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Self-produced audio-visual animation introduction alleviates preoperative anxiety in pediatric strabismus surgery: a
Yuexi Jin1, Aifen Jiang1, Wanna Jiang1
1Department of Anesthesiology, Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Xueyuan Road #270, Wenzhou, Zhejiang, China.
Insights
Viewing a self-produced audio-visual animation significantly reduced preoperative anxiety in pediatric patients undergoing strabismus surgery. This intervention also effectively lowered anxiety in parents and decreased emergence agitation in children.
Area of Science:
- Pediatric Anesthesiology
- Ophthalmology
- Child Psychology
Background:
- Strabismus surgery in children often causes significant preoperative anxiety for both patients and their parents.
- Managing this anxiety is crucial for a positive surgical experience.
Purpose of the Study:
- To evaluate the impact of a self-produced audio-visual animation on preoperative anxiety in pediatric patients undergoing strabismus surgery.
- To assess the effect of this intervention on parental anxiety and emergence agitation in children.
Main Methods:
- A prospective randomized study involving 100 children aged 3-6 years undergoing strabismus surgery.
- Participants were divided into two groups: one viewing a custom audio-visual animation and a control group.
- Preoperative anxiety was measured using the modified Yale Preoperative Anxiety Scale (mYPAS) and parental anxiety using the Spielberger State-Trait Anxiety Inventory (STAI) at multiple time points.
Main Results:
- Children viewing the animation (Group A) showed significantly lower mYPAS scores at pre-anesthetic holding and induction compared to the control group (Group C).
- Parents in Group A also reported significantly lower STAI anxiety scores than those in Group C.
- The incidence of emergence agitation was notably lower in the animation group.
Conclusions:
- Self-produced audio-visual animations are effective in reducing preoperative anxiety in children and their parents undergoing strabismus surgery.
- This intervention also demonstrates efficacy in decreasing emergence agitation in pediatric patients.
Background:
Hospital anxiety caused by strabismus surgery has an unpleasant and disturbing feeling for both children and their parents. This study aimed to determine the effect of viewing a self-produced audio-visual animation introduction on preoperative anxiety and emergence agitation of pediatric patients undergoing strabismus surgery.
Methods:
In this prospective randomized study, 1 hundred children scheduled for strabismus surgery with aged 3 ~ 6 years. The children were randomly divided into 2 groups (n = 50 for each), Group A: using a self-produced audio-visual animation introduction; Group C: controlled group without audio-visual animation introduction. Children's preoperative anxiety was determined by the modified Yale Preoperative Anxiety Scale (mYPAS) at different time points: the night before surgery(T1), at pre-anesthetic holding room(T2), and just before anesthesia induction(T3). The Spielberger State-Trait Anxiety Inventory (STAI) was used to record the anxiety of parents at T1,T2 and T3. The incidence and the degree of emergence agitation were recorded.
Results:
The mYPAS scores at T2 and T3 were higher than T1(p < 0.05) in both groups. The average score of mYPAS in Group A was significantly lower than in Group C at T2 and T3(p < 0.05). The STAI scores in Group A at T2 and T3 were significantly lower than in Group C(p < 0.05). The incidence of agitation in Group A was lower than that in Group C(p < 0.05).
Conclusions:
Based on the findings, viewing a self-produced audio-visual animation can effectively alleviate the preoperative anxiety for both children and their parents in pediatric strabismus surgery, and it was effective for reducing emergence agitation as well.
Trial Registration:
The trial was prospectively registered before patient enrollment at Chinese Clinical Trial Registry (Clinical Trial Number: ChiCTR1900025116 , Date: 08/12/2019).
