Effect of video games on preoperative anxiety in 3- to-6-year-old of a sample of Iranian children undergoing elective surgery

Rostami, Elham; Khanjari, Sedigheh; Haghani, Hamid; Amirian, Houshang

doi:10.4103/jehp.jehp_455_21

Cited by 4 publications

(2 citation statements)

References 23 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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“…The presence of this anxiety not only poses a significant challenge in healthcare settings, particularly escalating in the presurgical phase, but it has also been linked to a myriad of adverse postoperative outcomes. These include an enhanced risk of infection, nausea, vomiting, fluctuations in heart rate and blood pressure, and, notably, it serves as an independent predictor of postoperative morbidity and mortality, especially among adults and patients undergoing cardiac surgeries (7,8).…”

Section: Introductionmentioning

confidence: 99%

Frequency Of Anxiety in Pre-Operative Surgical Patients in the Tertiary Care Hospitals, Karachi

Parveen,

Khan,

Waseem

et al. 2024

JHRR

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Background: Preoperative anxiety significantly impacts patient outcomes and healthcare delivery, with varying degrees of prevalence reported globally. Understanding and managing this anxiety are crucial for improving surgical experiences and patient recovery. This study focuses on tertiary care hospitals in Karachi, aiming to elucidate the frequency and determinants of preoperative anxiety among elective surgery patients. Objective: To ascertain the prevalence of preoperative anxiety among patients awaiting elective surgeries in various surgical units of tertiary care hospitals in Karachi and to identify significant contributing factors. Methods: In a prospective cross-sectional design, 400 patients scheduled for elective surgeries across six surgical units were assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). SPSS version 24 facilitated the analysis, focusing on global anxiety prevalence and its associations with demographic and clinical variables. Results: The study revealed a 62.0% prevalence of preoperative global anxiety. The APAIS scores indicated higher anxiety related to the surgery (mean = 7.27 ± 2.31) compared to anesthesia (mean = 5.14 ± 2.35). Significant associations were found between anxiety levels and age groups (p=0.002), surgical procedures (p<0.001), and type of anesthesia (p<0.001). ENT and urology patients exhibited notably higher anxiety, at 75.0% and 68.0% respectively. Multivariate analysis demonstrated a significant impact of gender on preoperative anxiety, with females showing increased vulnerability [aOR 1.91 (95% CI 1.13-3.21); p=0.015]. Conclusion: Preoperative anxiety remains a prevalent concern, with female patients exhibiting higher levels of anxiety than their male counterparts. The findings advocate for targeted counseling and informational support for patients, especially females, prior to surgery and anesthesia consultations, underscoring the need for healthcare professionals to address and mitigate preoperative anxiety effectively.

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Audiovisual technology intervention for reducing preoperative anxiety in children undergoing general anesthesia: A systematic review and meta-analysis

Oktaviani,

Widjaja,

Singgih

et al. 2024

Journal of Education and Health Promotion

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Preoperative anxiety (POA) is a concern for children undergoing surgery, especially with general anesthesia. POA can result in many postoperative problems, such as physical, psychological, and financial problems. Nonpharmacological treatments have been investigated for reducing POA as they are more pleasant and have fewer adverse effects compared to pharmacological treatments. Audiovisual technology treatment is one of the nonpharmacological treatments developed lately. This study aims to evaluate the efficacy of an audiovisual technology intervention for reducing POA in children undergoing general anesthesia. This study was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guideline 2020. Google Scholar, PubMed, ProQuest, and Cochrane databases were used for searching English articles published between January 2015 and June 2023. Cochrane Review Manager 5.4 was used for the meta-analysis and the Risk of Bias Tool 2.0 was used to measure the risk of bias. The studies included were randomized controlled trials (RCTs) that compared the audiovisual technology intervention with a control population. The modified Yale Preoperative Anxiety Scale was the outcome of interest. We found 627 articles in four databases using the search term. After screening with the eligibility criteria, three studies from Iran, Denmark, and China were included in the meta-analysis. A random effect model was applied. The meta-analysis resulted in a significant result as a lower modified Yale Preoperative Anxiety Scale score was found in the audiovisual technology intervention group compared with the control group (mean difference -10.75 [-16.48 to -5.03]; 95% confidence interval; P = .0002.) The presence of audiovisual technology interventions such as video games, cartoons or animation videos, and smartphone applications could significantly lower POA in children undergoing general anesthesia.

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Effect of video games on preoperative anxiety in 3- to-6-year-old of a sample of Iranian children undergoing elective surgery

Cited by 4 publications

References 23 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

Frequency Of Anxiety in Pre-Operative Surgical Patients in the Tertiary Care Hospitals, Karachi

Audiovisual technology intervention for reducing preoperative anxiety in children undergoing general anesthesia: A systematic review and meta-analysis

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