Preoperative anxiety is a common event-related psychological disorder, which increases the perioperative risk, especially among children. The aim of this study is to establish a specialized waiting room for pediatric patients and investigate the efficiency on preoperative anxiety. This is a single center, open label, randomized controlled trial. Eligible children were randomly allocated into the routine waiting group (control group) and the specialized waiting group (study group). The Children's Emotional Manifestation Scale (CEMS), crying times, separation emotion, the degree of coordination, satisfaction score of parents, and quality of postoperative recovery were collected and analyzed. A total of 150 children were included and analyzed. Patients in the study group had lower CEMS score, less crying times, better separation emotion and coordination degree, and better recovery quality on the 1st postoperative day than those in the control group (p<0.05). However, the recovery quality on the 3rd or 7th postoperative day was comparable between the groups (p>0.05). Besides, the guardians in the study group gave higher scores to the preoperative waiting procedure (p<0.05). Our specialized waiting room for pediatric patients is an effective non-pharmacological method to alleviating preoperative anxiety, increasing parents’ satisfaction score, and enhancing recovery quality of the 1st postoperative day.
| Published in | Psychology and Behavioral Sciences (Volume 13, Issue 1) |
| DOI | 10.11648/j.pbs.20241301.12 |
| Page(s) | 5-11 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Pediatrics, Preoperative Anxiety, Nursing, Non-Pharmacological Method
| [1] | Li, X., et al., Parental presence during induction of anesthesia in children undergoing tonsillectomy and adenoidectomy. Eur Arch Otorhinolaryngol, 2023. 280(12): p. 5475-5482. https://doi.org/10.1007/s00405-023-08222-3 |
| [2] | Darville-Beneby, R., et al., The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review. Can J Pain, 2023. 7(2): p. 2266751. https://doi.org/10.1080/24740527.2023.2266751 |
| [3] | Rajput, S. K., T. Tiwari, and A. K. Chaudhary, Effect of preoperative multimedia based video information on perioperative anxiety and hemodynamic stability in patients undergoing surgery under spinal anesthesia. J Family Med Prim Care, 2021. 10(1): p. 237-242. https://doi.org/10.4103/jfmpc.jfmpc_1544_20 |
| [4] | Fronk, E. and S. B. Billick, Pre-operative Anxiety in Pediatric Surgery Patients: Multiple Case Study Analysis with Literature Review. Psychiatr Q, 2020. 91(4): p. 1439-1451. https://doi.org/10.1007/s11126-020-09780-z |
| [5] | Franconi, I., et al., Preoperative anxiety management in children. Benefits of humanoid robots: an experimental study. Front Surg, 2023. 10: p. 1322085. https://doi.org/10.3389/fsurg.2023.1322085 |
| [6] | Benchimol-Elkaim, B., B. Khoury, and A. Tsimicalis, Nature-based mindfulness programs using virtual reality to reduce pediatric perioperative anxiety: a narrative review. Front Pediatr, 2024. 12: p. 1334221. https://doi.org/10.3389/fped.2024.1334221 |
| [7] | Dwairej, D. A., H. M. Obeidat, and A. S. Aloweidi, Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical trial. J Spec Pediatr Nurs, 2020. 25(1): p. e12272. https://doi.org/10.1111/jspn.12272 |
| [8] | Li, H. C. and V. Lopez, Children's Emotional Manifestation Scale: development and testing. J Clin Nurs, 2005. 14(2): p. 223-9. https://doi.org/10.1111/j.1365-2702.2004.01031.x |
| [9] | Xin, L., L. Wang, and Y. Feng, Efficacy of ultrasound-guided erector spinae plane block on analgesia and quality of recovery after minimally invasive direct coronary artery bypass surgery: protocol for a randomized controlled trial. Trials, 2024. 25(1): p. 65. https://doi.org/10.1186/s13063-024-07925-0 |
