Effects of Different Parental Involvement on Anxiety and Delirium

Effects of Different Parental Involvement on Anxiety and Delirium in Children Undergoing Elective ENT Surgery

Induction of anesthesia in surgical procedures can be a distressing process for both children and their parents. Nonpharmacological behavioral interventions, unlike sedative medications, can reduce children's anxiety without adverse effects. The effect of having both parents present during anesthesia induction on children's anxiety and parents' anxiety has not yet been documented.

This study will aim to evaluate the effect of having both parents present during anesthesia induction on children's and parental anxiety during the perioperative period.

Surgery can be very stressful for patients, especially children. Studies show that 50-75% of children experience fear and anxiety when undergoing surgery and being put under anesthesia. This anxiety can have adverse effects on their recovery, leading to more extended hospital stays, increased pain, and behavioral issues. To address this, various medical and non-medical approaches are used to ease children's fears. One such approach is allowing parents to be with their children until the anesthesia takes effect. This study aims to assess how having both parents present during this time impacts the child's anxiety levels.

The effect of parental presence on the anxiety of children and parents was studied in various studies. Whether both parents affect anxiety has not been studied yet. In this study the investigators will evaluate the anxiety of children by using mYPAS.

Inclusion Criteria:

• 80 children of both sex, aged 5-12 years with ASA physical Status I-II will be enrolled

Exclusion Criteria:

• Mentally challenged
• Deaf Child
• Cerebral Palsy
• Premedicated Child
• Language Problem
• Uncooperative
• History of psychiatric disease in children or the parents
• Previous surgery or anesthesia history