Using a children's book to prepare children and parents for elective ENT surgery: results of a randomized clinical trial

Felder-Puig, R.; Maksys, Anna; Noestlinger, Christiane; Gadner, Helmut; Stark, Herbert H.; Pfluegler, Angela; Topf, Reinhard

doi:10.1016/s0165-5876(02)00359-2

Cited by 81 publications

(77 citation statements)

References 15 publications

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“…Several factors may contribute to children's negative responses to the hospitalization experience: such as the anticipation of pain; the perception of danger; fear related to hospital procedures and surgical instruments; loss of control; unfamiliar routines and people; separation from parents; and parental anxiety [7,11,24]. A previous study demonstrates that a preoperative informational book educated the children and provided the benefit of reducing anxiety in the children [70]. Similarly, studies conducted with preoperative educational modeling videos also reveal a positive effect on children's anxiety relief and a reduction on postoperative maladaptive behaviors [66].…”

Section: Discussionmentioning

confidence: 99%

Providing preoperative information for children undergoing surgery: a randomized study testing different types of educational material to reduce children's preoperative worries

Fernandes

Arriaga

Esteves

2014

Health Education Research

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Section: Discussionmentioning

confidence: 99%

Providing preoperative information for children undergoing surgery: a randomized study testing different types of educational material to reduce children's preoperative worries

Fernandes

Arriaga

Esteves

2014

Health Education Research

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“…A variety of formats have been examined for preparation, such as computer programs, 26 videos, 27,28 puppets, 29 written summaries, 30 and live models. 31 Typically, the formats combine some diversion along with didactics and experiential learning.…”

Section: Formatmentioning

confidence: 99%

Behavioral Approaches to Anxiety and Pain Management for Pediatric Venous Access

2008

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Pediatric venous access causes unnecessary anxiety and pain in children and, in turn, can have detrimental consequences. Behavioral approaches to pediatric venous access distress management can be organized temporally. Specifically, preparation before the procedure includes providing children with sensory and procedural information in an age-appropriate manner and providing training in coping skills. It is important to consider the timing, format, and content of the approach to provide optimal preparation for the unique circumstances of the individual patient. In addition to the child patient, preparing parents and teaching them which specific behaviors might be most helpful to their child should prove valuable to both patient and parents. During the procedure, there are benefits to providing secure and comfortable positioning. In addition, researchers recommend that adults encourage children to cope and actively engage children in distracting activities. For infants, there is support for the distress-mitigation properties of swaddling, skin-to-skin contact, breastfeeding, and sucrose. After venous access, distraction and encouragement of coping should speed recovery. In sum, research in behavioral approaches to pediatric pain management has provided recommendations for minimizing children's anxiety and pain associated with venous access. Pediatrics 2008;122:S134-S139 P EDIATRIC PAIN FROM medical procedures results in short-term suffering, but there are recent data to indicate that there are also long-term detrimental effects. Specifically, early painful insults might have lasting negative effects on neuronal development, pain threshold and sensitivity, coping strategies, emotionality, and pain perceptions. 1,2 As an example, Bijttebier and Vertommen 3 showed that children with a history of negative medical experiences showed high anxiety before venipuncture and were distressed and uncooperative during the procedure. Childhood medical pain has also been linked to later adulthood fear, pain, and avoidance of medical care. 4 In addition, high pain at medical visits predicts missed future medical appointments and poor health care follow-up. [5][6][7] Fortunately, there is a rich body of data supporting behavioral strategies that mitigate the anxiety and pain associated with pediatric medical procedures generally, 8 and children's needle-related pain in particular. 9 Nonpharmacologic or behavioral approaches to acute pediatric pain are rooted in the gate-control theory. 10,11 The theory suggests that descending nerve impulses from the brain, such as thoughts, beliefs, emotions, and attention, can influence the ascending pain signal from the tissue damage. For example, anxiety might heighten pain experience, whereas attention focused on a pleasant activity might decrease pain. Thus, behavioral interventions typically involve teaching coping, inducing relaxation, or providing distraction. Although literature documenting the efficacy of behavioral interventions for children's acute medical pain exists, the data...

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“…In an effort to minimize the anxiety symptoms of children undergoing surgery and familiarize them with the procedures to enhance their coping skills, healthcare professionals have developed preoperative preparation programs (O'Byrne, Peterson, & Saldana, 1997;Rice, Glasper, Keeton, & Spargo, 2008) and investigated the benefits of some interventions, such as the presence of a family member during the induction of anesthesia (McCann & Kain, 2001;Shirley, et al, 1998;Wollin, Plummer, Owen, Hawkins, & Materazzo, 2003), educational videos (Cassady, Wysocki, Miller, Cancel, & Izenberg, 1999), books (Felder-Puig, et al, 2003), and the use of several distracters such as music (Augustin & Hains, 1996;Heiser, Chiles, Fudge, & Gray, 1997;Kain, et al, 2004), video games (Patel, et al, 2006), and toys (Golden, et al, 2006). Based on the assumption that humor is associated with the well-being of patients (Bennett & Lengacher, 2006a, 2006bMartin, 2001;Stuber, et al, 2007), there has been an increase in interventions provided by "clown doctors" in pediatric settings (Koller & Gryski, 2008).…”

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confidence: 99%

The effects of clown intervention on worries and emotional responses in children undergoing surgery

2010

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This study investigated whether clown intervention could reduce preoperative worries and the affective responses of children undergoing minor surgery. Parental anxiety was also tested.Child's age, previous hospitalization, and temperament were tested as predictors of the child's responses during this preoperative phase. Seventy children were assigned to one of two groups: children accompanied by their parents and a pair of clowns or, those accompanied by the parents but without the clowns. The results emphasized the relevance of clown intervention on the reduction of preoperative worries and emotional responses, not only in children but also in their parents.

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Using a children's book to prepare children and parents for elective ENT surgery: results of a randomized clinical trial

Cited by 81 publications

References 15 publications

Providing preoperative information for children undergoing surgery: a randomized study testing different types of educational material to reduce children's preoperative worries

Providing preoperative information for children undergoing surgery: a randomized study testing different types of educational material to reduce children's preoperative worries

Behavioral Approaches to Anxiety and Pain Management for Pediatric Venous Access

The effects of clown intervention on worries and emotional responses in children undergoing surgery

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