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The Effect of Performing Preoperative Preparation Program on School Age Children's Anxiety

Nazanin Vaezzadeh1, Zahra Esmaeeli Douki, Abbas Hadipour

  • 1Nasibeh Nursing and Midwifery School, Mazandaran University Of Medical Sciences, Sari, Iran.

Insights

A preoperative preparation program using therapeutic play significantly reduced anxiety in children undergoing surgery. This intervention effectively prepared young patients, leading to lower anxiety levels post-procedure.

Area of Science:

  • Pediatric Surgery
  • Child Psychology
  • Healthcare Interventions

Background:

  • Preoperative anxiety is a common issue in children undergoing surgery.
  • Effective preparation strategies are crucial for managing pediatric anxiety.
  • Existing methods may not fully address the emotional needs of young surgical patients.

Purpose of the Study:

  • To evaluate the impact of a preoperative preparation program on children's anxiety levels.
  • To determine the efficacy of therapeutic play as a preoperative intervention.
  • To compare anxiety scores between children receiving the intervention and standard care.

Main Methods:

  • A randomized controlled trial involving 122 children (ages 7-12) undergoing elective surgery.
  • Participants were assigned to either an experimental group (therapeutic play) or a control group (routine information).
  • Anxiety levels were measured using state anxiety scores before and after the intervention, with statistical analysis via independent t-test and chi-squared test.

Main Results:

  • The experimental group showed a significantly lower state anxiety score after the intervention compared to the control group (P=0.000).
  • Mean anxiety scores decreased in the experimental group (31.44±5.87) but increased in the control group (38.31±7.44) post-intervention.
  • Baseline anxiety levels were comparable between the groups before the intervention.

Conclusions:

  • Therapeutic play-based preoperative preparation is effective in reducing anxiety in children awaiting surgery.
  • This intervention offers a valuable method for improving the preoperative experience for pediatric patients.
  • Implementing such programs can enhance psychological preparedness and potentially improve surgical outcomes.
Abstract

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