The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single‐blind randomised controlled trial

Fincher, Wendy; Shaw, Jane; Ramelet, Anne‐Sylvie

doi:10.1111/j.1365-2702.2011.03973.x

Cited by 101 publications

(163 citation statements)

References 32 publications

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“…The preoperative anxiety in children mainly has an important role in the development of a clinical picture of behavioral changes, crying, restlessness, agitation, and orientation disorders during the recovery period after anesthesia, which is commonly known as emergence agitation [20]. The incidence of emergence agitation in our study population was 43.5% in half an hour after the surgery.…”

Section: Discussionmentioning

confidence: 81%

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

Erkılıç¹,

Kesimci²,

Döğer³

et al. 2017

OJEpi

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Introduction: The preoperative distress and anxiety experienced by preschoolers are associated with an increased incidence of troubled recovery from anesthesia. However, influences of parental anxiety on children at different stages of the surgical processes are not clear. The aim of this study was to evaluate any existing association between preoperative parental anxiety and emergence agitation in a pediatric surgery population. Materials and Methods: A total of 60 children ASA class I or II, aged 3 -12 years old, undergoing adenotonsillectomy with sevoflurane, were included in the study. Before surgery, we used State-Trait Anxiety Inventory S-T (STAI S-T) to assess parental anxiety. Emergence agitation of the children was assessed with Watcha scale and recorded every 10 min of first 30 min of the postoperative period. Parents were contacted 24 hours after the surgery to evaluate their satisfaction, post operative pain and any side effect observed in the children. Results: Preoperatively, the mean STAI-S scores of mothers were significantly higher than those of fathers (p < 0.05). The details of surgery, anesthesia and length of hospital stay after surgery were found to be associated with these scores. The STAI-T scores of mothers and fathers were similar (p > 0.05). The children had the highest agitation scores at 10 th postoperative minutes with an incidence of 73.9%. There was no correlation between parental anxiety and emergence agitation. Logistic regression analysis showed that low educational level of the parent was the only independent factor for state anxiety (OR: 8.96, 95% CI: 1.50 -40.35, p = 0.030). Discussion: In this study, we observed that education level of the parents might affect their preoperative anxiety. The factors influential in parental anxiety were not correlated with pediatric emergence agitation in this study.

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Section: Discussionmentioning

confidence: 81%

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

Erkılıç¹,

Kesimci²,

Döğer³

et al. 2017

OJEpi

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“…Kain et al, 2003;Wright et al, 2007), which may be a consequence of a contagious interaction (Jay, Ozolins, Elliott & Caldwell, 1983). Several studies have documented this relationship between child and parental anxiety (Fincher, Shaw & Ramelet, 2012). In addition, preoperative educational programs concerning the hospital and medical procedures may reduce parental anxiety USING AN EDUCATIONAL MULTIMEDIA 8 (Watson & Visram, 2003), not only when preoperative information is provided directly to parents, but also through their child's preparation (Watson & Visram, 2003), given that parents could be indirectly involved in the activities through their child (Fincher et al, 2012).…”

mentioning

confidence: 99%

“…Several studies have documented this relationship between child and parental anxiety (Fincher, Shaw & Ramelet, 2012). In addition, preoperative educational programs concerning the hospital and medical procedures may reduce parental anxiety USING AN EDUCATIONAL MULTIMEDIA 8 (Watson & Visram, 2003), not only when preoperative information is provided directly to parents, but also through their child's preparation (Watson & Visram, 2003), given that parents could be indirectly involved in the activities through their child (Fincher et al, 2012). Thus, we also expected that parents in the Educational Multimedia Group would report less anxiety than those in the Control and in the Entertainment Video Game Group (H6).…”

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confidence: 99%

Using an Educational Multimedia Application to Prepare Children for Outpatient Surgeries

Fernandes

Arriaga

Esteves

2014

Health Communication

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“…Estudos apontam relações entre esses fenômenos e o aumento de efeitos pós-operatórios clínicos adversos que podem deixar marcas permanentes em suas vidas. Portanto, desde a metade do século xx, diversos estudos apontam a preparação psicológica pré-cirúrgica infantil como uma estratégia de saúde importante (Paladino, Carvalho, & Almeida, 2014;Fincher, Shaw, & Ramelet, 2011;Jaaniste, Hayes, & von Baeyer, 2007;O'Sullivan & Wong, 2013;Paladino, Carvalho, & Almeida, 2014).…”

