https://doi.org/10.4081/pmc.2021.235
Application of a non-pharmacological technique in addition to the pharmacological protocol for the management of children’s preoperative anxiety: A 10 years’ experience
Submitted: 28 May 2020
Accepted: 11 February 2021
Published: 19 March 2021
Accepted: 11 February 2021
Abstract Views: 6436
PDF: 1062
HTML: 66
HTML: 66
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The aim of the study was to investigate how Non- Pharmacological Techniques (NPT), in addition to standard pharmacological techniques, can help to manage and reduce the preoperative anxiety of children waiting for Day Surgery procedures (DS). Isola Serena activity started in 2008 to manage the preoperative time of children waiting for surgery in the playing room. The latter is run by a pedagogist. NPT includes use of games and toys, readings and drawings. A descriptive and comparative study was conducted on 50 children, aged 4 to 12 years, randomly assigned to Isola Serena group ISG and control group CG. All children received standard pharmacological techniques, while those of the ISG also received the NPT. The evaluation of the preoperative anxiety level (modified Yale Preoperative Anxiety Scale) and parent’s coping style (Coping Inventory for Stressful Situation) compared the two groups. The ISG showed a significantly lower level of preoperative anxiety than the CG. Parents’ coping style was not related to the preoperative anxiety. The activity performed in the Isola Serena Project resulted to be effective for the reduction of preoperative anxiety in children undergoing DS procedures.
Kain ZN, Mayes LC, Cicchetti DV, et al. The Yale Preoperative Anxiety Scale: how does it compare with a "gold standard"? Anesth Analg 1997;85:783-8.
DOI: https://doi.org/10.1097/00000539-199710000-00012
Johnston M. Pre-operative emotional states and post-operative recovery. Adv Psychosom Med 1986;15:1-22.
DOI: https://doi.org/10.1159/000411845
Kain ZN, Mayes LC, O'Connor TZ, Cicchetti DV. Preoperative anxiety in children. Predictors and outcomes. Arch Pediatr Adolesc Med 1996;150:1238-45.
DOI: https://doi.org/10.1001/archpedi.1996.02170370016002
Kain ZN, Caldwell-Andrews AA, Maranets I, et al. Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors. Anesth Analg 2004;99:1648-54.
DOI: https://doi.org/10.1213/01.ANE.0000136471.36680.97
Filippazzi G. Un ospedale a misura di bambino. Esperienze e proposte. 2th ed. Franco Angeli, Milano, Italy; 2004.
Cohen-Salmon D. Répercussions psychocomportementales en périopératoire chez l'enfant [Perioperative psychobehavioural changes in children]. Ann Fr Anesth Reanim 2010;29:289-300.
DOI: https://doi.org/10.1016/j.annfar.2010.01.020
Kain ZN, Wang SM, Mayes LC, et al. Distress during the induction of anesthesia and postoperative behavioral outcomes. Anesth Analg 1999;88:1042-7.
DOI: https://doi.org/10.1097/00000539-199905000-00013
Chorney JM, Kain ZN. Behavioral analysis of children's response to induction of anesthesia. Anesth Analg 2009;109:1434-40.
DOI: https://doi.org/10.1213/ane.0b013e3181b412cf
Mifflin KA, Hackmann T, Chorney JM. Streamed video clips to reduce anxiety in children during inhaled induction of anesthesia. Anesth Analg 2012;115:1162-7.
DOI: https://doi.org/10.1213/ANE.0b013e31824d5224
Li HC, Lopez V. Effectiveness and appropriateness of therapeutic play intervention in preparing children for surgery: a randomized controlled trial study. J Spec Pediatr Nurs 2008;13:63-73.
DOI: https://doi.org/10.1111/j.1744-6155.2008.00138.x
Baldini L, Mazzarella F, Cozzi DA, Piserà A. La chirurgia pediatrica. In: Baldini L, eds. Psicologia Pediatrica. Verona, Italy: Piccin; 2009:293-311.
Lazarus RS, Folkman S. Stress, Appraisal and Coping Spinger. 1th ed. New York, NY: Springer Publishing Company; 1984.
Al-Yateem N, Brenner M, Shorrab AA, Docherty C. Play distraction versus pharmacological treatment to reduce anxiety levels in children undergoing day surgery: a randomized controlled non-inferiority trial. Child Care Health Dev 2016;42:572-81.
DOI: https://doi.org/10.1111/cch.12343
Bumin Aydın G, Yüksel S, Ergil J. et al. The effect of play distraction on anxiety before premedication administration: a randomized trial. J Clin Anesth 2017;36:27-31.
DOI: https://doi.org/10.1016/j.jclinane.2016.04.044
Finley GA, Stewart SH, Buffett-Jerrott S. et al. High levels of impulsivity may contraindicate midazolam premedication in children. Can J Anaesth 2006;53:73-8.
DOI: https://doi.org/10.1007/BF03021530
Karimi R, Fadaiy Z, Nikbakht Nasrabadi A. et al. Effectiveness of orientation tour on children's anxiety before elective surgeries. Jpn J Nurs Sci 2014;11:10-5.
DOI: https://doi.org/10.1111/j.1742-7924.2012.00223.x
Brewer S, Gleditsch SL, Syblik D. et al. Pediatric anxiety: child life intervention in day surgery. J Pediatr Nurs 2006;21:13-22.
DOI: https://doi.org/10.1016/j.pedn.2005.06.004
Lee J, Lee J, Lim H. et al. Cartoon distraction alleviates anxiety in children during induction of anesthesia. Anesth Analg 2012;115:1168-73.
DOI: https://doi.org/10.1213/ANE.0b013e31824fb469
Messina M, Molinaro F, Meucci D. et al. Preoperative distraction in children: hand-held videogames vs clown therapy. Pediatr Med Chir 2014;36:5-6.
DOI: https://doi.org/10.4081/pmc.2014.98
Capurso, M. Gioco e studio in ospedale: creare e gestire un servizio ludico educativo in un reparto pediatrico. 1th ed. Trento, Italy: Centro Erickson; 2001.
Manyande A, Cyna AM, Yip P, et al. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Cochrane Database Syst Rev 2015.
DOI: https://doi.org/10.1002/14651858.CD006447.pub3
Endler NS, Parker JD. Multidimensional assessment of coping: a critical evaluation. J Pers Soc Psychol 1990;58:844-54.
DOI: https://doi.org/10.1037/0022-3514.58.5.844
Golden L, Pagala M, Sukhavasi S. et al. Giving toys to children reduces their anxiety about receiving premedication for surgery. Anesth Analg 2006;102:1070-2.
DOI: https://doi.org/10.1213/01.ane.0000198332.51475.50
Hosseinpour M, Memarzadeh M. Use of a preoperative playroom to prepare children for surgery. Eur J Pediatr Surg 2010;20:408-11.
DOI: https://doi.org/10.1055/s-0030-1265172
Weber FS. The influence of playful activities on children's anxiety during the preoperative period at the outpatient surgical center. J Pediatr (Rio J) 2010;86:209-14.
DOI: https://doi.org/10.1590/S0021-75572010000300008
Watson AT, Visram A. Children's preoperative anxiety and postoperative behaviour. Paediatr Anaesth 2003;13:188-204.
DOI: https://doi.org/10.1046/j.1460-9592.2003.00848.x
Kain ZN, Mayes LC, Wang SM, et al. Parental presence and a sedative premedicant for children undergoing surgery: a hierarchical study. Anesthesiology 2000;92:939-46.
DOI: https://doi.org/10.1097/00000542-200004000-00010
Sadr Bafghi SM, Ahmadi N, Yassini Ardekani SM, et al. A Survey of Coping Strategies With Stress in Patients With Acute Myocardial Infarction and Individuals Without a History of Fixed Myocardial Infarction. Cardiol Res 2018;9:35-9.
DOI: https://doi.org/10.14740/cr655w
Carotenuto M, Messina A, Monda V, et al. Maternal Stress and Coping Strategies in Developmental Dyslexia: An Italian Multicenter Study. Front Psychiatry 2017;8:295.
