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Psychoeducational preparation of children for surgery: the importance of parental involvement

Ho Cheung William Li1, Violeta Lopez, Tin Loi Isabel Lee

  • 1The Nethersole School of Nursing, Esther Lee Building, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China. williamli@cuhk.edu.hk

Patient Education and Counseling
|July 29, 2006
PubMed

Insights

Therapeutic play intervention significantly reduced anxiety and negative behaviors in children undergoing day surgery. Parental involvement in preparation also enhanced satisfaction, though pain levels remained unchanged between groups.

Area of Science:

  • Pediatric Nursing
  • Child Psychology
  • Surgical Care

Background:

  • Day surgery is increasingly common for pediatric patients.
  • Anxiety and behavioral distress are significant concerns for children undergoing surgery.
  • Parental involvement is crucial for effective psychoeducational preparation.

Purpose of the Study:

  • To evaluate the impact of therapeutic play on children undergoing day surgery.
  • To emphasize the role of parents in the psychoeducational preparation process.
  • To assess outcomes such as anxiety, emotional behavior, and pain.

Main Methods:

  • Randomized controlled trial with a pre-test/post-test design.
  • 203 Hong Kong Chinese children (7-12 years) and their parents participated.
  • Intervention group received therapeutic play; control group received routine information.

Main Results:

  • Experimental group showed lower state anxiety in children and parents.
  • Children in the intervention group displayed fewer negative emotional behaviors.
  • Parental satisfaction was higher in the therapeutic play group; no difference in post-operative pain.

Conclusions:

  • Therapeutic play intervention is effective in managing pre- and post-operative anxiety and behavior in children.
  • Parental involvement enhances the effectiveness of surgical preparation.
  • Integrating therapeutic play and parental support is vital for holistic pediatric nursing care.
Abstract

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