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Parental Anxiety and Preoperative Anxiety in Children: A Dose-Response Association in the Perioperative Setting

Yiliminuer Aimaiti1, Yiru Wang2, Anqi Lai3

  • 1School of Public Health, Fudan University, Shanghai, China.

Insights

Parental anxiety significantly increases children's preoperative anxiety, with higher parental anxiety levels correlating with greater child anxiety. Assessing parental anxiety can help identify at-risk children for better perioperative care.

Area of Science:

  • Pediatric Anesthesiology
  • Perioperative Nursing
  • Child Psychology

Background:

  • Preoperative anxiety in children is a common concern during surgical procedures.
  • Parental anxiety is recognized as a potential influencing factor on a child's perioperative experience.
  • Effective risk assessment strategies are crucial for optimizing pediatric surgical care.

Purpose of the Study:

  • To investigate the association between parental anxiety and preoperative anxiety in pediatric patients.
  • To evaluate the utility of parental anxiety as a predictor in perioperative risk assessment.
  • To understand the role of parental anxiety in the context of child surgery.

Main Methods:

  • A single-center, cross-sectional observational study.
  • Postoperative telephone interviews with parents/guardians of children undergoing elective surgery.
  • Numeric rating scales (0-10) used to assess parental and child preoperative anxiety levels.

Main Results:

  • A significant positive correlation was found between parental anxiety and child preoperative anxiety.
  • A dose-response relationship was observed, with moderate and severe parental anxiety linked to higher child anxiety.
  • Including parental anxiety in risk models improved the identification of children with preoperative anxiety.

Conclusions:

  • Parental anxiety is a practical and accessible indicator of a child's preoperative anxiety.
  • Integrating parental anxiety assessment into nursing workflows can enhance early risk identification.
  • Family-centered interventions can be more effectively targeted by considering parental anxiety levels.
Abstract

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