Anxiety
Conditions
Keywords
preoperative anxiety, paediatric patients, Cartoon
Brief summary
Preoperative Anxiety is a major problem in anesthesia management. Paediatric patients are a special group who need special attention. Some studies have shown that cartoons are a very good tool for distraction in the preoperative period for children. Our hypothesis is that children watching Cartoons in the preoperative period will have less anxiety and will be fit with preparation.
Detailed description
After local ethics committee approval 60 patients scheduled for various types of surgery will be included. On the operation day patients are going to be evaluated in the preoperative preparation room. For anxiety evaluation the modified yale preoperative anxiety scale will be used. After this first evaluation patients are going to be separated randomly into two groups; group R (routine) and group C (cartoon). All patients are going to be premedicated with midazolam. The first group will receive their premedication straight after the first evaluation and their response will be recorded as easy, moderate, difficult, does not accept. Group C will choose a cartoon movie (5 different movies are recorded and will be shown through a tablet PC)) and will begin to watch it. After 5 minutes they will receive their premedication and their response will also be recorded. After 30 minutes a physician will try to insert an IV line and the response of the child will also be evaluated and recorded as easy, moderate, difficult and does not allow. Afterwards the patient will be transported into the operation room. In the operation room anesthesia will be induced via Sevoflurane and the response to mask anesthesia will be evaluated with the mask score as it is described before in previous studies. Patients in Group C will continue to watch the cartoon movie until the induction of anesthesia. And the modified yale score will also be reevaluated and recorded. The family anxiety will be evaluated with the State Trait Anxiety Inventory Scale. The family and the child will also be interviewed separately, 4 prepared standard questions will be asked in order to understand how the family described the operation.
Interventions
OTHERcartoon
5 different cartoons which will be recorded on a tablet PC.
Sponsors
Balikesir University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
3 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* family approval * age between 3-9 * scheduled for surgery under general anesthesia
Exclusion criteria
* history of physiatric disease * regular medication * previous history of anesthesia/sedation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anxiety score | at the beginning and before induction of anesthesia | the anxiety score of included patients is going to be evaluated at the beginning in the preparation room and once again in the operation room before induction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| family anxiety scores | Before operation during the first examination | the anxiety score of the parents is going to be evaluated before the operation. |
Countries
Turkey (Türkiye)
Outcome results
None listed