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Preoperative preparation programs in children: a comparative examination

Z N Kain1, L A Caramico, L C Mayes

  • 1Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut 06510, USA. kain@biomed.med.yale.edu

Anesthesia and Analgesia
|December 8, 1998
PubMed
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An extensive preoperative preparation program for children undergoing surgery reduced child and parent anxiety before the operation. However, this behavioral intervention did not significantly impact anxiety during anesthesia induction or postoperative recovery.

Area of Science:

  • Pediatric Surgery
  • Child Psychology
  • Anxiety Management

Background:

  • Preoperative anxiety in children and parents is a significant concern.
  • Behavioral preparation programs aim to mitigate this anxiety.
  • The effectiveness of extensive versus limited programs requires further investigation.

Purpose of the Study:

  • To compare the efficacy of an extensive behavioral preparation program against a limited one for children undergoing surgery.
  • To assess the impact on child and parent anxiety during the preoperative, intraoperative, and postoperative periods.

Main Methods:

  • Randomized controlled trial involving 75 children aged 2-12 years.
  • Three groups received varying levels of preparation: information-only, information + modeling, or information + modeling + coping skills.

Related Experiment Videos

  • Anxiety was measured using behavioral and physiological indicators.
  • Main Results:

    • Children in the extensive preparation group showed significantly reduced anxiety in the preoperative holding area on the day of surgery (P = 0.02).
    • Parents in the extensive program also reported significantly lower anxiety preoperatively (P = 0.015 for behavioral, P = 0.01 for physiological measures).
    • No significant differences in anxiety were observed during anesthesia induction, recovery, or two weeks postoperatively across groups.

    Conclusions:

    • An extensive preoperative behavioral preparation program can effectively reduce anxiety in children and parents before surgery.
    • The anxiolytic effects appear localized to the preoperative period.
    • The intervention did not demonstrate sustained benefits during or after the surgical procedure.