Prediction of preoperative anxiety in preschool children undergoing ophthalmic surgery based on family characteristics

2021 ◽  
Vol 75 ◽  
pp. 110483
Author(s):  
Aihuan Chen ◽  
Hengwei Sheng ◽  
Zhubin Xie ◽  
Weihua Shen ◽  
Qianru Chen ◽  
...  
2021 ◽  
Author(s):  
Yanyan Yang ◽  
Mazhong Zhang ◽  
Ying Sun ◽  
Zhezhe Peng ◽  
Xiaosu Zheng ◽  
...  

Abstract Background: Our aim was to investigate whether early surgical preparation by reading an animated picture book about procedure-related events could reduce the preoperative anxiety in preschoolers.Methods: 131 patients, aged 3-6 years and underwent elective minor surgery were randomized either to a control or a picture book group. Both groups received general information about surgery and anesthesia in pre-anesthesia clinic. Patients in study group also received a surgery-depicting picture book for them to read at home a week earlier before surgery. Child anxiety was evaluated with the modified Yale Preoperative Anxiety Scale Short Form in six observing time points before anesthesia induction, and the compliance of anesthesia induction was assessed with the Induction Compliance Checklist (ICC).Results: There were significantly lower anxiety scores in picture book group than in control group at the time of ready for intravenous cannulation in operation room [51.9 (23.6) vs. 67.2 (22.0); P = 0.001] and at the time of pre-anesthesia visit [27.8 (7.6) vs. 33.2 (13.6); P = 0.018]. No significant differences of anxiety levels were found between two groups at other observed time points: in the anesthesia outpatient clinic, in the holding area, at separation from parent to operating room (OR), and on entrance to OR (P = 0.584, 0.335, 0.228, 0.137, respectively). The percentage of children with poor induction compliance (i.e., ICC ≥ 6) was higher in control group compared with that in picture book group (38% vs.21%, P = 0.041).Conclusions: Home-reading an animated picture book to get familiar with the perioperative events earlier prior to surgery could effectively reduce the preoperative anxiety level and increase the compliance during the induction of anesthesia in preschool children.Trial registration: ChiCTR2000033583, 06/06/2020 www.chictr.org.cn.


1981 ◽  
Vol 34 (11) ◽  
pp. 2546-2550 ◽  
Author(s):  
J C Arnold ◽  
R W Engel ◽  
D B Aguillon ◽  
M M Caedo

1996 ◽  
Vol 168 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Edmund Sonuga-Barke ◽  
Jim Stevenson ◽  
Margaret J. J. Thompson

BackgroundThe extent to which certain maternal, child and family characteristics are associated in families with a 3-year-old child were examined.MethodA total population of families with a 3-year-old child and living in the New Forest were identified. Measures of child behaviour and the maternal GHQ-30 were obtained.ResultsWhereas behaviour problems were found to be significantly associated with all maternal and family factors (except social class), difficult temperament was only related to mother's recall of their own childhood as unhappy and overactivity was only significantly associated with maternal disturbance.ConclusionsThe results are consistent with maternal disturbance and difficult temperament acting independently and additively to influence the development of behaviour problems in preschool children.


2016 ◽  
Vol 52 (6) ◽  
pp. 649-655 ◽  
Author(s):  
Xulei Cui ◽  
Bo Zhu ◽  
Jing Zhao ◽  
Yuguang Huang ◽  
Ailun Luo ◽  
...  

Epidemiology ◽  
2009 ◽  
Vol 20 ◽  
pp. S184
Author(s):  
Elena I Queirolo ◽  
Adrienne S Ettinger ◽  
Rebecca J Stoltzfus ◽  
Katarzyna Kordas

2021 ◽  
Vol 8 ◽  
Author(s):  
Liyan Chu ◽  
Yue Wang ◽  
Shanshan Wang ◽  
Shaofei Su ◽  
Zhixing Guo ◽  
...  

Background: After general anesthesia, many pediatric patients present with emergence delirium (ED). The aim of this study was to determine whether dexmedetomidine intranasal premedication accompanied by a cartoon video 30 min before general anesthesia would have an effect on reducing emergence delirium in preschool children.Methods: One hundred and forty children aged 3–6 year undergoing elective strabismus surgery were randomly to be premedicated with 2 μg kg−1 intranasal dexmedetomidine accompanied by the viewing of a cartoon video (Group DV) or without any premedication as usual (Group C). The primary outcome was the incidence of emergence delirium at the postanesthesia care unit (PACU), evaluated by the Pediatric Anesthesia Emergence Delirium (PAED) scale. The secondary outcomes included: the Modified Yale Preoperative Anxiety Scale (mYPAS) upon separation from parents; the Induction Compliance Checklist score (ICC); the PACU discharge time; the parental satisfaction score; the incidences of the side effects and the Post-Hospital Behavior Questionnaire (PHBQ) score during the first day after surgery.Results: The incidence of emergence agitation (PAED score ≥ 10) was reduced in Group DV compared with Group C [8 (11.4%) vs. 24 (34.3%); P = 0.001]. None of the patients in the DV group experienced severe emergence agitation (PAED score ≥ 15), as compared with the C group (P = 0.006). The mYPAS score upon separation from parents (P < 0.001) and the incidence of poor coordination (ICC ≥ 4) during induction (P < 0.001) were significantly lower in Group DV than in Group C. In Group DV, the PACU discharge time was longer (P < 0.001), and the parental satisfaction score was higher (P < 0.001). However, during the first day after surgery, the PHBQ score was lower in Group DV compared with Group C (P = 0.001).Conclusions: Premedication with 2 μg kg−1 intranasal dexmedetomidine accompanied by cartoon video viewing can dramatically reduce emergence delirium in preschool children undergoing strabismus surgery, relieve preoperative anxiety and improve the parental satisfaction and the postoperative behavior changes during the first day after surgery.Clinical Trial Registration: ChiCTR2000030678.


2014 ◽  
Vol 1 (1) ◽  
pp. 89-92 ◽  
Author(s):  
Xing-Lian Gao ◽  
Ying Liu ◽  
Shi Tian ◽  
Dong-Qing Zhang ◽  
Qing-Ping Wu

1993 ◽  
Vol 77 (2) ◽  
pp. 609-610 ◽  
Author(s):  
Carmelo A. De Mojà

To replicate a previous study on the same argument by Powers, Duran, and Reynolds (1993), 38 substance abusers' scores on family cohesion, expression, conflict, and the abilities of their children (language, personal-social abilities, fine and gross motor performance) were analyzed. The nonsignificant results confirm those found by Powers, et al.


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