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Reducing preoperative anxiety in parents of surgical patients
Trinidad Díaz Luengo1,2, Ana Belén Rivas3,4, Elena Loureido5
1Medicine and Nursing School, Dpt. of Medicine, University of Oviedo, Spain.
Insights
Providing information about surgical procedures to parents of pediatric patients significantly reduces their preoperative anxiety. This study highlights the importance of addressing parental anxiety in pediatric surgical care.
Area of Science:
- Pediatric Surgery
- Anxiety Research
- Health Psychology
Background:
- Parental anxiety is a significant concern in pediatric surgery, often overlooked compared to child-focused interventions.
- High parental anxiety can negatively impact the child's psychological state and recovery.
- Existing research extensively covers interventions for children's anxiety, but less so for parents.
Purpose of the Study:
- To investigate the effectiveness of informational interventions (videos, storybooks) in reducing preoperative anxiety in parents of pediatric surgical patients.
- To analyze whether personal factors influence the reduction of parental anxiety.
- To assess the impact of information delivery on parental anxiety levels.
Main Methods:
- A randomized controlled trial involving 125 parents of children aged 8-12 undergoing surgery.
- Parents were assigned to a control group or experimental groups receiving a storybook, video, or both.
- State Anxiety (S-A) and Trait Anxiety (T-A) were measured using STAI and STAIC questionnaires.
Main Results:
- Parents in the experimental groups exhibited lower State Anxiety (S-A) compared to the control group.
- A linear model indicated that children's S-A, parents' age and T-A, and children's age were significant predictors of parental S-A.
- Informational interventions demonstrated a positive effect on reducing parental anxiety.
Conclusions:
- Providing information about the surgical process through accessible formats like storybooks and videos effectively reduces parental anxiety.
- Healthcare professionals should prioritize communication with parents to mitigate their anxiety.
- Addressing parental anxiety is crucial for the overall well-being of pediatric surgical patients.
Aims And Objectives:
To investigate preoperative anxiety in parents of paediatric surgical patients, testing whether the provision of information (using video and story books) regarding the surgical process can impact on reducing anxiety. Analyse if any personal factors influence the reduction of anxiety.
Background:
Attending a surgical theatre generates anxiety, especially in the case of children. The effect of different preoperative intervention procedures in children that attempt to reduce their anxiety level have been studied a great deal. However, although their parents also suffer high levels of anxiety, potential intervention to reduce their levels has not received the same attention.
Study Design:
Randomised Clinical trial.
Methods:
One hundred and twenty-five parents of children (8-12 y.o.) undergoing surgery in a public hospital were randomly assigned to the control group CG (34 individuals) or one of the 3 experimental groups EG (91). In this Randomised Controlled Study, children and parents of the experimental groups were provided with a story book, a video with additional information of nursing, or both. Prior to the surgical intervention, the State Anxiety, S-A, and Trait Anxiety, T-A, of the parents and children were measured using the STAI and STAIC questionnaires respectively. Data collection was carried out for 12 months starting in October 2016.
Results:
Parents' S-A in the control group was higher than in the experimental groups. A linear model explains the parents' S-A using as regressors: children S-A, age and T-A of the parents, and children age.
Conclusions:
Providing information about the surgical process (through stories or videos) to which a child is going to be subjected can reduce the anxiety of the parents.
Relevance To Clinical Practice:
Given their close connection to the patient and the potential effects on the children of their psychological situation, healthcare professionals should consider paying greater attention to communicating with the parents.
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