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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
Summary
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.
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