Paediatric preoperative teaching: effects at induction and postoperatively

In a randomized controlled trial at Duke University and University of North Carolina Hospitals, 143 two to six year old children undergoing elective ambulatory surgery were randomized into a control group who received routine preoperative teaching or an intervention group who received an interactive...

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Bibliographic Details
Published in:	Pediatric anesthesia Vol. 8; no. 1; pp. 17 - 23
Main Authors:	MARGOLIS, JUDITH, GINSBERG, BRIAN, DEAR, GUY, ROSS, ALLISON, GORAL, JANET, BAILEY, ANN
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Science Ltd 01-01-1998 Blackwell
Subjects:	Affect Aggression Ambulatory Surgical Procedures - psychology Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anxiety - prevention & control Biological and medical sciences Child Child Behavior Child, Preschool Female Humans induction Male Medical sciences Miscellaneous Patient Education as Topic postoperative behaviour changes Postoperative Complications Preoperative Care preoperative teaching Psychology, Child Surveys and Questionnaires Teaching Materials Human Postoperative Surgery Book Preparation Behavior change General anesthesia Anxiety Ambulatory Preoperative Health education Child
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Summary:	In a randomized controlled trial at Duke University and University of North Carolina Hospitals, 143 two to six year old children undergoing elective ambulatory surgery were randomized into a control group who received routine preoperative teaching or an intervention group who received an interactive teaching book. Changes in behaviour were measured by a Vernon behavioural questionnaire preoperatively and again two weeks postoperatively. A Global Mood Score was assessed in the preoperative holding area, at arrival into the operating room, and at the time of mask induction. The children in the control group were significantly more aggressive postoperatively than the intervention group (P<0.05). Children who received the interactive teaching book exhibited higher levels of anxiety on the day of surgery, but fewer behavioural changes two weeks following surgery. Parents in the intervention group reported that preoperative teaching helped their child (87%) and themselves (83%).
Bibliography:	ArticleID:PAN698 istex:9036240B9621D6881F6F20064CB43903781918FB ark:/67375/WNG-1997HRCV-J ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23
ISSN:	1155-5645 1460-9592
DOI:	10.1046/j.1460-9592.1998.00698.x