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Association between parental anxiety and compliance with preoperative requirements for pediatric outpatient surgery
Nita Chahal1, Cedric Manlhiot, Kimberly Colapinto
1Labatt Family Heart Centre, Division of Cardiology, Department of Pediatrics, Toronto, ON, Canada.
Insights
High parental anxiety may lead to parents not following surgery preparation guidelines, potentially increasing surgical cancellations. This impacts pediatric surgical care.
Area of Science:
- Pediatric Surgery
- Anxiety Research
- Healthcare Compliance
Background:
- Preoperative requirements are crucial for successful same-day surgeries.
- Surgical cancellations due to non-compliance incur significant costs and delays.
- Understanding factors influencing parental adherence is vital.
Purpose of the Study:
- To investigate the association between parental anxiety and adherence to preoperative requirements.
- To identify if parental anxiety impacts the ability to follow surgical preparation guidelines.
Main Methods:
- Observational study at a tertiary pediatric hospital.
- Parental anxiety measured using the State-Trait Anxiety Inventory (STAI).
- Adherence assessed via a four-point checklist for dietary, timing, and documentation requirements.
Main Results:
- 66% of families complied with all four preoperative requirements.
- Increased parental anxiety (STAI scores) was significantly linked to lower compliance rates (OR 0.88).
- Factors like younger parent age and child's first surgery correlated with higher anxiety.
Conclusions:
- Parental anxiety is a significant factor associated with poor adherence to preoperative protocols.
- Addressing parental anxiety may improve compliance and reduce surgical cancellations.
Purpose:
The purpose of this study was to determine if parental anxiety interferes with the ability to follow preoperative requirements.
Method:
In a single center observational study of parents of children admitted to a same-day surgical unit at a tertiary pediatric hospital, parental preoperative anxiety was measured by the State-Trait Anxiety Inventory (STAI) questionnaire. Anxiety was correlated to a four points assessment of adherence with the following preoperative requirements: dietary restrictions, timely arrival at the hospital, arrival at the assigned room, and completion of required medical forms, because those requirements are the greatest external contributors to surgical cancellation according to hospital statistics.
Results:
A total of 203 families completed the study. The average STAI score on the day of surgery was 38+/-12 (population average, 36+/-11). Only 130 families (66%) complied with all four preoperative requirements. A higher level of anxiety was significantly associated with lower probability of compliance (odds ratio, 0.88; 95% confidence interval, 0.78-1.00, P=05). In univariate models, factors associated with higher STAI scores included younger parent age, younger children, only child, child's first surgery, and no medical consultation between surgical assessment and surgery.
Discussion:
Parental anxiety could be associated with a lower likelihood of parents following preoperative requirements and could contribute to increased likelihood of surgical cancellation.
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