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Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions can reduce the anxiety of children without significant adverse effects as seen with sedative drugs. has not been documented.
The aim of this study will be to evaluate the effect of children's preference on parental selection during the induction of anesthesia on children and parental anxiety during the perioperative period.
Anesthetic induction can be one of the most stressful experiences for the child during the perioperative period, with almost 50% of the children showing significant anxiety. . To minimize the effect of anxiety, several methods have been adopted, such as the introduction of day-case surgery, parental presence at the induction of anesthesia, distractions and the use of pharmacological agents like midazolam to reduce anxiety.
Although the effect of parental presence on the anxiety of children and parents was studied in various studies. Whether the children's choice of parental selection affects anxiety is not studied yet. In this study, we will evaluate the anxiety of children by using mYPAS .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Child Preference | The children will prefer parents (mother or father) who will accompany them in the preoperative holding area and at induction. |
| |
| Group None | The parent of the children who will accompany them during the perioperative period will be determined according to randomization. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Selection of parent(mother or father) according to children preference | Procedure | The parent who will accompany the child during the perioperative period will be determined by children preference |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia. | The mYPAS will be used to evaluate the anxiety level of children. The mYPAS is an observational measure of preoperative anxiety consisting of 27 items in 5 domains (activity, emotional expressivity, state of arousal, vocalization, and use of parents). The adjusted mYPAS total score ranges from 22.9 to 100, with higher scores indicating greater anxiety. | Perioperative period |
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Inclusion Criteria:
Exclusion Criteria:
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80 children of both sex, aged 4-8 years with ASA physical Status I-II will be enrolled
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| Name | Affiliation | Role |
|---|---|---|
| Fatih Yucedag, Assist Prof | Karaman Training and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karaman Training and Research Hospital | Karaman | 70200 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38054915 | Derived | Fatih Y, Arife S, Aysegul B, Betul B. The Effect of Child Preference for Parental Selection on Pediatric Anxiety During Induction in Children Undergoing Elective Day Case Surgery. J Perianesth Nurs. 2024 Jun;39(3):397-402. doi: 10.1016/j.jopan.2023.08.021. Epub 2023 Dec 5. |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D002652 | Child Behavior |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D001519 | Behavior |
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| Selection of parent(mother or father) according to randomization | Procedure | The parent who will accompany the child during the perioperative period will be determined by randomization. |
|