Effect of self-driving of pediatric patients undergoing elective surgery to the operating room in reducing preoperative anxiety and pain and boost parental satisfaction
Keywords:
anxiety, children self-driving, distraction techniques, parental satisfactionAbstract
Background: Preoperative anxiety in children is highly prevalent, associated with negative outcomes, and has the potential to alter the dynamics of a surgical operation. If preoperative anxiety is mismanaged, it can result in postponed or canceled essential procedures. Objective: The study aimed to investigate whether self-driving of children to an operating room could relieve their preoperative anxiety and pain, in addition to assessing parental satisfaction. Methods: A prospective, two-armed quasi-experimental study was designed with three measurement time points, including 60 children (4–10 years) from both genders who had undergone elective surgeries and who were randomly allocated to the study group (n = 30) and control group (n = 30). Both groups received standard information provided by the nursing staff, and the study group only used self-driving to the operating room. The primary outcome was change in the children preoperative anxiety levels, as measured by the modified Yale Preoperative Anxiety Scale (m-YPAS) and the measurement of the physiological variables both in ward and when the children approached the anesthesia room. Pain was assessed by the Faces Pain Scale-Revised (FPS-R). A secondary outcome was parent satisfaction.
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