| [10] | Xue, Q., et al., Added Syrup as a Flavoring to Oral Midazolam Intravenous Solution Premedication Improves Tolerability in Pediatric Patients. Drug Des Devel Ther, 2022. 16: p. 1211-1216. https://doi.org/10.2147/DDDT.S357660 |
| [11] | Bromfalk, Å., et al., Preoperative anxiety in preschool children: A randomized clinical trial comparing midazolam, clonidine, and dexmedetomidine. Paediatr Anaesth, 2021. 31(11): p. 1225-1233. https://doi.org/10.1111/pan.14279 |
| [12] | Impellizzeri, P., et al., Premedication with melatonin vs midazolam: efficacy on anxiety and compliance in paediatric surgical patients. Eur J Pediatr, 2017. 176(7): p. 947-953. https://doi.org/10.1007/s00431-017-2933-9 |
| [13] | Yuen, V. M., et al., A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial. Anesth Analg, 2008. 106(6): p. 1715-21. https://doi.org/10.1213/ane.0b013e31816c8929 |
| [14] | Aguilera, I. M., et al., Perioperative anxiety and postoperative behavioural disturbances in children undergoing intravenous or inhalation induction of anaesthesia. Paediatr Anaesth, 2003. 13(6): p. 501-7. https://doi.org/10.1046/j.1460-9592.2003.01002.x |
| [15] | Álvarez-García, C. and Z. Yaban, The effects of preoperative guided imagery interventions on preoperative anxiety and postoperative pain: A meta-analysis. Complement Ther Clin Pract, 2020. 38: p. 101077. https://doi.org/10.1016/j.ctcp.2019.101077 |
| [16] | Wu, J., et al., The effectiveness of distraction as preoperative anxiety management technique in pediatric patients: A systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud, 2022. 130: p. 104232. https://doi.org/10.1016/j.ijnurstu.2022.104232 |
| [17] | Levay, M. M., et al., The effect of active distraction compared to midazolam in preschool children in the perioperative setting: A randomized controlled trial. J Pediatr Nurs, 2023. 68: p. 35-43. https://doi.org/10.1016/j.pedn.2022.09.021 |
| [18] | Koo, C. H., et al., The Effect of Virtual Reality on Preoperative Anxiety: A Meta-Analysis of Randomized Controlled Trials. J Clin Med, 2020. 9(10): p. 3151. https://doi.org/10.3390/jcm9103151 |
| [19] | Díaz-Rodríguez, M., et al., The Effect of Play on Pain and Anxiety in Children in the Field of Nursing: A Systematic Review. J Pediatr Nurs, 2021. 61: p. 15-22. https://doi.org/10.1016/j.pedn.2021.02.022 |
| [20] | Stergiopoulou, A., et al., The effect of interactive multimedia on preoperative knowledge and postoperative recovery of patients undergoing laparoscopic cholecystectomy. Methods Inf Med, 2007. 46(4): p. 406-9. https://doi.org/10.1160/me0406 |
| [21] | Stergiopoulou, A., et al., The effect of a multimedia health educational program on the postoperative recovery of patients undergoing laparoscopic cholecystectomy. Stud Health Technol Inform, 2006. 124: p. 920-5. |
| [22] | Sadati, L., et al., Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci, 2013. 27(4): p. 994-8. https://doi.org/10.1111/scs.12022 |
| [23] | Che, Y. J., et al., Effects of an Informational Video About Anesthesia on Pre- and Post-Elective Cesarean Section Anxiety and Recovery: A Randomized Controlled Trial. Med Sci Monit, 2020. 26: p. e920428. https://doi.org/10.12659/MSM.920428 |
| [24] | Bromfalk, Å., et al., Postoperative recovery in preschool-aged children: A secondary analysis of a randomized controlled trial comparing premedication with midazolam, clonidine, and dexmedetomidine. Paediatr Anaesth, 2023. 33(11): p. 962-972. https://doi.org/10.1111/pan.14740 |
| [25] | Akhtar, A. B., H. N. Najeeb, and A. U. Rehman Ghafoor, Impact Of Incentive-Based Game Therapy And Transporting Children On Toy Vehicle To Operation Theatre On Reducing Anxiety Prior To Induction Of Anesthesia. J Pak Med Assoc, 2023. 73(7): p. 1388-1392. https://doi.org/10.47391/JPMA.6630 |
APA Style
Tang, Y., Lai, P., Liang, Z. (2024). Effects of the Specialized Preoperative Waiting Room on Preoperative Anxiety in Pediatric Patients. Psychology and Behavioral Sciences, 13(1), 5-11. https://doi.org/10.11648/j.pbs.20241301.12
