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ORIGINAL RESEARCH

STAI Test for Evaluating the Effect of Showing Surgery Videos in the Preoperative Period on the Anxiety Levels of Parents of Children Undergoing Adenoidectomy or Adenotonsillectomy
Ameliyat Öncesi Dönemde Ameliyat Videolarının Gösterilmesinin Adenoidektomi veya Adenotonsillektomi Olan Çocukların Ebeveynlerinin Kaygı Düzeyleri Üzerindeki Etkisinin STAI Testi ile Değerlendirilmesi
Received Date : 20 Feb 2020
Accepted Date : 10 Apr 2020
Available Online : 21 Apr 2020
Doi: 10.24179/kbbbbc.2020-74119 - Makale Dili: EN
KBB ve BBC Dergisi. 2020;28(2):131-40
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: This study aims to evaluate the effects of visual education on the anxiety levels of parents of children who will undergo adenoidectomy or adenotonsillectomy by showing the video of the same surgical procedure performed by the same surgeon and subsequently we aimed to determine the factors affecting the anxiety levels. Material and Methods: Children (aged 2-12 years) who were planned to undergo adenoidectomy or adenotonsillectomy procedure under general anesthesia in the otorhinolaryngology operating room and their parents (aged 26-45 years) have been included in our study. The questionnaire of Spielberger State Anxiety Scale used for measuring the situational anxiety of subjects has been provided separately to the mothers and fathers. Results: When anxiety levels between Questionnaire 1 filled in the preoperative period following verbal and written briefing, Questionnaire 2 filled after the surgery video had been shown to the parents and Questionnaire 3 which was filled after surgery, were evaluated a statistically significant decrease in the anxiety levels was noted (p<0.001). When the scores of mothers and fathers for Questionnaire 1 (p<0.001) and Questionnaire 2 (p=0.032) were compared, the anxiety scores of mothers were found to be statistically significantly higher than those of fathers but when the scores of Questionnaire 3 were compared, mothers had a higher score however the difference did not reach statistical significance (p=0.118). Conclusion: In our study, we have demonstrated that showing videos of the surgical process in the preoperative period may help to decrease the level of anxiety of parents. Together with the technological advances in the future, more impressive videos and presentations would come into use which may provide newer data to be used in comparative studies.
ÖZET
Amaç: Bu çalışma, aynı cerrahın uyguladığı aynı cerrahi prosedürün videosunu göstererek görsel eğitimin adenoidektomi veya adenotonsillektomi geçirecek çocukların ebeveynlerinin kaygı düzeyleri üzerindeki etkilerini değerlendirmeyi ve ayrıca kaygı düzeylerini etkileyen faktörleri belirlemeyi amaçlar. Gereç ve Yöntemler: Ameliyathanenin kulak burun boğaz masasında, genel anestezi altında adenoidektomi veya adenotonsillektomi işlemi yapılması planlanan çocuklar (2-12 yaş arası) ve ebeveynleri (26-45 yaş arası) çalışmaya dahil edildi. Deneklerin durumsal kaygılarını ölçmek için kullanılan Spielberger Durumluk Kaygı Ölçeği anketi, anne ve babalara ayrı ayrı verilmiştir. Bulgular: Preoperatif dönemde sözel ve yazılı bilgilendirme sonrası doldurulan Anket 1, ameliyat videosu izletildikten sonra doldurulan Anket 2 ve ameliyat sonrası doldurulan Anket 3 formundaki anksiyete düzeyleri karşılaştırıldığında hem anne hem de babalarda istatistiksel olarak anlamlı düşme saptandı (p<0.001). Anne ve babaların Anket 1 skorları karşılaştırıldığında (p<0.001) ve Anket 2 skorları karşılaştırıldığında (p=0.032) annelerin anksiyete skorları babalara göre istatistiksel olarak daha yüksek saptandı, Anket 3 puanları karşılaştırıldığında, anneler daha yüksek puan almış ancak aradaki fark istatistiksel anlamlılığa ulaşmamıştır (p=0.118). Sonuç: Biz bu çalışmada ameliyat öncesi ebeveynlere ameliyat videosu izletmenin onların anksiyete düzeylerini azaltmaya yardımcı olabileceğini gösterdik. Bilimdeki ilerlemeyle daha güçlü olabilecek video veya sunumların gelecekte daha fazla kullanılması ile yapılacak karşılaştırmalı çalışmalar yeni veriler sunacaktır.
