Pediatric Day Surgery: Evaluating Patient And Parental Anxiety.
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Objective: A child’s pre-operative anxiety can result in adverse physiological reactions andpostoperative maladaptive behavioral changes. We investigated the child and the parent’s anxiety in response to day surgery and preoperative preparation, as a potential stressor during the surgical work-up. Patients and methods : All pediatric patients (3-17 years), having day-surgery procedures (from September 2014 to February 2015) and their parents were enrolled. Patient anxiety was evaluated using the Modified Yale Preoperative Anxiety Scale at preoperative preparation (T0), before surgery (T1), and discharge (T2). Parental anxiety was assessed using the State-Trait Anxiety Inventoryscale at T1 and T2. Results 63: children (33F/30M; 6.98±3.24 years) and their parentswere included. Children’s anxiety levels at T0 were higher compared with T1 and T2 (p<0.001). Parental anxiety state was higher at T1 in comparison with T2 (<0.001). The difference between state and trait anxiety levels at T1 and T2 were noted in the mothers (p<0.001) and fathers (p= 0.01 and p=0.02). Patient anxiety was not linked to parental anxiety and/or to the type of surgery. Conclusion Further efforts are needed to relieve children’s anxiety during the perioperative period, with attention to preoperative evaluation. An appropriate understanding and management of anxiety is mandatory to ameliorate patient care in today’s pediatric surgical practice.
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