Το άγχος των γονέων για τη χειρουργική επέμβαση του παιδιού τους και η ενημέρωσή τους για την αναισθησία

2019 ◽  
Author(s):  
Αικατερίνη Χαρανά
Keyword(s):  
Trait Anxiety ◽  
Anxiety Scale ◽  
Preoperative Anxiety ◽  
State Trait Anxiety Inventory

Εισαγωγή: Μία χειρουργική επέμβαση σε παιδιατρικούς ασθενείς αποτελεί αναμφισβήτητα μία στρεσσογόνο εμπειρία τόσο για τους ίδιους όσο και για τους γονείς τους. Το προεγχειρητικό άγχος των παιδιών και των γονέων έχει βρεθεί ότι επηρεάζει ποικιλοτρόπως τη διεγχειρητική και μετεγχειρητική πορεία των παιδιών ενώ μπορεί να αποτελέσει αιτία μακροπρόθεσμων συμπεριφορικών προβλημάτων. Σκοπός της παρούσας μελέτης ήταν η εκτίμηση των παραγόντων και χαρακτηριστικών που επηρεάζουν το προεγχειρητικό άγχος των παιδιών και των γονέων τους καθώς και η διερεύνηση των επιθυμητών τρόπων μείωσής του στον ελληνικό πληθυσμό. Μέθοδος: Πληθυσμό της μελέτης αποτέλεσαν 128 παιδιά και οι γονείς τους (1-14 ετών) που επρόκειτο να υποβληθούν σε μικρής βαρύτητας χειρουργική επέμβαση στο Πανεπιστημιακό Γενικό Νοσοκομείο Αλεξανδρούπολης. Το προεγχειρητικό άγχος των παιδιών και των γονέων τους εκτιμήθηκε με τις κλίμακες Modified Yale Preoperative Anxiety Scale (m-YPAS) και Spielberger State-Trait Anxiety Inventory (STAI) αντίστοιχα. Αποτελέσματα: Οι ανεξάρτητοι παράγοντες του αυξημένου άγχους στους γονείς ήταν η ηλικία (<5 ετών) (p=0,024) και το φύλο του παιδιού (κορίτσια p=0,008), η διαμονή σε μη αστικό περιβάλλον (p<0,001), το φύλο του γονέα (μητέρες p=0,046), το υψηλό ή χαμηλό μορφωτικό επίπεδο (p=0,031), η μη χορήγηση προνάρκωσης (p=0,007) και το υψηλό άγχος των γονέων (p=0,003). Η προηγούμενη εμπειρία νοσηλείας (p=0,019), το υψηλό άγχος των γονέων λόγω της χειρουργικής επέμβασης (p<0,001), η μη χορήγηση προνάρκωσης (p=0,014) και το γεγονός να είναι το παιδί το μόνο στην οικογένεια (p=0,045) βρέθηκαν ως οι σημαντικοί παράγοντες αύξησης του προεγχειρητικού άγχους των παιδιών.Οι γονείς σε ποσοστό 65,6% θα ήθελαν να είναι παρόντες στην εισαγωγή στην αναισθησία του παιδιού τους με τις μητέρες, τους νεώτερους (≤ 35 έτη), εκείνους που έχουν μικρότερα παιδιά (≤ 5 ετών) και υψηλό επίπεδο άγχους και όσους να πρόκειται να χειρουργηθεί το τρίτο ή μεγαλύτερο παιδί τους να εκφράζουν τη μεγαλύτερη επιθυμία. Άλλοι τρόποι που θεωρούν οι γονείς ότι θα βοηθούσαν στη μείωση του προεγχειρητικού άγχους είναι η λεπτομερής προεγχειρητική συζήτηση (69,5%), συμπεριφορικά και ψυχοεκπαιδευτικά προγράμματα (35,2%), η χρήση τεχνικών απόσπασης προσοχής, όπως κλόουν και παιχνίδια (32,8%), η χρήση στρατηγικών «εναλλακτικής ιατρικής» όπως ύπνωση, βελονισμό και μουσικοθεραπεία (10,2%). Συμπεράσματα: Σύμφωνα με τα αποτελέσματα οι παράγοντες που σχετίζονται με υψηλό προεγχειρητικό άγχος στα παιδιά και τους γονείς τους, ήταν η ηλικία του παιδιού, το φύλο και η ηλικία του γονέα, η μη χορήγηση προνάρκωσης, οι προηγούμενες νοσηλείες, η διαμονή σε μη αστικό περιβάλλον, το μορφωτικό επίπεδο και η μη ύπαρξη άλλων παιδιών στην οικογένεια. Οι στοχευμένες παρεμβάσεις μείωσης του άγχους θα πρέπει να περιλαμβάνουν την παρουσία των γονέων κατά την εισαγωγή στην αναισθησία του παιδιού, την εκτενή ενημέρωση καθώς και άλλες συμπεριφορικές στρατηγικές.

