Effects of advance exposure to an animated surgery-related picture book on preoperative anxiety and anesthesia induction in preschool children: a randomized controlled trial

Yang, Yanyan; Zhang, Mazhong; Sun, Ying; Peng, Zhong; Zheng, Xiaosu; Zheng, Jijian

doi:10.1186/s12887-022-03136-1

Cited by 7 publications

(5 citation statements)

References 20 publications

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“…Distraction as a preoperative anxiety management technique has positive effects on paediatric patients undergoing elective surgery (Wu et al, 2022). This finding is in line with the results of previous research, including that of Aydın and Uyar (2021) and of Yang et al (2022), who showed that reading an animated picture book ( Tom in the Hospital ) at home 1 week before surgery reduced the level of preoperative anxiety in preschool children. Macindo et al (2015) determined that a 3D storybook alleviated preoperative anxiety, while Sekhavatpour et al (2019) found that reading animated picture books was effective in reducing postoperative anxiety in children.…”

Section: Discussionsupporting

confidence: 92%

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: Discussionsupporting

confidence: 92%

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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“…According to the results of several existing studies in the literature and a preliminary study in our center [ 1 ], the mean mYPAS-SF score at T3 was approximately 60 ± 18 in the control group. With a two-sided significance level of 5% and an efficacy of 80%, 36 participants per group were required to detect a 20% decrease between the intervention and control groups (12 on the rating scale).…”

Section: Sample Size Estimationmentioning

confidence: 97%

“…Preoperative anxiety in pediatric patients usually begins at admission when they know that they would undergo a surgical operation [ 1 ]. Up to 50–60% of children undergoing surgical procedures experience significant preoperative anxiety [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of interactive, multimedia-based home-initiated education on preoperative anxiety inchildren and their parents: a single-center randomized controlled trial

et al. 2023

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Background Anesthesiologists need to appreciate the impact of preoperative anxiety in children. The present study aimed to explore whether interactive multimedia-based home-initiated interventions could effectively relieve preoperative anxiety in pediatric patients. Methods In this prospective study, we compared preoperative anxiety between two groups of children aged 4–9 years. Children in the control group received a question-and-answer (Q&A) introduction, and children in the intervention group received multimedia-based home-initiated preoperative education using comic booklets, videos, and coloring game books. Differences in anxiety between the two groups were evaluated by the modified Yale Preoperative Anxiety Scale-Short Form (mYPAS-SF) at four time points: in the ophthalmology outpatient clinic before intervention as the baseline (T0); in the preoperative waiting area (T1); at the time of separating from their parents and moving to the operating room (T2); and at the time of anesthesia induction (T3). Parental anxiety was assessed by the Self-rating Anxiety Scale (SAS) and Visual Analog Scale (VAS) at T0 and T2. Other related information was collected by questionnaire. Results Eighty-four children who underwent pediatric strabismus in our center between November 2020 and July 2021 were included in this study. An intention-to-treat (ITT) analysis was performed on data from 78 enrolled children. Children in the intervention group exhibited lower m-YPAS-SF scores at T1, T2, and T3 than those in the control group (all p < 0.001). By using a mixed-effect model with repeated measurement (MMRM) after adjusting the m-YPAS score at T0 as a covariate, the interventional effect in terms of themYPAS-SF score was also significant over time (p < 0.001). The percentage of children with perfect induction compliance (ICC = 0) in the intervention group was significantly higher than that in the control group [18.4% vs. 7.5%], and poor induction compliance (ICC>4) was lower (2.6% vs. 17.5%, p = 0.048). The mean parental VAS score at T2 in the intervention group was significantly lower than that in the control group (p = 0.021). Conclusions Interactive multimedia-based home-initiated intervention could reduce preoperative anxiety in children and improve the quality of anesthesia induction based on ICC scores, which may in turn impose a positive impact on parental anxiety.

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“…A similar study was performed in which a group of preschoolaged children were given animated surgery-related picture books one week before surgery versus a control group. The study revealed that preschool-aged children had decreased pre-operative anxiety when given an animated picture book explaining their upcoming surgery compared to those who did not receive an animated picture book [5]. Lastly, meditation effects on anxiety were examined in adolescents.…”

Section: Visualization and Meditation Interventionsmentioning

confidence: 99%

Exploring Novel Non-pharmacologic Approaches to Address Preoperative Anxiety and Postoperative Pain in Pediatric Patients Undergoing In-Patient Surgical Procedures: A Scoping Review

Llerena,

Krzykwa,

Huzior

et al. 2024

Cureus

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The pediatric population is more prone to experiencing anxiety and fear before undergoing an inpatient surgical procedure than adults. Non-pharmaceutical interventions, such as music therapy and virtual reality programs, have shown significant promise in reducing the post-operative pain associated with pre-operative anxiety of patients and their caregivers. While there is evidence to support the use of non-pharmaceutical treatment in the mitigation of pre-operative anxiety, there are limited published reports of nonpharmacological interventions for pre-operative anxiety in children undergoing inpatient surgical procedures. The goal of this scoping review was to identify and classify specific non-pharmacological interventions utilized inpatient among children to improve pre-operative anxiety and post-operative complications inflicting pain. Comprehensive searches were conducted using Ovid Medline, Embase Emtree, CINAHL Complete, and COCHRANE Central databases. The articles had to be peer-reviewed, written in English, published between 2000-2022, and contain measurements of pre-operative anxiety and postoperative pain to be included in the scoping review. Articles that reported findings on patients younger than 18 undergoing elective and/or routine surgeries, excluding emergent surgical cases, were selected. After a systemized screening process, 9 articles were selected for the final review. The findings indicated that nonpharmacological interventions such as virtual reality, hypnosis, and clowns reduced pre-operative anxiety and post-operative pain in pediatric patients. This scoping review identified a wide range of nonpharmacological interventions to mitigate the post-operative effects of pre-operative anxiety among children, including but not limited to music, visual reality, and other holistic methods. More longitudinal studies are warranted to understand the specific interventions that may be the most efficacious.

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Effects of advance exposure to an animated surgery-related picture book on preoperative anxiety and anesthesia induction in preschool children: a randomized controlled trial

Cited by 7 publications

References 20 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

Effect of interactive, multimedia-based home-initiated education on preoperative anxiety inchildren and their parents: a single-center randomized controlled trial

Exploring Novel Non-pharmacologic Approaches to Address Preoperative Anxiety and Postoperative Pain in Pediatric Patients Undergoing In-Patient Surgical Procedures: A Scoping Review

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