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Use of a preoperative playroom to prepare children for surgery
1Trauma Research Center, Kashan University of Medical Sciences (KAUMS), Kashan, Islamic Republic of Iran. meh_hosseinpour@yahoo.com
Insights
A dedicated playroom significantly reduces preoperative anxiety in children awaiting surgery. This intervention offers a comforting environment, improving the pediatric surgical experience.
Area of Science:
- Pediatric Surgery
- Child Psychology
- Healthcare Environment Design
Background:
- Preoperative anxiety is a common concern in pediatric patients undergoing surgery.
- Anxiety can negatively impact a child's experience and recovery.
- Effective interventions are needed to mitigate preoperative stress in children.
Purpose of the Study:
- To assess the effectiveness of a playroom adjacent to the operating room in reducing preoperative anxiety among children.
- To compare anxiety levels in children exposed to a playroom versus standard preoperative waiting areas.
Main Methods:
- A playroom equipped with age-appropriate toys and entertainment was established.
- Children were randomized into a case group (playroom) or a control group (standard waiting room).
- Anxiety levels were measured using the modified Yale Preoperative Anxiety Scale (m-YPAS).
Main Results:
- Two hundred children (100 per group) were evaluated.
- No significant age or gender differences were observed between groups.
- The case group, utilizing the playroom, showed a significant decrease in preoperative anxiety scores across all categories.
Conclusions:
- A preoperative playroom is a highly effective strategy for reducing anxiety in pediatric surgical patients.
- Implementing such playrooms can enhance the overall perioperative experience for children.
- This intervention provides a low-cost, high-impact solution for managing pediatric preoperative stress.
Objective:
The aim of this study was to evaluate the efficacy of a playroom next to the operating room to reduce preoperative anxiety in children.
Methods And Materials:
In 2009, we designed a playroom in a preoperative waiting room in our hospital. The playroom had colored toys and cars appropriate for different ages and a TV and video to show cartoons. Patients were randomly assigned into a case or a control group. Control group patients were admitted to the preoperative waiting room 30 min prior to operation. Case group patients were admitted to the playroom for the same period of time. The anxiety levels of the children were compared using the modified Yale Preoperative Anxiety Scale (m-YPAS).
Results:
In this study 200 children were evaluated (100 patients in the case group, 100 patients in the control group). There were 20 female and 80 male patients in the case group with a mean age of 4.33 ± 1.5 years and 26 female and 74 male patients in the control group with a mean age of 3.87 ± 1.2 years (p=NS). Inguinal herniorraphy was the most common procedure in both groups. Preoperative anxiety was significantly decreased for all categories of the anxiety score as assessed by m-YPAS questionnaire.
Conclusion:
A preoperative playroom is a very effective method to reduce preoperative anxiety in children.
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