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Preoperative informational video reduces preoperative anxiety and postoperative negative behavioral changes in
Aslı Batuman1, Ersel Gulec, Mediha Turktan
1Department of Anesthesiology, Yeni Mahalle Training and Research Hospital, Yildirim Beyazit University, Ankara, Turkey - gulecersel@yahoo.com.
Insights
Informational videos featuring role-play modeling significantly reduce preoperative anxiety and improve postoperative behavior in children undergoing surgery. This preparation method helps ease children's distress during medical procedures.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
- Surgical Patient Care
Background:
- Anesthesia and surgery can cause significant distress in children.
- Sedative premedication and preoperative preparation are used to reduce anxiety.
- Informational videos using role-play modeling are a potential technique to mitigate preoperative anxiety.
Purpose of the Study:
- To assess the impact of an informational video based on role-play modeling on preoperative anxiety.
- To evaluate the effect of this video intervention on postoperative behavior changes in children undergoing surgery.
Main Methods:
- Forty-two children (aged 5-12 years) were randomly assigned to watch an informational video (Group V) or receive standard verbal information (Group C).
- Preoperative anxiety was measured using the Modified Yale Preoperative Anxiety Scale (MYPAS).
- Postoperative maladaptive behaviors (POMB) were assessed one week after discharge using the Post Hospitalization Behavioral Questionnaire.
Main Results:
- Demographics were similar between the video and standard care groups.
- Total MYPAS scores were significantly lower in the video group (P=0.0001).
- Reduced incidence of sleep difficulties, nocturnal enuresis, fear of the dark, bedtime resistance, and decreased appetite was observed in the video group, with a correlation noted between anxiety scores and POMB.
Conclusions:
- Informational videos utilizing role-play modeling effectively reduce preoperative anxiety in children.
- This intervention also decreases negative behavioral changes after surgery.
- Model-based video preparation is a valuable tool for managing pediatric surgical patients' anxiety and behavior.
Background:
Anesthesia and surgery can lead to major distress for children. Sedative premedication and preoperative preparation techniques are available to reduce preoperative anxiety in children. We aimed to assess the effect of informational video based on role-play modelling on preoperative anxiety and postoperative behavior changes in children undergoing surgery.
Methods:
Forty-two children aged 5-12 years, with American Society of Anesthesiologist physical status I-II, scheduled for elective outpatient surgery, were enrolled in this study. Patients were randomly allocated to one group with or without information video presentation. In group V, patients watched the information video (N.=21). Other children were verbally informed in a standard care (group C, N.=21). We recorded patient's demographics (age, birth order, surgery time, surgery type, history of previous surgery, parent's age, parental working status, parental education level), the preoperative anxiety level using Modified Yale Preoperative Anxiety Scale (MYPAS) and at 1 week after discharge, new developing postoperative maladaptive behaviors (POMB) using the Post Hospitalization Behavioral Questionnaire by telephone interview.
Results:
Patient's demographics were similar in both groups. Total MYPAS scores were found to be lower in group V as compared to group C P=0.0001). Difficulty getting to sleep, nocturnal enuresis, fear of dark, to object to go to bed at night and decreased appetite of new developing POMB were found to be lower in group V than group C. We also found a correlation between anxiety scores and POMB.
Conclusions:
The presentation of an informational video based on model making reduces preoperative anxiety at the time of placement of the facemask and postoperative negative behavioral changes in children.
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