The effect of play distraction on anxiety before premedication administration: a randomized trial.
J Clin Anesth
; 36: 27-31, 2017 Feb.
Article
en En
| MEDLINE
| ID: mdl-28183568
ABSTRACT
STUDY OBJECTIVE:
The majority of children scheduled to undergo surgery experience substantial anxiety in the preoperative holding area before induction of anesthesia. Pharmacological interventions aimed at reducing perioperative anxiety are paradoxically a source of stress for children themselves. Midazolam is frequently used as premedication, and the formula of this drug in Turkey is bitter. We aimed to assess the role of distraction in the form of playing with play dough (Play-Doh) on reducing premedication anxiety in children.DESIGN:
Prospective randomized clinical trial.SETTING:
Preoperative holding area. PATIENTS One hundred four healthy children aged 3 to 7 years scheduled to undergo elective surgery were enrolled into the study.INTERVENTIONS:
All children routinely receive sedative premedication (oral midazolam) before anesthesia. Children were randomized to 2 groups to receive either play dough (group PD) (n=52) or not (group C) (n=52) before administration of oral premedication. MEASUREMENTS Children's premedication anxiety was determined by the modified Yale Preoperative Anxiety Scale (mYPAS). MAINRESULTS:
The difference in mYPAS scores between groups at T0 (immediately after entering the preoperative holding area) was not significant (P=.876). Compared with group C, group PD was associated with lower mYPAS scores at T1 and T2 (P<.001). In group PD, mYPAS scores were significantly lower at both T1 and T2 as compared with the scores at T0 (P<.001); they were similar between T1 and T2 (P>.001).CONCLUSION:
This study showed that distraction in the form of playing with play dough facilitated administration of oral midazolam in young children.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ansiedad
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Juego e Implementos de Juego
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Premedicación
/
Cuidados Preoperatorios
Tipo de estudio:
Clinical_trials
/
Etiology_studies
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Observational_studies
/
Risk_factors_studies
Límite:
Child
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Child, preschool
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Female
/
Humans
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Male
Idioma:
En
Revista:
J Clin Anesth
Asunto de la revista:
ANESTESIOLOGIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Turquía