ACS Style
Tang, Y.; Lai, P.; Liang, Z. Effects of the Specialized Preoperative Waiting Room on Preoperative Anxiety in Pediatric Patients. Psychol. Behav. Sci. 2024, 13(1), 5-11. doi: 10.11648/j.pbs.20241301.12
AMA Style
Tang Y, Lai P, Liang Z. Effects of the Specialized Preoperative Waiting Room on Preoperative Anxiety in Pediatric Patients. Psychol Behav Sci. 2024;13(1):5-11. doi: 10.11648/j.pbs.20241301.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.pbs.20241301.12,
author = {Yanqiu Tang and Ping Lai and Zhengbo Liang},
title = {Effects of the Specialized Preoperative Waiting Room on Preoperative Anxiety in Pediatric Patients},
journal = {Psychology and Behavioral Sciences},
volume = {13},
number = {1},
pages = {5-11},
doi = {10.11648/j.pbs.20241301.12},
url = {https://doi.org/10.11648/j.pbs.20241301.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20241301.12},
abstract = {Preoperative anxiety is a common event-related psychological disorder, which increases the perioperative risk, especially among children. The aim of this study is to establish a specialized waiting room for pediatric patients and investigate the efficiency on preoperative anxiety. This is a single center, open label, randomized controlled trial. Eligible children were randomly allocated into the routine waiting group (control group) and the specialized waiting group (study group). The Children's Emotional Manifestation Scale (CEMS), crying times, separation emotion, the degree of coordination, satisfaction score of parents, and quality of postoperative recovery were collected and analyzed. A total of 150 children were included and analyzed. Patients in the study group had lower CEMS score, less crying times, better separation emotion and coordination degree, and better recovery quality on the 1st postoperative day than those in the control group (prd or 7th postoperative day was comparable between the groups (p>0.05). Besides, the guardians in the study group gave higher scores to the preoperative waiting procedure (pst postoperative day.
},
year = {2024}
}
TY - JOUR T1 - Effects of the Specialized Preoperative Waiting Room on Preoperative Anxiety in Pediatric Patients AU - Yanqiu Tang AU - Ping Lai AU - Zhengbo Liang Y1 - 2024/03/13 PY - 2024 N1 - https://doi.org/10.11648/j.pbs.20241301.12 DO - 10.11648/j.pbs.20241301.12 T2 - Psychology and Behavioral Sciences JF - Psychology and Behavioral Sciences JO - Psychology and Behavioral Sciences SP - 5 EP - 11 PB - Science Publishing Group SN - 2328-7845 UR - https://doi.org/10.11648/j.pbs.20241301.12 AB - Preoperative anxiety is a common event-related psychological disorder, which increases the perioperative risk, especially among children. The aim of this study is to establish a specialized waiting room for pediatric patients and investigate the efficiency on preoperative anxiety. This is a single center, open label, randomized controlled trial. Eligible children were randomly allocated into the routine waiting group (control group) and the specialized waiting group (study group). The Children's Emotional Manifestation Scale (CEMS), crying times, separation emotion, the degree of coordination, satisfaction score of parents, and quality of postoperative recovery were collected and analyzed. A total of 150 children were included and analyzed. Patients in the study group had lower CEMS score, less crying times, better separation emotion and coordination degree, and better recovery quality on the 1st postoperative day than those in the control group (prd or 7th postoperative day was comparable between the groups (p>0.05). Besides, the guardians in the study group gave higher scores to the preoperative waiting procedure (pst postoperative day. VL - 13 IS - 1 ER -
Anesthesia and Operation Center, Deyang People’s Hospital, Deyang, China
