Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial

Detalhes bibliográficos
Autor(a) principal: Meletti, Dânia P.
Data de Publicação: 2018
Outros Autores: Meletti, José Fernando A., Camargo, Rodrigo P.S., Silva, Leopoldo M. [UNESP], Módolo, Norma S.P. [UNESP]
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.jped.2018.05.009
http://hdl.handle.net/11449/188427
Resumo: Objective: To verify the effect of psychological preparation on the relief of preoperative anxiety in children and to correlate parents’ and children's levels of anxiety. Method: After the approval of the institutional Research Ethics Committee and written consent of the children's parents or guardians, 118 children of both genders were prospectively selected, aged between 2 and 8 years, physical condition classification ASA I, who were treated in the pre-anesthetic evaluation ambulatory of the University Hospital and who underwent ambulatory surgeries at the same hospital. Two controlled groups of 59 children were randomized: control group basic preparation and psychological preparation group. On the day of surgery, all selected children were evaluated regarding their level of anxiety using the modified Yale Preoperative Anxiety Scale and their parents were evaluated regarding their level of anxiety through the Visual Analog Scale. The evaluator was blinded to which study group the child and family member belonged to. Results: Nine children and their family members were excluded per group when the results were analyzed. Children from the prepared group showed significant reductions in their level of anxiety in relation to the control group (p = 0.04). There was no correlation between the level of anxiety of children and their parents’ levels (p = 0.78). Conclusion: The psychological preparation was effective in reducing the level of anxiety of children. However, there was no relation between the level of anxiety of children and their parents’ level.
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spelling Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trialPreparação psicológica reduz ansiedade pré-operatória de crianças. Ensaio randomizado e duplamente encobertoAnestesiaAnesthesiaAnsiedadeAnxietyChildCirurgiaCriançaPreparação psicológicaPsychological preparationSurgeryObjective: To verify the effect of psychological preparation on the relief of preoperative anxiety in children and to correlate parents’ and children's levels of anxiety. Method: After the approval of the institutional Research Ethics Committee and written consent of the children's parents or guardians, 118 children of both genders were prospectively selected, aged between 2 and 8 years, physical condition classification ASA I, who were treated in the pre-anesthetic evaluation ambulatory of the University Hospital and who underwent ambulatory surgeries at the same hospital. Two controlled groups of 59 children were randomized: control group basic preparation and psychological preparation group. On the day of surgery, all selected children were evaluated regarding their level of anxiety using the modified Yale Preoperative Anxiety Scale and their parents were evaluated regarding their level of anxiety through the Visual Analog Scale. The evaluator was blinded to which study group the child and family member belonged to. Results: Nine children and their family members were excluded per group when the results were analyzed. Children from the prepared group showed significant reductions in their level of anxiety in relation to the control group (p = 0.04). There was no correlation between the level of anxiety of children and their parents’ levels (p = 0.78). Conclusion: The psychological preparation was effective in reducing the level of anxiety of children. However, there was no relation between the level of anxiety of children and their parents’ level.Objetivos: Verificar o efeito da preparação psicológica no alívio da ansiedade pré-operatória de crianças e avaliar se há correlação com a ansiedade dos pais. Método: Após a aprovação do Comitê de Ética e Pesquisa da Faculdade de Medicina e obtenção do consentimento pelos responsáveis dos pacientes, foram selecionadas prospectivamente 118 crianças, de ambos os sexos, com idade entre dois e oito anos, classificação de estado físico ASA I, atendidas no ambulatório de avaliação pré-anestésica do Hospital Universitário e submetidas a cirurgias ambulatoriais. Foram randomizados dois grupos controlados de 59 crianças: grupo de preparação básica e grupo preparação psicológica. No dia da cirurgia, todas as crianças foram avaliadas em relação ao seu grau de ansiedade através da Escala de Ansiedade Pré-operatória de Yale Modificada e seus pais, avaliados quanto ao seu nível de ansiedade pela Escala Visual Analógica. O avaliador era cego sobre qual grupo do estudo a criança e seu familiar pertenciam. Resultados: Na análise dos resultados, foram excluídas 9 crianças e familiares de cada grupo. As crianças do grupo preparado tiveram reduções significativas no grau de ansiedade em relação ao grupo controle, (p = 0,04). Não houve correlação entre os graus de ansiedade das crianças e seus pais (p = 0.78). Conclusão: A preparação psicológica foi eficaz na redução do grau de ansiedade das crianças no momento da cirurgia. Não