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- Title
Comparison of Anxiety Score in Children With and Without Parental Presence.
- Authors
Hussain, A.; Khan, F.
- Abstract
BACKGROUND: Anxiety at induction of anesthesia in children is associated with distress on awakening and postoperative behavior problems. Different techniques have been used to decrease this anxiety includes parental presence at anesthetic induction, behavioral preparation programs and premedication. OBJECTIVES: To compare the mean anxiety score in children at time of induction of anesthesia with two different techniques of parental presence and a control group with no parent present. METHODS: This randomized controlled trial conducted at the Aga Khan University, Karachi, Pakistan. One hundred and twenty three ASA I and II patients, aged 1 to 8 years undergoing elective day care surgery were randomly allocated to following groups by the sealed opaque enveloped technique. : A: Control group: In which only child went to operating room alone. B: One parent accompanied the child to the OR, where they sat or stood near the operating table. The child sat on the operating table. C: One parent came in OR with child. Parent sat on a chair, child sat on their lap with his mother/father's left arm wrapped around the child. mYPAS score was calculated and recorded at induction of general anaesthesia before application of face mask. A value of less than 30 on the scale indicated low anxiety. RESULTS: The mean anxiety score was significantly high in group A as compared to group B and C (50.38±13.90 vs. 43.50±10.43; diff = 6.88±2.42 p=0.016) and (50.38±13.90 vs. 41.17±7.64; diff =9.21±2.42 p=0.001) respectively. Difference in mean anxiety score between group A and group C was highly significant (p=0.001) whereas mean anxiety score was not significant between group B and group C (p=1.00). Comparison among age groups regarding anxiety score showed a statistically significant difference in group aged between 5 to 8 years (p=0.001) compared to group aged between 1 to 4 year old (p=0.06). CONCLUSION: Parental presence during induction of anaesthesia is an effective technique in reducing children anxiety.
- Subjects
CHILD anxiety testing; ANESTHESIA; COMPARATIVE studies
- Publication
Journal of Pioneering Medical Sciences, 2016, Vol 6, Issue 2, p83
- ISSN
2309-7981
- Publication type
Article