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Understanding child anxiety before otoplasty: A qualitative study

Neetin Prabhu1, Wyatt MacNevin1, Margaret Wheelock2

  • 1Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

International Journal of Pediatric Otorhinolaryngology
|November 13, 2020
PubMed

Insights

Pediatric patients experience anxiety before otoplasty due to concerns about post-operative well-being and the unknown. Understanding these factors improves patient preparation and surgical experience.

Area of Science:

  • Pediatric Surgery
  • Anxiety Research
  • Qualitative Health Research

Background:

  • Pre-operative anxiety in children impacts future medical and behavioral outcomes.
  • Otoplasty is a common pediatric surgical procedure.
  • Understanding anxiety triggers is crucial for improving patient care.

Purpose of the Study:

  • To identify factors contributing to pre-operative anxiety in pediatric patients undergoing otoplasty.
  • To explore patient experiences and perceptions related to otoplasty surgery.
  • To inform strategies for better patient preparation and enhanced surgical experiences.

Main Methods:

  • Qualitative semantic thematic analysis of semi-structured interviews.
  • Ten pediatric participants at a Canadian hospital were interviewed.
  • Key themes and subthemes of anxiety were identified from participant narratives.

Main Results:

  • Three primary themes emerged: concern for post-operative well-being, fear of the unknown, and the role of support systems.
  • Subthemes included perceptions of others, physical well-being, negative experiences, surgical uncertainty, vulnerability, and support from family/friends/surgeon.
  • Otoplasty evoked significant emotional responses and anxiety in pediatric patients.

Conclusions:

  • Otoplasty is an emotionally impactful procedure for pediatric patients.
  • Anxiety sources are partly common to other pediatric surgeries but also specific to otoplasty.
  • This research enables improved patient and family preparation, enhancing the overall otoplasty experience.
Abstract

Keywords:
Aesthetic surgeryAnxietyOtoplastyPatient-reported outcomesPediatricQualitative research

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