houve, entretanto, relação entre os graus de ansiedade dos pais e seus filhos.Faculdade de Medicina de Jundiaí Ciências da SaúdeFaculdade de Medicina de Jundiaí Departamento de AnestesiologiaFaculdade de Medicina de Jundiaí Departamento de Ginecologia e ObstetríciaUniversidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP) Departamento de AnestesiologiaUniversidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP) Faculdade de Medicina de Botucatu Departamento de AnestesiologiaUniversidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP) Departamento de AnestesiologiaUniversidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP) Faculdade de Medicina de Botucatu Departamento de AnestesiologiaCiências da SaúdeFaculdade de Medicina de JundiaíUniversidade Estadual Paulista (Unesp)Meletti, Dânia P.Meletti, José Fernando A.Camargo, Rodrigo P.S.Silva, Leopoldo M. [UNESP]Módolo, Norma S.P. [UNESP]2019-10-06T16:07:44Z2019-10-06T16:07:44Z2018-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.jped.2018.05.009Jornal de Pediatria.0021-7557http://hdl.handle.net/11449/18842710.1016/j.jped.2018.05.009S0021-755720190006005452-s2.0-85057487486S0021-75572019000600545.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporJornal de Pediatriainfo:eu-repo/semantics/openAccess2024-08-14T13:20:51Zoai:repositorio.unesp.br:11449/188427Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:51Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
Preparação psicológica reduz ansiedade pré-operatória de crianças. Ensaio randomizado e duplamente encoberto
title Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
spellingShingle Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
Meletti, Dânia P.
Anestesia
Anesthesia
Ansiedade
Anxiety
Child
Cirurgia
Criança
Preparação psicológica
Psychological preparation
Surgery
title_short Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
title_full Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
title_fullStr Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
title_full_unstemmed Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
title_sort Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
author Meletti, Dânia P.
author_facet Meletti, Dânia P.
Meletti, José Fernando A.
Camargo, Rodrigo P.S.
Silva, Leopoldo M. [UNESP]
Módolo, Norma S.P. [UNESP]
author_role author
author2 Meletti, José Fernando A.
Camargo, Rodrigo P.S.
Silva, Leopoldo M. [UNESP]
Módolo, Norma S.P. [UNESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Ciências da Saúde
Faculdade de Medicina de Jundiaí
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Meletti, Dânia P.
Meletti, José Fernando A.
Camargo, Rodrigo P.S.
Silva, Leopoldo M. [UNESP]
Módolo, Norma S.P. [UNESP]
dc.subject.por.fl_str_mv Anestesia
Anesthesia
Ansiedade
Anxiety
Child
Cirurgia
Criança
Preparação psicológica
Psychological preparation
Surgery
topic Anestesia
Anesthesia
Ansiedade
Anxiety
Child
Cirurgia
Criança
Preparação psicológica
Psychological preparation
Surgery
description Objective: To verify the effect of psychological preparation on the relief of preoperative anxiety in children and to correlate parents’ and children's levels of anxiety. Method: After the approval of the institutional Research Ethics Committee and written consent of the children's parents or guardians, 118 children of both genders were prospectively selected, aged between 2 and 8 years, physical condition classification ASA I, who were treated in the pre-anesthetic evaluation ambulatory of the University Hospital and who underwent ambulatory surgeries at the same hospital. Two controlled groups of 59 children were randomized: control group basic preparation and psychological preparation group. On the day of surgery, all selected children were evaluated regarding their level of anxiety using the modified Yale Preoperative Anxiety Scale and their parents were evaluated regarding their level of anxiety through the Visual Analog Scale. The evaluator was blinded to which study group the child and family member belonged to. Results: Nine children and their family members were excluded per group when the results were analyzed. Children from the prepared group showed significant reductions in their level of anxiety in relation to the control group (p = 0.04). There was no correlation between the level of anxiety of children and their parents’ levels (p = 0.78). Conclusion: The psychological preparation was effective in reducing the level of anxiety of children. However, there was no relation between the level of anxiety of children and their parents’ level.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-01
2019-10-06T16:07:44Z
2019-10-06T16:07:44Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.jped.2018.05.009
Jornal de Pediatria.
0021-7557
http://hdl.handle.net/11449/188427
10.1016/j.jped.2018.05.009
S0021-75572019000600545
2-s2.0-85057487486
S0021-75572019000600545.pdf
url http://dx.doi.org/10.1016/j.jped.2018.05.009
http://hdl.handle.net/11449/188427
identifier_str_mv Jornal de Pediatria.
0021-7557
10.1016/j.jped.2018.05.009
S0021-75572019000600545
2-s2.0-85057487486
S0021-75572019000600545.pdf
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv Jornal de Pediatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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