KAYNAKLAR
  1. Ben-Amitay G, Kosov I, Reiss A, Toren P, Yoran-Hegesh R, Kotler M, et al. Is elective surgery traumatic for children and their parents? J Paediatr Child Health. 2006;42(10):618-24. [Crossref]  [PubMed] 
  2. Stone MB, Botto LD, Feldkamp ML, Smith KR, Roling L, Yamashiro D, et al. Improving quality of life of children with oral clefts: perspectives of parents. J Craniofac Surg. 2010;21(5):1358-64. [Crossref]  [PubMed] 
  3. Salisbury MH, LaMontagne LL, Hepworth JT, Cohen F. Parents' self-identified stressors and coping strategies during adolescents' spinal surgery experiences. Clin Nurs Res. 2007;16(3):212-30. [Crossref]  [PubMed] 
  4. Noel M, McMurtry CM, Chambers CT, McGrath PJ. Children's memory for painful procedures: the relationship of pain intensity, anxiety, and adult behaviors to subsequent recall. J Pediatr Psychol. 2010;35(6):626-36. [Crossref]  [PubMed] 
  5. Forgey M, Bursch B. Assessment and management of pediatric iatrogenic medical trauma. Curr Psychiatry Rep. 2013;15(2):340. [Crossref]  [PubMed] 
  6. Wray J, Lee K, Dearmun N, Franck L. Parental anxiety and stress during children's hospitalisation: the StayClose study. J Child Health Care. 2011;15(3):163-74. [Crossref]  [PubMed] 
  7. Rabbitts JA, Palermo TM, Zhou C, Mangione-Smith R. Pain and health-related quality of life after pediatric inpatient surgery. J Pain. 2015;16(12):1334-41. [Crossref]  [PubMed]  [PMC] 
  8. Healy K. A descriptive survey of the information needs of parents of children admitted for same day surgery. J Pediatr Nurs. 2013;28(2):179-85. [Crossref]  [PubMed] 
  9. Landier M, Villemagne T, Le Touze A, Braik K, Meignan P, Cook AR, et al. The position of a written document in preoperative information for pediatric surgery: a randomized controlled trial on parental anxiety, knowledge and satisfaction. J Pediatr Surg. 2018;53(3):375-80. [Crossref]  [PubMed] 
  10. Litke J, Pikulska A, Wegner T. Management of perioperative stress in children and parents. Part I--the preoperative period. Anaesthesiol Intensive Ther. 2012;44(3):165-9. [PubMed] 
  11. Karl HW, Pauza KJ, Heyheman N, Tinker DE. Preanaesthetic preparation of pediatric outpatients: the role of a videotape for parents. J Clin Anesth. 1990;2(3):172-7. [Crossref]  [PubMed] 
  12. Cassady JF Jr, Wysocki TT, Miller KM, Cancel DD, Izenberg N. Use of a preanesthetic video for facilitation of parental education and anxiolysis before pediatric surgery. Anesth Analg. 1999;88(2):246-50. [Crossref]  [PubMed] 
  13. Kain ZN, Caramico LA, Mayes LC, Genevro JL, Bornstein MH, Hofstadter MB. Preoperative preparation programs in children: a comparative examination. Anesth Analg. 1998;87(6):1249-55. [Crossref]  [PubMed] 
  14. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. 1st ed. Palo Alto, CA: Consulting Psychologists Press, Inc.; 1983. p.36.
