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Published on: June 2, 2022
Current practice of pre-anaesthesia preparation and perioperative parental satisfaction during paediatric ambulatory
Preethy J Mathew1, Sadikshya Regmi1, Vighnesh Ashok1
1Department of Anaesthesiology and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Many children experience preoperative anxiety, and parental understanding of anesthesia is low. Enhancing preoperative preparation is crucial, especially in developing countries, to improve patient and family satisfaction.
Area of Science:
- Pediatric Anesthesiology
- Surgical Care
- Child Psychology
Background:
- Preoperative information significantly impacts parental satisfaction and pediatric anxiety.
- Understanding parental needs for information is crucial for effective perioperative care.
Purpose of the Study:
- To evaluate the extent of preoperative information provided to parents.
- To assess parental desire for more information and its impact on pediatric anxiety and satisfaction.
Main Methods:
- Prospective observational study involving 100 children (2-12 years) undergoing elective surgery.
- Parental questionnaires assessed preoperative knowledge and satisfaction; child anxiety levels were recorded.
Main Results:
- 85% of parents knew about the surgery, but only 5% about anesthesia.
- 71% of children exhibited preoperative anxiety; low paternal education was a predictor.
- Parental satisfaction with surgeon information (94%) was higher than with anesthesiologist information (57%).
Conclusions:
- High incidence of preoperative anxiety in children noted.
- Parental expectations highlight the need to refine preoperative preparation programs.
- Study emphasizes adapting preparatory programs for developing world contexts.
Objective:
To assess the extent of preoperative information provided to patients' parents, their expressed need for more information and its effect on paediatric anxiety and parental satisfaction with the perioperative care provided.
Design:
Prospective observational study.
Setting:
Public university hospital.
Participants:
100 children, 2-12 years scheduled to undergo elective day-care surgery under general anaesthesia.
Outcomes Measured:
The parents were interviewed preoperatively with a questionnaire, which included a list of items about preoperative preparation likely to contribute to patients' satisfaction with the health care services. The baseline anxiety level in the participant children and its possible predictors were recorded. Before discharge, the parents were asked a questionnaire for satisfaction scoring.
Results:
Eighty-five (85%) parents were aware of the surgical procedure whereas 5 (5%) were aware of anaesthesia. Seventy-five (79%) families were not keen to know about anaesthesia. Amongst all the parents surveyed, 16 (16%) reported that receiving more information on anaesthesia would increase their anxiety while 84 (84%) reckoned that although more information would not increase their anxiety, it was unnecessary. Preoperative baseline anxiety was identified in 71 (71%) of children with a median mYPAS of 46.4 (95%CI: 41.4, 48.64). Amongst the potential predictors of anxiety analysed, low paternal education level was associated with high preoperative anxiety in children (adjusted OR: 3.67; 95%CI: 1.35, 9.99; P=0.01). Ninety-four (94%) and 57 (57%) parents expressed satisfaction with the obtained information from the surgeon and anaesthesiologist, respectively.
Conclusion:
The present study revealed the high incidence of preoperative anxiety in children and highlighted the expectations of parents regarding preoperative preparation suggesting the need to evolve the existing preparatory program in the context of a developing world setting.
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