scholarly journals Effects of Nursing Care Based on Watson’s Theory of Human Caring on Anxiety, Distress, And Coping, When Infertility Treatment Fails: A Randomized Controlled Trial

2017 ◽  
Vol 6 (2) ◽  
pp. 95-109 ◽  
Author(s):  
Yeter Durgun Ozan ◽  
Hülya Okumuş
Keyword(s):  
Randomized Controlled Trial ◽  
Nursing Care ◽  
Controlled Trial ◽  
Infertility Treatment ◽  
Randomized Controlled ◽  
Theory Of Human Caring ◽  
And Coping ◽  
Human Caring

Reducing Children’s Preoperative Fear with an Educational Pop-up Book: A Randomized Controlled Trial

2021 ◽  
pp. 019459982110531
Author(s):  
Holly Cordray ◽  
Chhaya Patel ◽  
Kara K. Prickett
Keyword(s):  
Randomized Controlled Trial ◽  
Coping Strategies ◽  
Outpatient Surgery ◽  
Controlled Trial ◽  
Intervention Group ◽  
Anesthesia Induction ◽  
Patients Âgés ◽  
Randomized Controlled ◽  
Positive Coping ◽  
And Coping

Objective Preoperative education empowers children to approach surgery with positive expectations, and providers need efficient, child-focused resources. This study aimed to evaluate an interactive pop-up book as a tool for explaining surgery, managing preoperative anxiety, and strengthening coping strategies. Study Design Prospective randomized controlled trial. Setting Pediatric outpatient surgery center. Methods Patients ages 5 to 12 undergoing outpatient surgery read a pop-up book about anesthesia (intervention) or received standard care (control). Patients self-reported their preoperative fear, pain expectations, views of the procedure and preoperative explanations, and coping strategies. Outcomes also included observer-rated behavioral anxiety and caregiver satisfaction. Results In total, 148 patients completed the study. The pop-up book had a significant, large effect in reducing patients’ fear of anesthesia induction (Cohen’s d effect size = 0.94; P < .001). Intervention patients also expected less pain than control patients from the anesthesia mask and during surgery ( d = 0.60-0.80; P < .001). The book encouraged more positive views of the procedure and preoperative explanations ( P < .005). Furthermore, the book prepared patients to cope adaptively: intervention patients were significantly more likely to generate positive active coping strategies, distraction strategies, and support-seeking strategies ( P < .001). Observer-rated behavioral anxiety at anesthesia induction did not differ between groups ( P = .75). Caregivers in the intervention group were significantly more satisfied with each aspect of the surgical experience ( P≤ .02). Conclusion The educational pop-up book offers a child-focused resource that helps alleviate children’s preoperative fears, encourages positive coping, and improves caregivers’ perceptions of the experience. This study was registered at ClinicalTrials.gov (NCT04796077).

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