REDUCING PAEDIATRIC ANXIETY PRE- OPERATIVELY: STRATEGIES FOR NURSES
Keywords:
PAEDIATRICS, PRE-OPERATIVE ANXIETY, PERIOPERATIVE NURSINGAbstract
The surgical process can anxiety in children and this anxiety can be associated with both short and long term negative outcomes.4,5 Reduced pre-operative anxiety can improve both the child’s and family’s surgical experience. This article identifies strategies for nurses to address this issue, including: a child-focused approach, distraction techniques, and informed parental presence.
References
Wig, J. Current status of day care surgery: A review. Indian J. Anaesth. 2005; 49 (6): 459-466.
Frisch, AM., et al. Nurse practitioner role in preparing families for pediatric outpatient surgery. Pediatric Nsg. 2010 Feb; 36(1):41-47.
Li, HC., & Lam, H. Pediatric day surgery: Impact on Hong Kong Chinese children and their parents. J Clinical Nsg. 2003; 12: 882-887.
Li, HC., & Lopez, V. Assessing children’s emotional response to surgery: A multidimensional approach. Issues and Innovations in Nsg Practice. 2006; 53(5): 543-550.
Martin, SR., et al. Changing healthcare providers behavior during pediatric inductions with an empirically based intervention. American Society of Anesthesiologists. 2011; 115(1), 18- 27.
Kain, ZN.,et al. Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics. 2006; 118(2): 651-658.
Mason LJ . Pitfalls of pediatric anesthesia. Society for Pediatric Anesthesia. Retrieved from: http://www.pedsanesthesia.org/meetings/2004winter/
pdfs/mason_ Pitfalls.pdf
Hudek, K. Emergence delirium: A nursing perspective. AORN J. 2009 Mar; 89(3): 509520.
Visintainer, MA. & Wolfer, JA. Psychological preparation for surgical pediatric patients: The effects on children’s adjustments. Pediatrics. 1975; 56(2): 187-201.
Wennstrom, B., Hallberg, L., & Bergh, I. Use of perioperative dialogues with children undergoing day surgery. JAN. 2008; 62(1), 96-106.
Justus, R., et al. Preparing children and families for surgery: Mount Sianais multidisciplinary perspective. Pediatric Nsg. 2006; 32(1): 35-42.
Li, HC. & Lopez, V. Effectiveness and appropriateness of therapeutic play intervention in preparing children for surgery: A randomized controlled trial study. JSPN. 2008; 13(2): 63-73.
Wright, KD., et al. Prevention and intervention strategies to alleviate preoperative anxiety in children: A
critical review. Behavior Modification. 2007; 31(1): 52-79.
O’Shea, M., Cummins, A., & Kelleher, A. The perceived effectiveness of a pre-admission visit for children (and their parents) undergoing day surgery procedures. J of Preop Practice. 2011; 20(6), 203-206.
MacLaren, JE. & Kain, ZN. Development of a brief behavioral intervention for children’s anxiety at anesthesia induction. Childrens Health Care. 2008; 37: 196-209.
Amin, A. et al. Psychosocial considerations of perioperative care in children with a focus on effective management strategies. BJPN. 2010;20(6): 198-202.
Smith, L. & Callery, P. Children’s accounts of their preoperative information needs. Women and Children. 2005; 14: 230-238.
Aron, JH., et al. Novel distraction techniques for pediatric pre-operative anxiety prevention. Internet J of Anesology. 2007; 14(1).
Zuwala, R. & Barber, KR. Reducing anxiety in parents before and during pediatric anesthesia induction.
AANA J. 2001 Feb; 69(1): 21-25.
Romino, SL., et al. Parental presence during anesthesia induction of children. AORN J. 2005; 81(4): 780-792