Evidence Based Management of Preoperative Anxiety in the Child Patients and their Parents – Nursing

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Paediatric patients are often prone to development of anxiety during hospital visits. This anxiety originates from an unknown environment and people surrounding the child in a hospital, as well as fear of pain or other unpleasant experiences associated with a hospital visit. The child is often, already in distress owing to illness, which makes the development of anxiety easier. Additionally, it has also been seen that the children, whose parents are anxious about the child’s treatment to show greater anxiety levels as compared to those whose parents are calm and non- anxious. Variable prevalence rates are described in different studies. However, all the studies have reported a high percentage of the paediatric population as experiencing preoperative anxiety. As a percentage of anxious children among the population across various age groups, the prevalence rate varies from 40% to 60% (De Moura, et al, 2016). Operative procedures often evoke an anxious response in individual adults as well as in children. Owing to their invasive nature, these procedures are bound to be associated with pain, discomfort and morbidity according to the patient’s perceptions. Such perceptions on behalf of patients as well as their parents either interfere in the provision of quality care to the paediatric patient or make the treatment procedure longer and more prone to the risk of complications owing to reduced patient cooperation levels during the treatment (Sun et al, 2017). Such fears may sometimes even lead to delay in treatment and even avoidance of the treatment. In procedures to be done under general anaesthesia, even though the anxiety due to an expectancy of a painful procedure is low, however, these procedures are still perceived to be associated with various risks. Therefore parental anxiety for these procedures is high (Cui et al, 2016). Subsequently, the anxiety in the mind of the child patient also increases. Additionally, hospital stay and fasting associated with general anaesthetic administration also leads to increase in child’s preoperative anxiety. Preoperative anxiety in a paediatric patient for both out-patient as well as inpatient procedures is, therefore, both high, as well as increased by the presence of anxious
parents. Hence, it is important to control anxiety, both in minds of parents as well as the child patient.

 

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Posted on : February 02nd, 2018
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