their parents: A randomized clinical trial

Cited by 7 publications

References 24 publications

Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers’ psychological stress: a mixed method study

Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers’ psychological stress: a mixed method study

Nursing interventions for the management of preoperative anxiety in the pediatric patient

Developing and validating a 2D digital version of the Brazilian Children's anxiety questionnaire

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