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Interventions for Parental Anxiety in Preparation for Pediatric Surgery: A Narrative Review
Pooja Santapuram1, Amanda L Stone2,3, Rachel Lane Walden4
1School of Medicine, Vanderbilt University, Nashville, TN 37212, USA.
Insights
Parental anxiety before surgery negatively impacts children. This review highlights strategies like education and music therapy to reduce parental preoperative anxiety, improving pediatric surgical outcomes.
Area of Science:
- Pediatric Anesthesiology
- Child Psychology
- Healthcare Management
Background:
- Preoperative anxiety in children and parents significantly affects pediatric surgical outcomes and healthcare resources.
- Parental preoperative anxiety is linked to increased anxiety and emotional distress in pediatric patients.
- Addressing parental anxiety is crucial for mitigating negative effects on children undergoing surgery.
Purpose of the Study:
- To review various strategies aimed at reducing parental anxiety in the preoperative setting.
- To provide an overview of interventions that can alleviate parental preoperative stress.
- To support healthcare systems in optimizing perioperative care for pediatric patients and their families.
Main Methods:
- Literature review of interventions for parental preoperative anxiety.
- Synthesis of evidence on the effectiveness of different anxiety-reducing strategies.
- Overview of approaches including education, play, music therapy, and parental presence.
Main Results:
- Preoperative education programs show evidence of reducing parental anxiety.
- Play-based interventions and music therapy are effective in alleviating preoperative parental stress.
- Parental presence during anesthesia induction and integrative preparation programs demonstrate positive effects.
Conclusions:
- Multiple strategies exist to effectively reduce parental preoperative anxiety.
- Interventions for parental anxiety can improve pediatric patient outcomes and family support.
- Optimizing perioperative care through parental anxiety management benefits children and healthcare systems.
Abstract:
The preoperative experience can cause significant anxiety for both pediatric patients and their parents in the lead up to a surgical procedure. Pediatric anxiety in a preoperative setting has been shown to have significant negative downstream effects on the clinical outcomes of children and the healthcare system as a whole. Studies have found that preoperative parental anxiety has significant negative effects on children, regarding anxiety and emotional response. Therefore, interventions for parental preoperative anxiety are important to reduce the child's anxiety. This review provides a brief overview of a broad range of strategies used to alleviate parental anxiety in a preoperative setting. Preoperative education, play-based interventions, music therapy, the presence of parents at induction of anesthesia, and integrative preoperative preparation programs have all demonstrated some evidence for reducing parental preoperative anxiety. The ultimate goal of using interventions for parental preoperative anxiety is to equip healthcare systems to better support families and optimize the perioperative outcomes of children.
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