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Magnitude and Factors Associated with Preoperative Anxiety Among Pediatric Patients: Cross-Sectional Study

Amare Belete Getahun1, Nigussie Simeneh Endalew1, Abraham Tarekegn Mersha1

  • 1Department of Anaesthesia, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Pediatric Health, Medicine and Therapeutics
|December 28, 2020
PubMed

Insights

Preoperative anxiety is high in pediatric patients, affecting 75% of children. Younger age, prior surgery, outpatient procedures, and parental anxiety are significant risk factors. Addressing these can improve patient care.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Surgical Care

Background:

  • Anesthesia and surgery commonly induce anxiety in children.
  • Preoperative anxiety in pediatric patients is influenced by various factors.
  • Understanding these factors is crucial for effective patient management.

Purpose of the Study:

  • To determine the prevalence of preoperative anxiety in pediatric patients.
  • To identify factors associated with preoperative anxiety in children undergoing surgery.
  • To inform strategies for anxiety reduction in pediatric surgical settings.

Main Methods:

  • An institutional-based cross-sectional study was conducted at the University of Gondar Comprehensive Specialized Hospital.
  • The Modified Yale Preoperative Anxiety Scale short form (m-YPAS-SF) assessed children's anxiety.
  • Parental anxiety was measured using Spielberger's state-trait anxiety scale; logistic regression identified associated factors.

Main Results:

  • A high prevalence of preoperative anxiety was observed in 75.44% of pediatric patients.
  • Significant risk factors included younger age, previous surgery/anesthesia, outpatient surgery, and parental anxiety.
  • Adjusted odds ratios indicated strong associations between these factors and children's anxiety.

Conclusions:

  • Preoperative anxiety is a significant issue in pediatric surgical patients in this setting.
  • Younger age, prior surgical history, outpatient procedures, and parental anxiety are key risk factors.
  • Healthcare providers should proactively assess and manage pediatric preoperative anxiety.
Abstract

Keywords:
anesthesiaanxietychildrenpreoperativesurgery

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