Effect of Preoperative Play Interventions on Post Surgery Anxiety
AbstractObjective: Many studies have shown that the level of postoperative distress and anxiety in children is associated with the amount of anxiety during the pre operative period. In this study, we compared the effect of pre-operational attending in a playroom and using play activities on the level of anxiety increment after surgery in an intervention and a control group of Iranian children.
Method: In a clinical trial, 75 children aged 5 to 12 enrolled in the intervention and the control group. The anxiety symptoms were assessed using State-Trait Anxiety Inventory for Children, Revised Children's Manifest Anxiety Scale, and Yale modified Pre operative Anxiety Scale. The mean differences of pre and post operative anxiety scores were calculated and compared using the ANCOVA statistical method.
Results: The two groups had similar demographic characteristics except for age which was higher in the control group. The baseline anxiety score was lower in the intervention compare to the control group and was statistically significant. There was a significant reduction in the trend of anxiety increment after surgery in the intervention group in comparison to the control group.
Conclusion: Attending in playrooms and using play activities may reduce the trend of increment in the anxiety level induced by surgical procedures.
Patel A, Schieble T, Davidson M, Tran MC, Schoenberg C, Delphin E, et al. Distraction with a hand-held video game reduces pediatric preoperative anxiety. Paediatr Anaesth 2006; 16: 1019-1027.
Kain ZN, Mayes LC, Caldwell-Andrews AA, Karas DE, McClain BC. Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics 2006; 118: 651-658.
William LHC, Lopez V, Lee TL. Effects of preoperative therapeutic play on outcomes of school-age children undergoing day surgery. Res Nurs Health 2007; 30: 320-332.
Davidson AJ, Shrivastava PP, Jamsen K, Huang GH, Czarnecki C, Gibson MA, et al. Risk factors for anxiety at induction of anesthesia in children: a prospective cohort study. Paediatr Anaesth 2006; 16: 919-927.
Golden L, Pagala M, Sukhavasi S, Nagpal D, Ahmad A, Mahanta A. Giving toys to children reduces their anxiety about receiving premedication for surgery. Anesth Analg 2006; 102: 1070-1072.
Messeri A, Caprilli S, Busoni P. Anaesthesia induction in children: a psychological evaluation of the efficiency of parents' presence. Paediatr Anaesth 2004; 14: 551- 556.
Almenrader N, Passariello M, Coccetti B, Haiberger R, Pietropaoli P. Premedication in children: a comparison of oral midazolam and oral clonidine. Paediatr Anaesth 2007; 17: 1143-1149.
Patil V, Brennan LJ. Day surgery for children. Anaesth Intensive Care Med 2007; 8: 176-179.
McEwen A, Moorthy C, Quantock C, Rose H, Kavanagh R. The effect of videotaped preoperative information on parental anxiety during anesthesia induction for elective pediatric procedures. Paediatr Anaesth 2007; 17: 534-539.
Wolfer JA, Visintainer MA. Pediatric surgical patients' and parents' stress responses and adjustment as a function of psychologic preparation and stress-point nursing care. Nurs Res 1975; 24: 244-255.
Zahr LK. Therapeutic play for hospitalized preschoolers in Lebanon. Pediatr Nurs 1998; 24: 449-454.
Kain ZN, Mayes LC, Cicchetti DV, Bagnall AL, Finley JD, Hofstadter MB. The Yale Preoperative Anxiety Scale: how does it compare with a "gold standard"? Anesth Analg 1997; 85: 783-788.
Southam-Gerow MA, Flannery-Schroeder EC, Kendall PC. A psychometric evaluation of the parent report form of the State-Trait Anxiety Inventory for Children--Trait Version. J Anxiety Disord 2003; 17: 427-446.
Chaiyawat W, Brown JK. Psychometric properties of the Thai versions of State-Trait Anxiety Inventory for Children and Child Medical Fear Scale. Res Nurs Health 2000; 23: 406-414.
Mohammadi MR, Mesgarpour B, Sahimi Izadian E, Mohammadi M. [Psychology and Psychopharmacology Tests in children and adolescents]. Teheran: Tteimourzadeh; 2005.
Taghavi SMR. [Normalization of Revised Children's Manifest Anxiety Scale (RCMAS) for Students in Shiraz]. Journal of social science and humanities of Shiraz university 2005; 22: 179-188.
Li HC, Lopez V. Effectiveness and appropriateness of therapeutic play intervention in preparing children for surgery: a randomized controlled trial study. J Spec Pediatr Nurs 2008; 13: 63-73.