Effectiveness of Utilizing the Clinical Nursing Practice Guideline for Reducing Preoperative Anxiety and Increasing Cooperation in Children During Induction of General Anesthesia at Sunpasitthiprasong Hospital Ubon Ratchathani

Authors

  • Sarinra Thongmee Sunpasitthiprasong Hospital Ubon Ratchathani
  • Somchit Sricharoen Sunpasitthiprasong Hospital Ubon Ratchathani
  • Agirawadee Rachamanee Sunpasitthiprasong Hospital Ubon Ratchathani
  • Nopphakao Sripa Sunpasitthiprasong Hospital Ubon Ratchathani

Abstract

The purpose of this quasi-experimental research was to determine the effects of using the clinical nursing practice guideline (CNPG) for reducing preoperative anxiety and increasing cooperation in children during induction of general anesthesia. Thirty-six participants were purposively selected according to the criteria, including  age between 3 and 10 years and undergoing elective surgery at Sunpasitthiprasong Hospital, Ubon Ratchathani. Researchers equally randomized the participants into the experimental and the control group, each 18 per group. In the waiting area and during induction of anesthesia, the control group received routine nursing care for reducing preoperative anxiety and increasing cooperation in induction of anesthesia, while the experimental group received nursing care based on the evidence-based CNPG for reducing preoperative anxiety and increasing cooperation during induction of general anesthesia. The research tools were 1) The CNPG 2) The modified Yale Preoperative Anxiety Scale-Short Form was used to access the children’s anxiety and 3) The Pediatric Anesthesia Behavior was used to access the children’s cooperation during induction of general anesthesia. Data were analyzed by using descriptive statistics, T-test Independent, Fisher’s exact test, Chi-square test and Mann-Whitney U test.

            The results revealed that 1) the preoperative anxiety score of children in the experimental group were significant less than children in the control group (p < .01). 2) the cooperative score of children in the experimental group were significantly higher than the score of children in the control group (p < .01).

Downloads

Download data is not yet available.

References

Pongsit K, Ubonsri J, Principles of nursing for pediatric and family. In: Siribunphipattana P, et al., editors. Pediatric Nursing. Vol. 1. Principles and Concepts of Child and Family Nursing, Newborn Nursing. Bangkok: Thanapress; 2012.p.153-94. Thai

Olson N. Preoperative anxiety in children and their parents. [Dissertation]. Vaasa: Novia University of Applied Sciences; 2018.

Baghele A, Dave N, Dias R, Shah H. Effect of preoperative education on anxiety in children undergoing day-care surgery. Indian J Anaesth. 2019 Jul; 63(7): 565–570.

Moura LA, Dias IMG, Pereira LV. Prevalence and factors with preoperative anxiety in children aged 5-12 years. Rev Latino-Am Enfermagem. 2016;(24):e2708.

Eijlers R, Staals LM, Legerstee JS, Berghmans JM, Strabbing EM, van der Schroeff MP, et al. Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival. J Clin Psychol Med Settings (2020). https://doi.org/10.1007/s10880-020-09716-6.

West N, Christopher N, Stratton K, Görges M, Brown Z. Reducing preoperative anxiety with Child Life preparation prior to intravenous induction of anesthesia: A randomized controlled trial. Paediatr Anaesth. 2020 Feb;30(2):168-180. doi: 10.1111/pan.13802. Epub 2020 Jan 8. PMID: 31869478.

Kar SK, Ganguly T, Dasgupta CS, Goswami A. Preoperative Anxiety in Pediatric Population: Anesthesiologist"s Nightmare. iMedPub Journals. 2015;(6):1-9.

Manyande A, Cyna AM, Yip P, Chooi C, Middleton P. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD006447. DOI: 10.1002/14651858.CD006447.pub3.

Rema JP, Cavaleiro C, Pina P, Machado HS. Preoperative Anxiety in Preschool Children-Observational Study. J Anesth Clin Res. 2016; 1:1-6.

