Threat perception, anxiety and noncompliance with preoperative fasting instructions among mothers of children attending elective same day surgery

Kushnir, Jonathan; Djerassi, Ranit; Sofer, Tamar; Kushnir, Talma

doi:10.1016/j.jpedsurg.2014.08.018

Cited by 14 publications

(13 citation statements)

References 64 publications

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“…Noncompliance with preoperative requirements including dietary restrictions, arrival time at the hospital, and completion of required pre‐surgical forms was shown to be associated with the parent's level of state anxiety 10 . In their study on threat perception, anxiety, and noncompliance with preoperative fasting instructions, Kushnir et al 8 noted that mothers who did not comply with fasting requirements perceived the surgical procedures as more threatening, were more anxious, and had lower scores of conscientiousness when compared to mothers who were compliant. Parental anxiety can affect the child's preoperative anxiety, lengthens recovery times, causes higher pain levels, and longer hospital stays.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, the rate of surgical cancellations or delays remains high, and the estimated cancelation rate on the day of surgery is reported to be as high as 18% 5 . Cancellations and delays in surgery have been noted to have both economic and emotional impact to the patients and their families, and an impact on overall health care costs and efficiency 8‐11 . Patients often travel from long distances for their surgical procedures, and delays and cancellations can be frustrating to all involved parties.…”

Section: Introductionmentioning

confidence: 99%

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Patient factors associated with NPO violations in a tertiary care pediatric otolaryngology practice

Billings

Schneider

Safri

et al. 2020

Laryngoscope Investig Oto

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Objectives: To determine demographic and patient variables associated with nothing by mouth (NPO) violations prior to surgery in a tertiary care pediatric hospital. Methods: A retrospective study of patients <18 years of age undergoing elective surgery at a tertiary care children's hospital from 1/1/16 to 4/30/19 who violated their NPO guidelines was performed. Variables associated with a higher rate of NPO violations were analyzed among the different surgical sub-specialties. Additional analyses were performed comparing those with NPO violations to the total group of patients undergoing surgery in the study period. Results: Of the 42 495 children who underwent elective surgical procedures in the study period, 625 (1.5%) committed NPO violations. The median age for those committing a violation was 3 years, and the majority (n = 421, 67.4%) were between 0 and 6 years of age. Otolaryngology patients committing NPO violations had a longer time between scheduling surgery and operative date than other surgical services (P < .0001), but a similar time as the urology service. Otolaryngology patients had the highest number of NPO violations (n = 245, 39.2%) compared to the other surgical services, despite doing 32.4% of the total surgical cases (P < .001). Children from Spanish-speaking homes accounted for 137 (21.9%) NPO violations, despite accounting for only 11.2% of total surgeries performed. Patients with Medicaid insurance (n = 438, 63.0%) had a higher rate of NPO violations, despite making up 43.6% of total patients. Conclusions: NPO violations occurred in 1.5% of patients during the study period, particularly among the youngest age range of the children analyzed, and they were most prevalent in the otolaryngology patients. Spanish speaking families, and those

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient factors associated with NPO violations in a tertiary care pediatric otolaryngology practice

Billings

Schneider

Safri

et al. 2020

Laryngoscope Investig Oto

View full text Add to dashboard Cite

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“…If a family member is hospitalized, the family goes through various challenges, such as adapting to an unfamiliar hospital environment. If a family member undergoes surgery, the other members experience stress, anxiety, and alienation due to the inability to cope with such process (Kushnir et al, 2015; Oberoi et al, 2016; Y. A. Yun, 2012).…”

Section: Introductionmentioning

confidence: 99%

Effects of Information Delivery Intervention for the Family of Patients Undergoing Surgery on Emergency in South Korea

et al. 2021

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The family of emergency surgery patients experience psychological pressure due to the uncertainty of the surgery. The purpose of the study was to examine the effects of information delivery intervention provided by an operation theater nurse on anxiety and satisfaction levels of the family of emergency surgery patients. A quasi-experimental pretest–posttest control group design is used. A total of 60 participants were included in the study as the family of patients undergoing emergency surgery within 6 hr in the emergency room of K hospital in Seoul, Korea (intervention: n = 30, control: n = 30). The information delivery intervention consisted of information on the operating room environment and surgery progress. The tools included the Anxiety scale to examine the anxiety levels and Perioperative Family Needs Questionnaire (PFNQ) to measure family satisfaction levels. Participants in the intervention group had a lower anxiety level ( p < .001) and higher family satisfaction with the intervention ( p < .001) than that of the control group. The information delivery intervention provided by an operation theater nurse was effective. It decreased the anxiety level and increased the satisfaction for the family member of emergency surgery patients. These findings can be used as clinical evidence to explore nursing interventions or strategies for the patient’s family during an emergency surgery.

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“…In addition, 13.5% of children presenting for elective surgery are not suitable with fasting, and it is observed that most parents do not know the real cause of the need for food deprivation preoperatively - only 9% believe is due to risk of aspiration 8 . Failure to comply with the preoperative fasting guidance often results in delays and operation cancellations 17 .…”

Section: Discussionmentioning

confidence: 99%

Changing Paradigms in Preoperative Fasting: Results of a Joint Effort in Pediatric Surgery

Carvalho

Carvalho²,

Nogueira

et al. 2017

ABCD, arq. bras. cir. dig.

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Background: Current researches associate long fasting periods to several adverse consequences. The fasting abbreviation to 2 h to clear liquids associated with the use of drinks containing carbohydrates attenuates endocrinometabolic response to surgical trauma, but often is observed children advised to not intake food from 00:00 h till the scheduled surgical time, regardless of what it is. Aim: To evaluate the safety of a protocol of preoperative fasting abbreviation with a beverage containing carbohydrates, and early postoperative feeding in children underwent elective small/mid-size surgical procedures during a national task-force on pediatric surgery. Methods: Thirty-six patients were prospectively included, and for several reasons five were excluded. All 31 who remained in the study received a nutritional supplement containing 150 ml of water plus 12.5% maltodextrin 2 h before the procedure. Data of the pre-operative fasting time, anesthetic complications and time of postoperative refeeding, were collected. Results:Twenty-three (74.2%) were males, the median age was 5 y, and the median weight was 20 kg. The median time of pre-operative fasting was 145 min and the time of post-operative refeeding was 135 min. There were no adverse effects on the anesthetic procedures or during surgery. Post-operatively, two children (6.5%) vomited. Conclusion: The abbreviation of pre-operative fasting to 2 h with beverage containing carbohydrate in pediatric surgery is safe. Early refeeding in elective small/mid-size procedures can be prescribed.

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Threat perception, anxiety and noncompliance with preoperative fasting instructions among mothers of children attending elective same day surgery

Cited by 14 publications

References 64 publications

Patient factors associated with NPO violations in a tertiary care pediatric otolaryngology practice

Patient factors associated with NPO violations in a tertiary care pediatric otolaryngology practice

Effects of Information Delivery Intervention for the Family of Patients Undergoing Surgery on Emergency in South Korea

Changing Paradigms in Preoperative Fasting: Results of a Joint Effort in Pediatric Surgery

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