Preoperative preparation in children: a cross-sectional study
| Autor: | Zeev N. Kain, Lisa A. Caramico, Linda C. Mayes |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Cross-sectional study media_common.quotation_subject Outpatient surgery Emotions Psychological intervention Anxiety Preoperative care Behavior Therapy Surveys and Questionnaires Preoperative Care Medicine Humans Elective surgery Child Social Behavior Temperament media_common business.industry Clinical trial Anesthesiology and Pain Medicine Cross-Sectional Studies Ambulatory Surgical Procedures Socioeconomic Factors Child Preschool Impulsive Behavior Regression Analysis Female medicine.symptom business |
| Zdroj: | Journal of clinical anesthesia. 8(6) |
| ISSN: | 0952-8180 |
| Popis: | Study Objective: To evaluate the effectiveness of a behavioral preparation program on reducing anxiety in children and their parents prior to elective surgery. Design: Cross-sectional study. Setting: A children's hospital. Patients: 143 children undergoing outpatient surgery, and their parents. Interventions: A behavioral preoperative preparation program. Measurements and Results: Overall anxiety in children and their parents did not differ significantly between the group that received the preoperative program and the group that did not ( p = NS). Children older than 6 years were least anxious on separation from their parents if they participated in the preparation program more than 5 to 7 days prior to surgery, moderately anxious if they did not receive preparation, and most anxious if they received the preparation 1 day prior to surgery ( p = 0.04). Multivariable regression analysis (for overall model, F=2.14, p = 0.02) revealed that although the preparation program itself was not a predictor of a child's behavior on separation to the operating room, the interaction between child's age and timing of the program ( p = 0.003), and child's previous hospitalization were predictors of children's anxiety response. Similarly, in the preoperative holding area, independent predictors of anxiety included timing of the preparation program, age of child, and the child's baseline temperament characteristics. Conclusions: The results highlight the complexities in assuming that a behavior-based preoperative preparation program is effective for all pediatric outpatients. The effects of such an intervention vary with the child's age, the timing of the intervention, and a history of previous hospitalization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect