+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Preoperative psychological preparation for children undergoing ENT operations: a comparison of two methods

, : Preoperative psychological preparation for children undergoing ENT operations: a comparison of two methods. Paediatric Anaesthesia 10(5): 477-486

A psychological preparation programme was developed for outpatient surgery in children. The purpose of this study was to determine if the programme could increase retrieval of information and reduce anxiety prior to ENT surgery. After ethical committee approval, 160 children and their parents were included. Eighty children (group 1) received conventional verbal information from an ENT nurse, and another 80 children (group 2) received specific information, including role-play, from a nurse anaesthetist at a preadmission visit. Children's and parents' experience of premedication, operation theatre (OR), i.v.-needle insertion and induction of anaesthesia were evaluated from a self-rating questionnaire. The questionnaire included ratings for anxiety and satisfaction with information and care. The results indicate a clear improvement of the preoperative acquisition of knowledge in all age groups. When it comes to alleviation of fear, a positive effect of the preparation programme was noticed, especially among the younger children (< 5 years), while preoperative anxiety overall was a significantly smaller problem among the older children. The effects of the programme were also related to previous experience of anaesthesia and most beneficial among young children with such experience. Overall, the most negative procedure reported by the children was the i.m. injection for premedication (a routine which was abandoned as a result of the study), followed by the insertion of the i.v. -needle. The parents experienced watching their child fall asleep during induction of anaesthesia as most negative, followed by the insertion of the i.v.-needle. Parents also reported more satisfaction and less anxiety after having received specific information and preparation preoperatively. It was concluded that this preoperative preparation programme is useful in all age groups with regard to information, while alleviation of anxiety and fear was seen mainly among the younger children with previous experience of anaesthesia.


PMID: 11012950

Other references

Maestripieri, Dario., 1996: Social communication among captive stump-tailed macaques (Macaca arctoides). I compared the frequency of occurrence, contextual usage, and meaning of some of the most prominent gestural signals in stump-tailed macaques. I recorded the occurrence of 15 visual and tactile behavior patterns in a multimale multifemale captive...

Louhau, H.M., 1956: Glomus tumor of the hand. Revista de la Sanidad Militar Argentina 55(1): 81-82

Fisher, R.G., 1998: Plastibell circumcision: a novel complication. Journal of Pediatrics 133(3): 468-468

Gustafsson, D.; Ohman, E., 1989: Current observations. 1 February - 15 March 1989.. Var Fagelvarld, 483: 173-174

Moghissi, K.; Lutley, C.; Green, J.; Moghissi, A.J., 1981: A trial comparing the use of penicillin and streptomycin, and flucloxacillin and ampicillin prophylactically in patients undergoing major thoracic surgery. British Journal of Clinical Practice 35(7-8): 250-253

Anonymous, 2005: 2005 High Cotton winners reducing tillage, adapting to challenges. Southwest Farm Press 32(1): 4

Korotkevich Y.L., 1982: Stratigraphic importance of upper Miocene mammals of North Black Sea region. Trudy Sessii - Vsesoyuznoye Paleontologicheskoye Obshchestvo 24: 117-123

Harker, D., 1972: Myelin membrane structure as revealed by x-ray diffraction. The present work consists of a new interpretation of the data presented in the article entitled "X-Ray Diffraction of Myelin Membrane. II" by C. K. Akers and D. F. Parsons (1970, Biophys. J.10:116). It will be shown that the projection o...

Corradetti, A., 1939: Research on Malaria in southern Dancalia. An account is given of investigations in southern Dancalia (Abyssinia) in 1938-39 on the susceptibility of native and other races to malaria. The Anophelines observed were Anophelesgambiae, Giles, A.pharoensis, Theo., A.pretoriensis, Theo., and A....

Boynton, R.F.; Blount, P.L.; Yin, J.; Brown, V.L.; Huang, Y.; Tong, Y.; McDaniel, T.; Newkirk, C.; Resau, J.H.; Raskind, W.H.; Haggitt, R.C.; Reid, B.J.; Meltzer, S.J., 1992: Loss of heterozygosity involving the APC and MCC genetic loci occurs in the majority of human esophageal cancers. The tumor suppressor gene APC was recently identified, and the cDNA was cloned from chromosome 5q21. Point mutations affecting APC are seen in the hereditary syndrome familial adenomatous polyposis, and point mutations in APC and a closely linked...