  15. Kilburn TR, Juul Sørensen M, Thastum M, Rapee RM, Rask CU, Bech Arendt K, et al. Group-based cognitive behavioural therapy for anxiety disorder in children with autism spectrum disorder: a feasibility study. Nord J Psychiatry. 2019;73(4-5):273-80. [Crossref]  [PubMed] 
  16. Chan Y, Irish JC, Wood SJ, Rotstein LE, Brown DH, Gullane PJ, et al. Patient education and informed consent in head and neck surgery. Arch Otolaryngol Head Neck Surg. 2002;128(11):1269-74. [Crossref]  [PubMed] 
  17. Crandall M, Lammers C, Senders C, Braun JV, Savedra M. Children's pre-operative tonsillectomy pain education: clinical outcomes. Int J Pediatr Otorhinolaryngol. 2008;72(10): 1523-33. [Crossref]  [PubMed] 
  18. Ko AB, Simons JP, Mandell DL. Introduction of visually oriented information handouts in an academic pediatric otolaryngology practice. Otolaryngol Head Neck Surg. 2007;136(3): 471-6. [Crossref]  [PubMed] 
  19. Yang JY, Lee H, Zhang Y, Lee JU, Park JH, Yun EK. The Effects of tonsillectomy education using smartphone text message for mothers and children undergoing tonsillectomy: a randomized controlled trial. Telemed J E Health. 2016;22(11):921-8. [Crossref]  [PubMed] 
  20. Adams MT, Chen B, Makowski R, Bevans S, Boseley M. Multimedia approach to preoperative adenotonsillectomy counseling. Otolaryngol Head Neck Surg. 2012;146(3):461-6. [Crossref]  [PubMed] 
  21. Lee A, Chui PT, Gin T. Educating patients about anesthesia: a systematic review of randomized controlled trials of media-based interventions. Anesth Analg. 2003;96(5): 1424-31. [Crossref]  [PubMed] 
  22. Felder-Puig R, Maksys A, Noestlinger C, Gadner H, Stark H, Pfluegler A, et al. Using a children's book to prepare children and parents for elective ENT surgery: results of a randomized clinical trial. Int J Pediatr Otorhinolaryngol. 2003;67(1):35-41. [Crossref]  [PubMed] 
  23. Levin M, Seligman NL, Hardy H, Mohajeri S, Maclean JA. Pediatric pre-tonsillectomy education programs: a systematic review. Int J Pediatr Otorhinolaryngol. 2019;122:6-11. [Crossref]  [PubMed] 
  24. Delgove A, Harper L, Savidan P, Paygambar A, Dobremez E, Lefevre Y. How can we decrease preoperative anxiety in parents of children undergoing surgery? Arch Dis Child. 2018;103(10):1001-2. [Crossref]  [PubMed] 
  25. Messeri A, Caprilli S, Busoni P. Anesthesia induction in children: a psychological evaluation of the efficiency of parents' presence. Pediatr Anesth. 2004;14(7):551-6. [Crossref]  [PubMed] 
  26. Hatava P, Olsson GL, Lagerkranser M. Preoperative psychological preparation for children undergoing ENT operations: a comparison of two methods. Paediatr Anaesth. 2000;10(5):477-86. [Crossref]  [PubMed] 
  27. Newton L, Sulman C. Use of text messaging to improve patient experience and communication with pediatric tonsillectomy patients. Int J Pediatr Otorhinolaryngol. 2018;113:213-7. [Crossref]  [PubMed] 
  28. O'Conner-Von S. Preparation of adolescents for outpatient surgery: using an Internet program. AORN J. 2008;87(2):374-98. [Crossref]  [PubMed] 
  29. Pinto RP, Hollandsworth JG Jr. Using videotape modeling to prepare children psychologically for surgery: influence of parents and costs versus benefits of providing preparation services. Health Psychol. 1989;8(1):79-95. [Crossref]  [PubMed] 
  30. McEwen A, Moorthy C, Quantock C, Rose H, Kavanagh R. The effect of videotaped preoperative information on parental anxiety during anesthesia induction for elective pediatric procedures. Paediatr Anaesth. 2007;17(6):534-9. [Crossref]  [PubMed] 
  31. Kain ZN, Caldwell-Andrews AA, Maranets I, Nelson W, Mayes LC. Predicting which child-parent pair will benefit from parental presence during induction of anesthesia: a decision-making approach. Anesth Analg. 2006;102(1): 81-4. [Crossref]  [PubMed]