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Giving toys to children reduces their anxiety about receiving premedication for surgery
Leonard Golden1, Murali Pagala, Sujatha Sukhavasi
1Department of Anesthesiology, Maimonides Medical Center, Brooklyn, New York, USA. lganesthesia@yahoo.com
Insights
Giving children a toy before oral premedication significantly reduces preoperative anxiety. This simple intervention improves the experience of administering medications like midazolam to young patients.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
- Medical Interventions
Background:
- Preoperative anxiety is common in children, impacting their experience and cooperation.
- Administering oral premedication to children often faces resistance due to fear and apprehension.
- Effective strategies are needed to mitigate anxiety during this critical period.
Purpose of the Study:
- To investigate the efficacy of providing a small toy as an intervention to decrease preoperative anxiety in children.
- To assess the impact of a toy on children's willingness to accept oral premedication.
- To evaluate a novel, non-pharmacological approach to managing pediatric preoperative anxiety.
Main Methods:
- A prospective study involving 100 children aged 3-6 years.
- Participants were randomized into two equal groups: one receiving a toy, the other not.
- Anxiety levels were measured using the Modified Yale Preoperative Anxiety Scale before oral midazolam administration.
Main Results:
- Children who received a toy prior to oral midazolam administration exhibited significantly lower anxiety levels.
- The intervention demonstrated a measurable positive effect on reducing anxiety associated with premedication.
- Providing a toy proved to be an effective strategy in this pediatric cohort.
Conclusions:
- Offering a small toy is a simple yet effective method for reducing preoperative anxiety in children undergoing medical procedures.
- This non-pharmacological intervention can improve the administration of oral premedication and enhance the overall patient experience.
- Further research could explore this strategy in different age groups and procedural contexts.
Abstract:
Children have increased anxiety during the preoperative period. The administration of oral premedication to children is often met with apprehension, reluctance, or refusal. We sought to determine whether giving a small toy to the children would decrease the anxiety associated with taking oral premedication. This was a prospective study involving 100 children 3-6 yr of age randomized into two equal groups. The anxiety of each child was assessed using the Modified Yale Preoperative Anxiety Scale. The results showed significantly less anxiety in children who received a toy before oral administration of midazolam.
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