Beringer RM, Greenwood R, Kilpatrick N. Development and validation of the Pediatric Anesthesia Behavior score – an objective measure of behavior during induction of anesthesia. Pediatric Anesthesia 2014; 24:196–200. Doi.org/10.1111/pan.12259. Wiley Online Library.

Aroonpruksakul N, Nithiuthai J, Jenjarat S, Choorerk D. Validation and reliability of full and short Thai-version modified yale preoperative anxiety scale (m-YPAS) in young children. J Med Assoc Thai 2017; (100 Suppl. 7):53-8.

Sadeghi A, Tabar KA, Mahdavi A, Salarian S, Razavi SS. Impact of parental presence during induction of anesthesia on anxiety level among pediatric patients and their parents: a randomized clinical trial. Neuropsychiatr Dis Treat 2017; 12: 3237–3241.

Kar SK, Ganguly T, Dasgupta CS, Goswami A. Preoperative Anxiety in Pediatric Population: Anesthesiologist"s Nightmare. iMedPub Journals 2015; 6:1-9. doi: 10.21767/2172-0479.100030

Lin CH, Liu HP, Wang PY, Yu MH, LU MD, Hsieh LY, et al. The Effectiveness of Preoperative Preparation for Improving Perioperative Outcomes in Children and Caregivers. Behav Modif 2019 ;43(3):311-29. doi: 10.1177/0145445517751879.

Liguori S, Stacchini M, Ciofi D, Olivini N, Bisogni S, Festini F. Effectiveness of an App for Reducing Preoperative Anxiety in Children: A Randomized Clinical Trial. JAMA Pediatrics 2018;170(8):e160533.

Dwairej D, Obeidat H, Khalaf I. The Effectiveness of Video Distraction on Children Preoperative Anxiety: An Integrative Literature Review. Open Journal of Nursing 2018;8:171-87. doi:10.4236/ojn.2018.83015.

Kim H, Jung SD, Yu H, Park SJ. Video Distraction and Parental Presence for the Management of Preoperative Anxiety and Postoperative Behavioral Disturbance in Children: A Randomized Controlled Trial. Anesthesia & Analgesia 2015;121:778-84. doi: 10.1213/ANE.0000000000000839.

Rodriguez ST, Jang O, Hernandez JM, George AJ, Caruso TJ, Simons LE. Varying screen size for passive video distraction during induction of anesthesia in low-risk children: A pilot randomized controlled trial. Paediatr Anaesth 2019;29:648-55. doi:10.1111/pan.13636.

Thongmee S, Bunvanit T. Effectiveness of Cartoon Animation via Tablet as a Distraction Technique on Anxiety and Co-operation of Preschool Children during Induction of Anesthesia 2016;34:29-36. Thai

Center Office of the Permanent Secretary Ministry of High Education, Science, Research and Innovation. Game to Game addiction.[Internet]. [cited 2021 Nov 15]. Available from: https://www.ops.go.th/main/index.php/knowledge-base/article-pr/415-2017-09-04-04-36-21. Thai

Chaurasia B, Jain D, Mehta S, Gandhi K, Mathew PJ. Incentive-Based Game for Allaying Preoperative Anxiety in Children : A Prospective Randommized Trial . Anesth Analg 2018; 129:1629-34. doi: 10.1213/ANE.0000000000003717.

Ryu JH, Park JW, Nahm FS, Jeon YT, Oh AY, Lee HJ, el al. The Effect of Gamification through a Virtual Reality on Preoperative Anxiety in Pediatric Patients Undergoing General Anesthesia: A Prospective, Randomized, and Controlled Trial. J. Clin. Med 2018;7:1-8. doi:10.3390/jcm7090284.

Downloads

Published

2022-06-29

How to Cite

1.
Thongmee S, Sricharoen S, Rachamanee A, Sripa N. Effectiveness of Utilizing the Clinical Nursing Practice Guideline for Reducing Preoperative Anxiety and Increasing Cooperation in Children During Induction of General Anesthesia at Sunpasitthiprasong Hospital Ubon Ratchathani. J Nurs Healthc [Internet]. 2022 Jun. 29 [cited 2022 Sep. 27];40(2):65-74. Available from: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/254394