scholarly journals Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Alberto Vieco-García ◽  
Amanda López-Picado ◽  
Manuel Fuentes ◽  
Laura Francisco-González ◽  
Belén Joyanes ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
Outpatient Surgery ◽  
The State ◽  
Anxiety Scale ◽  
Preoperative Anxiety ◽  
State Trait Anxiety Inventory ◽  
Anesthetic Induction ◽  
The Moment ◽  
Assessment Scales ◽  
Surgical Unit

Abstract Introduction Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency and consequences. Preoperative anxiety is associated with increased patient fear and agitation on anesthetic induction. The aim of this study is to compare three preoperative anxiety scales for children undergoing elective outpatient surgery, and to correlate each of these tools with the degree of patient compliance on induction, as assessed by the Induction Compliance Checklist (ICC). Methods An observational prospective study was performed on a cohort of children with ages between 2 and 16 years old, scheduled for outpatient surgery. Anxiety was assessed upon arrival to the hospital (M0), during transfer to the surgical unit (M1), and in the operating room during anesthetic induction (M2). Anxiety in the parents (measured with the State-Trait Anxiety Inventory, STAI) and in the children (measured with the Spence Anxiety Scale-Pediatric, SCAS-P, the State-Trait Anxiety Inventory Children, STAIC, and Modified Yale Preoperative Anxiety Scale, m-YPAS) was assessed. Compliance with anesthetic induction was assessed with ICC. Results The study included 76 patients (72.4% male, median age 7.9 years). Anxiety scores (m-YPAS) increased as the moment of surgery approached, being greater at the entrance to the surgical unit (M0 = 26.1 ± 9.5; M1 = 31.8 ± 18.1; M2 = 33.5 ± 21.1). A strong correlation was found between ICC scale and m-YPAS at M1 (0.738) and M2 timepoints (0.794), but not with the rest of scales at M0. Conclusions Standard anxiety assessment scales do not predict the quality of anesthetic induction. m-YPAS scale can detect increasing anxiety in children as they approach the surgical procedure and this correlates strongly with a worse anesthetic induction, defined by higher score on ICC scale.

State‐Trait Anxiety Inventory State Anxiety Scale--Parent Version

2020 ◽  
Author(s):  
Lindsey M. Shain ◽  
Maryland Pao ◽  
Mary V. Tipton ◽  
Sima Zadeh Bedoya ◽  
Sun J. Kang ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
Anxiety Scale ◽  
State Trait Anxiety Inventory ◽  
Parent Version

Attitudes toward Death, Anxiety, and Social Desirability

1978 ◽  
Vol 8 (4) ◽  
pp. 369-378 ◽  
Author(s):  
Louis S. Dickstein
Keyword(s):  
Social Desirability ◽  
Trait Anxiety ◽  
Death Anxiety ◽  
Discriminant Validity ◽  
Death And Dying ◽  
Anxiety Scale ◽  
State Trait Anxiety Inventory ◽  
Social Desirability Scale ◽  
Attitudes Toward Death ◽  
Males And Females