DOI: https://doi.org/10.3389/fpsyt.2017.00295
How to Cite
Scarano, F., Dalla Corte, A., Michielon, R., Gava, A., & Midrio, P. (2021). Application of a non-pharmacological technique in addition to the pharmacological protocol for the management of children’s preoperative anxiety: A 10 years’ experience. La Pediatria Medica E Chirurgica, 43(1). https://doi.org/10.4081/pmc.2021.235
Copyright (c) 2021 The Authors
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Andrea Zangari, Carmine Noviello, Camilla Todesco, Mercedes Romano, Letizia Trotta, Carmine Botta, Ilaria Cascone, Salvatore Scommegna, Gabriele Vasta, Vito Briganti, Alfonso Papparella, Satisfaction and results of the subareolar incision as treatment for gynecomastia in adolescents: experience of two centers , La Pediatria Medica e Chirurgica: Vol. 46 No. 2 (2024)
- Salvatore Fabio Chiarenza, Cosimo Bleve, Ciro Esposito, Maria Escolino, Fabio Beretta, Maurizio Cheli, Vincenzo Di Benedetto, Maria Grazia Scuderi, Giovanni Casadio, Maurizio Marzaro, Leon Francesco Fascetti, Pietro Bagolan, Claudio Vella, Maria Luisa Conighi, Daniela Codric, Simona Nappo, Paolo Caione, Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the ureteropelvic-junction obstruction , La Pediatria Medica e Chirurgica: Vol. 39 No. 3 (2017)
- Edoardo Bindi, Fabiano Nino, Francesco Pierangeli, Michele Ilari, Taisia Bollettini, Elisa Chiarella, Francesca Mariscoli, Gianluca Gentilucci, Alba Cruccetti, Giovanni Cobellis, Transumbilical laparoscopic-assisted appendectomy versus laparoscopic appendectomy in children: a single center experience , La Pediatria Medica e Chirurgica: Vol. 45 No. 1 (2023)
- Meletios Kanakis, George Samanidis, Kyriaki Kolovou, Sotirios Katsaridis , Athina Maria Sait, Georgios Kourelis, Nicholas Giannopoulos, Dimitrios Bobos, Outcomes of delayed chest closure after congenital heart surgery in neonates , La Pediatria Medica e Chirurgica: Vol. 46 No. 1 (2024)
- Marta Peretti, Arianna Mariotto, Gabriella Scirè, Elisa Pani, Silvia Zambaldo, Sanzio Bianchi, Francesco Saverio Camoglio, Luca Giacomello, Wandering spleen with a ten-time twisted vascular pedicle , La Pediatria Medica e Chirurgica: Vol. 38 No. 3 (2016)
- Carmine Noviello, Mercedes Romano, Letizia Trotta, Giuseppina Rosaria Umano, Alfonso Papparella, Are the complications after laparo-assisted endo-rectal pull-through for Hirschsprung disease related to the change of the anal tone? , La Pediatria Medica e Chirurgica: Vol. 46 No. 1 (2024)
- Salvatore Fabio Chiarenza, Maria Luisa Conighi, Andrea Conforti, Ciro Esposito, Maria Escolino, Fabio Beretta, Maurizio Cheli, Vincenzo Di Benedetto, Maria Grazia Scuderi, Giovanni Casadio, Maurizio Marzaro, Leon Francesco Fascetti, Claudio Vella, Cosimo Bleve, Daniela Codric, Paolo Caione, Pietro Bagolan, Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the esophageal atresia , La Pediatria Medica e Chirurgica: Vol. 39 No. 3 (2017)
- Maria-Grazia Scarpa, Giordano Perin, Massimo Di Grazia, Daniela Codrich, Federica Pederiva, Edoardo Guida, Maria Antonietta Lembo, Antonio Giannotta, Jürgen Schleef, Surgery for distal hypospadias: what about the catheter? , La Pediatria Medica e Chirurgica: Vol. 39 No. 3 (2017)
- Mirko Bertozzi, Laura Marchesini, Simonetta Tesoro, Antonino Appignani, Laparoscopic herniorrhaphy in children , La Pediatria Medica e Chirurgica: Vol. 37 No. 2 (2015)
- Enrica Caponcelli, Milena Meroni, Giulia Brisighelli, Claudia Rendeli, Emanuele Ausili, Piergiorgio Gamba, Antonio Marte, Barbara Daniela Iacobelli, Laura Lombardi, Ernesto Leva, Paola Midrio, Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group , La Pediatria Medica e Chirurgica: Vol. 43 No. 1 (2021)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.