Effect of Child Preference for Parental Selection During Induction

Karaman Training and Research Hospital80 enrolled

Overview

Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions can reduce the anxiety of children without significant adverse effects as seen with sedative drugs. has not been documented. The aim of this study will be to evaluate the effect of children's preference on parental selection during the induction of anesthesia on children and parental anxiety during the perioperative period.

Anesthetic induction can be one of the most stressful experiences for the child during the perioperative period, with almost 50% of the children showing significant anxiety. . To minimize the effect of anxiety, several methods have been adopted, such as the introduction of day-case surgery, parental presence at the induction of anesthesia, distractions and the use of pharmacological agents like midazolam to reduce anxiety. Although the effect of parental presence on the anxiety of children and parents was studied in various studies. Whether the children's choice of parental selection affects anxiety is not studied yet. In this study, we will evaluate the anxiety of children by using mYPAS .

Study Type

OBSERVATIONAL

Enrollment

Conditions

Anxiety State Child Behavior

Interventions

Selection of parent(mother or father) according to children preferencePROCEDURE

The parent who will accompany the child during the perioperative period will be determined by children preference

Selection of parent(mother or father) according to randomizationPROCEDURE

The parent who will accompany the child during the perioperative period will be determined by randomization.

Eligibility

Sex: ALLMin age: 4 YearsMax age: 15 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 80 children of both sex, aged 4-15 years with ASA physical Status I-II will be enrolled Exclusion Criteria: 1. Mentally challenged 2. Deaf Child 3. Cerebral Palsy 4. Premedicated Child 5. Language Problem 6. Unco-operative 7. Previous surgery or anesthesia history

Locations (1)

Karaman Training and Research Hospital

Karaman, Turkey (Türkiye)

Outcomes

Primary Outcomes

Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia.

The mYPAS will be used to evaluate the anxiety level of children. The mYPAS is an observational measure of preoperative anxiety consisting of 27 items in 5 domains (activity, emotional expressivity, state of arousal, vocalization, and use of parents). The adjusted mYPAS total score ranges from 22.9 to 100, with higher scores indicating greater anxiety.

Time frame: Perioperative period

Data from ClinicalTrials.gov

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