Interactive reward-based situational simulation intervention in perioperational emergency management for children with concealed penis

Area of Science:

• Pediatric Surgery
• Child Psychology
• Medical Education

Background:

• Children with concealed penis often experience significant anxiety during the perioperative period.
• Anxiety in pediatric surgical patients can negatively impact cooperation and recovery.
• Novel interventions are needed to manage preoperative anxiety in children undergoing urological procedures.

Purpose of the Study:

• To evaluate the efficacy of rewarding situational simulation games in reducing perioperative anxiety in children with concealed penis.
• To assess the impact of this intervention on cooperation during anesthesia induction.

Main Methods:

• A prospective study involving 82 children with concealed penis scheduled for surgery.
• Participants were divided into a control group (routine education) and an experimental group (simulation game + routine education).
• The modified Yale Preoperative Anxiety Scale (m-YPAS) and Induction Compliance Checklist were used to measure anxiety and cooperation.

Main Results:

• The experimental group showed significantly lower m-YPAS scores before surgery and during anesthesia induction compared to the control group (p < 0.05).
• The experimental group had a statistically significant lower Induction Compliance Checklist score, indicating improved cooperation.
• The rewarding situational simulation game intervention was effective in reducing anxiety and improving cooperation.

Conclusions:

• Rewarding situational simulation games are effective in mitigating preoperative anxiety in children undergoing concealed penis surgery.
• This intervention enhances cooperation during anesthesia induction for pediatric patients.
• Situational simulation games offer a promising, non-pharmacological approach to improve the perioperative experience for children with concealed penis.