The effect of play distraction on anxiety before premedication administration: a randomized trial

Aydın, Gülümser; Yüksel, Serhat; Ergil, Jülide; Polat, Reyhan; Akelma, Fatma Kavak; Ekıcı, Musa; Sayın, Murat; Odabaş, Öner

doi:10.1016/j.jclinane.2016.04.044

Cited by 25 publications

(36 citation statements)

References 16 publications

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“…Specifically, some studies have shown that adequate preparation through play activities and the presence of a child psychologist are effective in reducing anxiety and negative emotions (10,20). For example, some authors have reported that engaging the patient in play activities at the hospital reduces negative emotions and lowers anxiety levels in comparison with normal care (21,22). Moreover, psychological interventions have proved effective in reducing RT-related distress (as measured by heart rate) and have also been seen to be useful specifically in pediatric radiotherapy (23).…”

Section: Discussionmentioning

confidence: 99%

The Multidimensional Assessment for Pediatric Patients in Radiotherapy (M.A.P.-RT) Tool for Customized Treatment Preparation: RADAR Project

et al. 2021

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Aims: Pediatric patients may experience considerable distress during radiotherapy. Combining psychological interventions with standard therapies can reduce the need for sedation. The RADAR Project aims to use a systematic method of recording data that can reveal patients' difficulties and fragility during treatment.In this context, the aim of our study was to investigate the ability of a multidimensional assessment tool (M.A.P.-RT schedule) to predict the need for sedation during radiotherapy. The schedule, which is administered during the first evaluation, was created to collect information on patients and their families in a standardized way.Materials and Methods: The study enrolled pediatric patients (aged 0–18 years or 18–21 with cognitive impairment). Data were collected by means of the M.A.P.-RT module; this explores various thematic areas, and is completed by the radiation oncologist, psychologist and nurse during their first evaluation. Features were selected by means of the Boruta method (random forest classifier), and the totals of the significant partial scores on each subsection of the module were inserted into a logistic model in order to test for their correlation with the use of anesthesia and with the frequency of psychological support. The results of logistic regression (LR) were used to identify the best predictors. The AUC was used to identify the best threshold for the scores in the evaluation.Results: A total of 99 patients were considered for this analysis. The feature that best predicted both the need for anesthesia and the frequency of psychological support was the total score (TS), the AUC of the ROC being 0.9875 for anesthesia and 0.8866 for psychological support.Conclusion: During the first evaluation, the M.A.P.-RT form can predict the need for anesthesia in pediatric patients, and is a potential tool for personalizing therapeutic and management procedures.

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Section: Discussionmentioning

confidence: 99%

The Multidimensional Assessment for Pediatric Patients in Radiotherapy (M.A.P.-RT) Tool for Customized Treatment Preparation: RADAR Project

et al. 2021

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“…13 Pharmacological methods include the use of preoperative sedative drugs administered primarily orally. However, they require compliance from the child, can be a stress source themselves, 14 require strict administration timing, and may not be suitable for children with high levels of impulsiveness. 15 Non-pharmacological interventions can be identified according to the most effective moment they can be used.…”

Section: Articlementioning

confidence: 99%

Application of a non-pharmacological technique in addition to the pharmacological protocol for the management of children’s preoperative anxiety: A 10 years’ experience

et al. 2021

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The aim of the study was to investigate how Non- Pharmacological Techniques (NPT), in addition to standard pharmacological techniques, can help to manage and reduce the preoperative anxiety of children waiting for Day Surgery procedures (DS). Isola Serena activity started in 2008 to manage the preoperative time of children waiting for surgery in the playing room. The latter is run by a pedagogist. NPT includes use of games and toys, readings and drawings. A descriptive and comparative study was conducted on 50 children, aged 4 to 12 years, randomly assigned to Isola Serena group ISG and control group CG. All children received standard pharmacological techniques, while those of the ISG also received the NPT. The evaluation of the preoperative anxiety level (modified Yale Preoperative Anxiety Scale) and parent’s coping style (Coping Inventory for Stressful Situation) compared the two groups. The ISG showed a significantly lower level of preoperative anxiety than the CG. Parents’ coping style was not related to the preoperative anxiety. The activity performed in the Isola Serena Project resulted to be effective for the reduction of preoperative anxiety in children undergoing DS procedures.

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“…Estudos 12,13 semelhantes foram realizados comparando o efeito de distração eletrônica, um por vídeo e outro por jogos a escolha adequada para idade, com o efeito do midazolan, comparando a ansiedade da criança, assim como também dos pais, o resultado satisfatório em relação a um objeto eletrônico, visto que não foi nem inferior nem superior ao efeito do midazolam (via oral 0,5mg/kg).…”

Section: Ensaio Clínico Randomizadounclassified

A Necessidade Da Introdução Do Brinquedo Terapeutico No Perioperatório

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et al. 2021

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ARTIGO DE REVISÃO A necessidade da introdução do brinquedo terapêutico no perioperatórioThe need for the introduction of therapeutic toys in the perioperative period La necesidad de la introducción de juguetes terapéuticos en el período perioperatorio Resumo Objetivou-se descrever os benefícios da utilização do brinquedo terapêutico no perioperatório, demonstrar quais brinquedos fizeram parte e auxiliaram para redução do estresse e ansiedade na criança, e o reconhecimento dos benéficos do brinquedo no perioperatório e a importância do profissional da enfermagem no desen-volvimento da brincadeira terapêutica. A metodologia do estudo foi uma revisão de literatura, através de refe-rências disponibilizadas nas bases de dados eletrônicos BIREME, PubMed e SciELO. Demonstrou-se quais brin-quedos fizeram parte na intervenção, tanto como brinquedo terapêutico, quanto para distração, além dos brin-quedos aliados na redução da ansiedade, como o carro de brinquedo em lugar de maca, além de outros brin-quedos já disponíveis para a intervenção perioperatória, como fantoches, livros com contos de cirurgias, tea-tros, e materiais hospitalares educativos. Viu-se que a tecnologia foi o mais presenciado e vem sendo uma reali-dade promissora em questão de intervenção perioperatória. Demonstrou que embora a diversidade de tecno-logias disponíveis a favor da preparação perioperatória se iguala à pré-medicação utilizada em pré-operatório, levando vantagem visto que a medicação possui efeitos colaterais.

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The effect of play distraction on anxiety before premedication administration: a randomized trial

Cited by 25 publications

References 16 publications

The Multidimensional Assessment for Pediatric Patients in Radiotherapy (M.A.P.-RT) Tool for Customized Treatment Preparation: RADAR Project

The Multidimensional Assessment for Pediatric Patients in Radiotherapy (M.A.P.-RT) Tool for Customized Treatment Preparation: RADAR Project

Application of a non-pharmacological technique in addition to the pharmacological protocol for the management of children’s preoperative anxiety: A 10 years’ experience

A Necessidade Da Introdução Do Brinquedo Terapeutico No Perioperatório

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