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Video game distraction and anesthesia mask practice reduces children's preoperative anxiety: A randomized clinical

Doa'a Abdullah Dwairej1, Hala Mahmoud Obeidat2, Abdelkarim Saleh Aloweidi3

  • 1Department of clinical nursing, School of Nursing, The University of Jordan, Amman, Jordan.

Journal for Specialists in Pediatric Nursing : JSPN
|October 3, 2019
PubMed

Insights

A new intervention combining video games and anesthesia mask exposure significantly reduced preoperative anxiety and improved anesthesia induction compliance in children undergoing surgery. Emergence delirium was not significantly affected by this approach.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Surgical Care

Background:

  • Preoperative anxiety is common in children undergoing surgery.
  • Anxiety can negatively impact anesthesia induction and recovery.
  • Effective, non-pharmacological interventions are needed to manage pediatric preoperative anxiety.

Purpose of the Study:

  • To evaluate the effectiveness of a combined video game distraction and anesthesia mask exposure and shaping intervention.
  • To compare this intervention against conventional preoperative preparation.
  • To assess impacts on preoperative anxiety, anesthesia induction compliance, and emergence delirium in children.

Main Methods:

  • A randomized clinical trial adhering to CONSORT guidelines.
  • 128 children (5-11 years) undergoing day-case surgery were randomized (1:1) into intervention or control groups.
  • The intervention group received combined video game distraction and anesthesia mask exposure and shaping.

Main Results:

  • Children in the intervention group showed significantly lower anxiety scores preoperatively and during anesthesia induction.
  • Anesthesia induction compliance was significantly better in the intervention group compared to the control group.
  • No significant difference was observed in emergence delirium between the groups.

Conclusions:

  • Combined video game distraction and anesthesia mask exposure is an effective strategy for reducing preoperative anxiety in children.
  • This intervention enhances anesthesia induction compliance in pediatric surgical patients.
  • The intervention is simple, safe, and time-efficient for nurses to implement.
Abstract

Keywords:
anesthesia induction complianceanesthesia mask exposure and shapingchildrencombined interventionemergence deliriumpreoperative anxietyrandomized clinical trialvideo game distraction

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