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Effects of auditory and audiovisual presentations on anxiety and behavioral changes in children undergoing elective
Z Hatipoglu1, E Gulec1, D Lafli1
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Cukurova University, Adana, Turkey.
Insights
Audiovisual presentations significantly reduced preoperative anxiety in children undergoing surgery compared to auditory or no presentations. Both audiovisual and auditory methods were equally effective in managing postoperative behavioral changes.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Child Psychology
Background:
- Preoperative anxiety in children is a significant concern.
- It is linked to negative postoperative behavioral changes.
Purpose of the Study:
- To assess the impact of audiovisual and auditory perioperative information on children's preoperative anxiety.
- To evaluate the effect of these interventions on postoperative behavioral disturbances.
Main Methods:
- 99 children (5-12 years) undergoing elective ambulatory surgery were randomized into three groups: audiovisual, auditory, and control.
- The Modified Yale Preoperative Anxiety Scale (M-YPAS) and posthospitalization behavioral questionnaire (PHBQ) were used for assessment.
Main Results:
- Audiovisual presentations led to significantly lower M-YPAS scores compared to control and auditory groups.
- The control group exhibited higher PHBQ scores than the intervention groups.
- No significant difference in PHBQ scores was observed between audiovisual and auditory groups.
Conclusions:
- Audiovisual presentations appear more effective than auditory ones in reducing preoperative anxiety in children.
- Both audiovisual and auditory methods demonstrate equal efficacy in mitigating postoperative behavioral changes.
Background:
: Preoperative anxiety is a critical issue in children, and associated with postoperative behavioral changes.
Aims:
: The purpose of the current study is to evaluate how audiovisual and auditory presentations about the perioperative period impact preoperative anxiety and postoperative behavioral disturbances of children undergoing elective ambulatory surgery.
Materials And Methods:
: A total of 99 patients between the ages of 5-12, scheduled to undergo outpatient surgery, participated in this study. Participants were randomly assigned to one of three groups; audiovisual group (Group V, n = 33), auditory group (Group A, n = 33), and control group (Group C, n = 33). During the evaluation, the Modified Yale Preoperative Anxiety Scale (M-YPAS) and the posthospitalization behavioral questionnaire (PHBQ) were used.
Results:
: There were no significant differences in demographic characteristics between the groups. M-YPAS scores were significantly lower in Group V than in Groups C and A (P < 0.001 and P < 0.001, respectively). PHBQ scores in Group C were statistically higher than in Groups A and V, but, no statistical difference was found between Groups A and V.
Conclusion:
Compared to auditory presentations, audiovisual presentations, in terms of being memorable and interesting, may be more effective in reducing children's anxiety. In addition, we can suggest that both methods can be equally effective for postoperative behavioral changes.
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