Section: Introductionunclassified

“…Várias estratégias e ferramentas já foram criadas e sua eficácia testada para esse fim, de medidas simples e baratas a instrumentos bastante sofisticados e custosos, como as informações educativas, que podem ser transmitidas verbalmente ou por fornecimento de modelos para as crianças com o auxílio de bonecos e brinquedos hospitalares ou vídeo (Aouad, 2011;Fernandes, Arriaga, & Esteves, 2014b;Fincher et al, 2011). Porém, os estudos apontam que a eficácia dessas intervenções varia de acordo com múltiplos fatores, desde o tipo de intervenção oferecida, a idade da criança, a gravidade do quadro clínico, o tempo de internação, até as experiências prévias de hospitalização da criança, seu temperamento e estratégias de enfrentamento da situação (Yuki & Daaboul, 2011).…”

Section: Introductionunclassified

Efectos de preparaciones psicológicas prequirúrgicas sobre el estrés y la ansiedad de niños y niñas

et al. 2017

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A preparação infantil para a cirurgia é foco de atenção da equipe de saúde pelo potencial traumático dos procedimentos cirúrgicos e por ser fonte de estresse e ansiedade na infância. O impacto de três preparações psicológicas pré-cirúrgicas sobre o estresse e a ansiedade de crianças submetidas a cirurgias eletivas foi avaliado. A amostra foi composta por 80 crianças de um hospital infantil, a qual foi dividida em dois blocos de 40 sujeitos de acordo com o sexo e alocados aleatoriamente num dos quatro grupos: controle, preparação por informações verbais, preparação por jogo com kit de preparação ou preparação por vídeo informativo. O estresse e a ansiedade foram mensurados por meio da Escala de Stress Infantil (esi) e do Inventário de Ansiedade Traço-Estado (Idate-c). A intervenção foi implementada em três etapas distintas: (a) aplicação da esi e do Idate-c antes da preparação, no dia anterior a cirurgia; (b) a preparação propriamente dita nos grupos submetidos aos diferentes programas de preparação, também no dia anterior, e (c) a reaplicação da esi e do Idate-c no dia da cirurgia. Os dados foram analisados por meio de equações de regressão simultâneas, e as estimativas são apresentadas em termos de diferença média padronizada e erro-padrão. Os resultados permitem inferir que a preparação com o vídeo reduziu o estresse (T vídeo1 = -38 ± .18) e a ansiedade (T vídeo2 = -.54 ± .27), especialmente entre os meninos (T vídeoM1 = -.66 ± .25; T vídeoM2 = -.71 ± .38). Implicações práticas para a preparação psicológica das crianças em situação pré-cirúrgica e limitações da pesquisa são discutidas. Palavras-chave: Ansiedade pré-cirúrgica, cirurgia na infância, estresse pré-cirúrgico, preparação psicológica.Efectos de la preparación psicológica prequirúrgica sobre el estrés y la ansiedad en niños y niñas ResumenLa preparación infantil para una cirugía es el centro de atención del equipo de salud debido al potencial traumático de los procedimientos quirúrgicos y debido a que es una fuente de estrés y ansiedad en la infancia. En la presente investigación se evaluó el impacto de tres formas de preparación psicológica prequirúrgica ante el estrés y la ansiedad de los niños sometidos a cirugía electiva. La muestra estuvo constituida por 80 niños de un hospital infantil, divididos en dos bloques de 40 sujetos según el sexo, y asignados al azar a uno de cuatro grupos: control, preparación a través de información verbal, preparación a través de juego con el kit de preparación, o preparación a través de video informativo. Se utilizó la Escala de Estrés Infantil (ESI) y el Inventario Ansiedad Estado-Rasgo para niños (STAIC) para medir el estrés y la ansiedad de los niños. La intervención se llevó a cabo en tres etapas distintas: (a) aplicación del ESI y el STAIC antes de la preparación, el día anterior a la cirugía; (b) preparación propiamente dicha en los grupos de los diferentes programas de preparación el día anterior; y (c) reaplicación del ESI-C y el STAIC el día de la cirugía. El análisis de los datos se hizo mediante ecuacione...

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The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single‐blind randomised controlled trial

Abstract: Parents should be actively involved in their child preoperative preparation.

Cited by 101 publications

References 32 publications

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers

Using an Educational Multimedia Application to Prepare Children for Outpatient Surgeries

Efectos de preparaciones psicológicas prequirúrgicas sobre el estrés y la ansiedad de niños y niñas

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