Thirty-four male and thirty-four female undergraduates completed four scales of attitudes toward death including the Death Concern Scale, the Templer Death Anxiety Scale, the Tolor and Reznikoff Death Anxiety Scale, and the Fear of Death and Dying Scale, as well as the State-Trait Anxiety Inventory and the Marlowe-Crowne Social Desirability Scale. The four death scales showed moderate commonality reflecting, on average, 35 per cent common variance for both males and females. For females, a substantial portion of this commonality could be attributed to correlations between the death scales and trait anxiety whereas for males there was stronger evidence for the discriminant validity of the death scales. Three of the four death scales showed significant negative correlations with social desirability. There were no significant sex differences on the death scales.

scholarly journals 71 Predictors of children anxiety and association with parental anxiety in the preoperative setting at a tertiary pediatric center

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e29-e30
Author(s):  
Amelie Bastarache ◽  
Genevieve Normand
Keyword(s):  
Risk Factors ◽  
Trait Anxiety ◽  
The State ◽  
Anxiety Level ◽  
Preoperative Anxiety ◽  
Parental Anxiety ◽  
State Trait Anxiety Inventory ◽  
Children’S Anxiety ◽  
The Impact ◽  
Pediatric Center

Abstract Background Preoperative anxiety is a prevalent phenomenon in the pediatric population. The impact of anxiety can be seen in the children and accompanying family and have significant consequences during anesthesia, the perioperative and postoperative period. Previous studies examining risk factors of anxiety were contradictory and a few studied children aged under 5. Objectives The aim of this study is to evaluate the association between parental anxiety and child anxiety in patients undergoing elective surgery in a tertiary pediatric center. The secondary objectives were to identify the cohort characteristics and the risk factors associated with higher anxiety. Design/Methods In this prospective cohort study, 166 children aged from 2 to 12 years old, who had a surgery between March and June 2019, were analyzed. Children’s anxiety at induction was assessed by the anesthesiologist with the Modified Yale Preoperative Scale Short form (mYPAS-SF). Anxiety level of children over 8 years old was self-assessed by the State-Trait Anxiety Inventory-Child form (STAIC) during the preoperative evaluation. Parents’ anxiety was measured with the State-Trait Anxiety Inventory form (STAI). Data recorded included personal, familial and sociodemographic details, past healthcare history and prior separations. Unadjusted and adjusted logistic regression were performed to identify possible risk factors of children’s anxiety and association between child and parent anxiety. Results The prevalence of significant anxiety at induction was 39.8%. No significant association was observed between the level of anxiety of parents compared to their children except in the group of children aged over 8. In this population, statistically significant correlation was observed between the STAIC and the STAI score, with a Pearson coefficient of 0.4. Children aged 2 to 5 years old and parents aged 15 to 35 years old, being an only child and no anterior history of separation were all associated with higher anxiety at induction. In the adjusted analysis, being five years or older was a protective factor (OR 0.23, 95% CI 0.12;0.45, p&lt;0.001). Conclusion Parent anxiety does not seem to be a good indicator of children’s anxiety even if an association was observed in the group of 8 to 12 years old. Children under 5 are more at risk of preoperative anxiety and could benefit from new technologies and preparative strategies to lower their anxiety level. Anxiety at induction remains difficult to predict and more studies on the subject need to be carried out.

scholarly journals Comparing the effects of nursing versus peer-based education methods on the preoperative anxiety in infertile women: An RCT

2019 ◽  
Author(s):  
Farahnaz Farnia ◽  
Abbas Aflatoonian ◽  
Athareh Kalantari
Keyword(s):  
Hospital Admission ◽  
Trait Anxiety ◽  
Preoperative Anxiety ◽  
Response To Treatment ◽  
State Trait Anxiety Inventory ◽  
Patient Anxiety ◽  
Staff Shortage ◽  
Infertile Women ◽  
Significant Difference ◽  
The Mean

