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Preoperative intervention for the reduction of anxiety in pediatric surgery patients
Insights
Preoperative preparation significantly reduces anxiety in children undergoing tonsillectomy/adenoidectomy. An in vivo preview of the surgical experience proved more effective than a slideshow or standard care in lowering child anxiety and improving post-operative recovery.
Area of Science:
- Pediatric Psychology
- Surgical Patient Care
- Childhood Anxiety Management
Background:
- Hospitalization and surgery can negatively impact children's psychological well-being.
- Preoperative interventions are crucial for mitigating these adverse effects.
- Tonsillectomy/adenoidectomy is a common procedure in pediatric patients.
Purpose of the Study:
- To compare the effectiveness of different preoperative interventions in reducing anxiety in children undergoing tonsillectomy/adenoidectomy.
- To assess the impact of these interventions on post-operative recovery.
- To identify optimal strategies for pediatric surgical preparation.
Main Methods:
- A study involving 3- to 9-year-old patients scheduled for tonsillectomy/adenoidectomy.
- Comparison of three groups: in vivo preparation (experiencing procedures/equipment), slide show (depicting hospitalization/surgery), and standard nursing care (control).
- Anxiety levels were assessed at three points, and post-operative drinking time was measured.
Main Results:
- The in vivo preparation group exhibited significantly lower anxiety levels compared to the slide show and control groups.
- Children in the in vivo group demonstrated faster recovery, evidenced by reduced time to drink post-surgery.
- The in vivo intervention was superior in managing pre-operative psychological distress.
Conclusions:
- In vivo preoperative preparation is a highly effective method for reducing anxiety in pediatric surgical patients.
- This intervention positively influences post-operative recovery, suggesting broader benefits.
- Healthcare providers should consider implementing in vivo preparation for pediatric surgical patients to improve outcomes.
Abstract:
Hospitalization and surgery can have adverse psychological effects on children that may be prevented by preoperative intervention procedures. The present study compared an in vivo preparation in which 3- to 9-year-old patients who were about to undergo tonsillectomy/adenoidectomy surgery experienced a preview of the procedures and equipment, a slide show condition depicting hospitalization and surgery, or a standard nursing care control group. The in vivo group was rated as significantly less anxious than the slide show and control groups at each of the three assessment points. The in vivo children also took less time to drink following surgery than the slide show and control groups.