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Published on: February 9, 2011
Comparison of preanesthesia visits using video animation with verbal communication versus verbal communication alone
Thitinuch Ruenhunsa1, Pigul Klinhom1, Peerapong Sangsungnern1
1Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Insights
Video animation combined with verbal communication showed a trend toward reducing preoperative anxiety in pediatric patients. This non-pharmacological approach also enhanced parental satisfaction, suggesting its value in perioperative care.
Area of Science:
- Pediatric Anesthesiology
- Perioperative Care
- Health Psychology
Background:
- Non-pharmacological interventions are increasingly recognized for reducing preoperative anxiety (PA) in pediatric patients.
- These methods aim to minimize the adverse effects associated with pharmacologic interventions.
- Video animation combined with verbal communication is explored as a preoperative educational tool.
Purpose of the Study:
- To compare the effectiveness of video animation plus verbal communication versus verbal communication alone.
- To assess the impact on preoperative anxiety in pediatric patients during the preanesthesia visit.
- To evaluate parental satisfaction with the interventions.
Main Methods:
- A prospective, randomized, single-blinded, controlled trial involving 70 pediatric patients (6-12 years).
- Participants were randomized into two groups: video animation with verbal communication (Group VC) or verbal communication alone (Group C).
- Preoperative anxiety was measured using the modified Yale Preoperative Anxiety Scale (m-YPAS); parental satisfaction was also assessed.
Main Results:
- No statistically significant difference in m-YPAS scores was observed between Group VC and Group C in the holding area (P=0.26).
- While Group VC showed lower median m-YPAS scores upon arrival in the operating room, the difference was not statistically significant (P=0.52).
- Parental satisfaction was high in both intervention groups.
Conclusions:
- Video animation combined with verbal communication demonstrated a trend towards reducing pediatric preoperative anxiety.
- The intervention showed potential in enhancing parental satisfaction, supporting its use in perioperative education.
- Further research may be warranted to confirm the statistical significance of these findings.
Background:
Non-pharmacological interventions have gained increasing recognition as preoperative educational tools aim at reducing preoperative anxiety (PA) in pediatric patients and minimizing the potential adverse effects of pharmacologic interventions. This study aims to compare the effectiveness of using video animation combined with verbal communication versus verbal communication alone during the preanesthesia visit on PA in pediatric patients.
Methods:
A prospective, randomized, single-blinded, controlled trial was conducted in seventy patients aged 6-12 years scheduled for elective surgery under general anesthesia. During the preanesthesia visit, participants were randomly assigned to either Group VC (n=35), receiving video animation combined with verbal communication, or Group C (n=35), receiving verbal communication alone. On the day of surgery, participant's PA levels were assessed using the Thai-version of the modified Yale Preoperative Anxiety Scale (m-YPAS) in the holding area and upon arrival in the operating room. Parental satisfaction was also evaluated.
Results:
In the holding area, the median m-YPAS score in Group VC was similar to that in Group C [28.3 (23.3, 33.3) vs. 28.3 (26.7, 36.7), P=0.26]. Upon arrival in the operating room, the median m-YPAS score in Group VC [28.3 (23.3, 36.7)] was lower than that in Group C [31.7 (28.3, 41.7)]; however, this difference was not statistically significant (P=0.52). Parental satisfaction was high in both groups.
Conclusions:
Although statistical significance was not achieved, video animation combined with verbal communication showed a trend toward reducing PA and enhancing parental satisfaction, supporting its potential value as a non-pharmacological education tool for pediatric perioperative care.
Trial Registration:
This study was registered at the Thai Clinical Trial Registry (TCTR20221111005).
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