Background: Preoperative anxiety is a common event in patients expecting surgery. Education can play an important role in reducing the negative effects of anxiety on the response to treatment. Therefore, identifying the appropriate method is important. Objective: The aim of this study was comparing the effects of nursing versus peer-based education on the preoperative anxiety in infertile women. Materials and Methods: In this clinical trial, 198 eligible infertile women were randomized into three groups (n= 66/each): the nurse-educated, peer-educated, and the controls. The Spielberger State-Trait Anxiety Inventory was filled out by all participants for measuring the patient anxiety at the time of hospital admission and prior to surgery. Participants in the nurse-educated and peer-educated groups received a group education program by a nurse or peer, respectively, after the initial completion of the Spielberger State-Trait Anxiety Inventory. Results: The mean score anxiety was 44.47, 46.92, and 42.60 at the time of hospital admission and 39.38, 41.06, and 43.42 prior to surgery in nurse-educated, peer-educated, and the control groups, respectively. There was a significant difference in the mean score of anxiety in each group before and after the intervention (p < 0.0001). However, the difference between the groups was not significant. Conclusion: Our findings demonstrate that nursing and peer education programs both reduce the preoperative anxiety. Hence, optimal use of the peer's potential regarding the compensation for staff shortage for preoperative education as well as investigating the effect of individual education is suggested for further studies. Key words: Education, Infertility, Preoperative anxiety, Nurse, Peer.

scholarly journals Mindfulness Factors and Anxiety Levels in Groups of Adults with Different Meditation Experience

2015 ◽  
Vol 2 ◽  
pp. 237
Author(s):  
Guna Svence ◽  
Laila Majore ◽  
Māris Majors
Keyword(s):  
Trait Anxiety ◽  
Anxiety Scale ◽  
Meditation Practice ◽  
Five Facet Mindfulness Questionnaire ◽  
State Trait Anxiety Inventory ◽  
Anxiety Levels ◽  
Meditation Experience ◽  
Definition Of

The study includes the methodological model of mindfulness, definition of mindfulness in Latvian, model of other psychological notions related to mindfulness, proven links between the mindfulness and its subscales and anxiety scales, differences in mindfulness indicators among respondent groups with different meditation experience. The study involved 198 respondents in age of 22–56 years, M=36.91; SD=8.23, with different meditation experience. The study uses the Five Facet Mindfulness Questionnaire – FFMQ- adapted in Latvian by M. Majors (2012), as well as Spielberger’s State-Trait Anxiety Inventory Form (Spielberger, et al. 1983), adapted in Latvian by D. Škuškovnika (LU Rīga, 2004). The results show that there are statistically significant links between indicators of mindfulness and its subscales, as well as indicators of the anxiety scale (r between -0.27 and -0.63r, p less then 0.01). Results indicate statistically significant differences in the respondent groups of mindfulness and its subscales with different meditation practice. Results were between (F(2.198) is 6.51, p less then 0.05) and (F(2.198) is 19.83, p less then 0.01).

Prevalence of Anxiety among Patients Undergoing Colorectal Surgery

2004 ◽  
Vol 95 (2) ◽  
pp. 657-658 ◽  
Author(s):  
Gary Elkins ◽  
M. Hasan Rajab ◽  
Joel Marcus ◽  
Raymond Staniunas
Keyword(s):  
Colorectal Surgery ◽  
General Anesthesia ◽  
Trait Anxiety ◽  
State Anxiety ◽  
The State ◽  
Anxiety Scale ◽  
State Trait Anxiety Inventory ◽  
Postsurgical Pain

To assess prevalence of anxiety 36 consecutive patients undergoing colorectal surgery with general anesthesia were interviewed on the day of surgery and completed the State-Trait Anxiety Inventory. Postsurgical ratings of pain and anxiety were obtained within 24 hours after surgery. Analysis indicated that 29 scored moderate or higher on the State Anxiety scale prior to surgery. The correlations for scores on presurgical Trait Anxiety with postsurgical pain and Trait Anxiety scores were significant ( p<.01) but not that for pre- and postsurgical State Anxiety

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