Management of preoperative anxiety with non-pharmacological methods in pediatric patients in resource-limited settings: a literature review.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Medicine and Surgery Pub Date : 2025-01-31 eCollection Date: 2025-02-01 DOI:10.1097/MS9.0000000000002912
Astemamagn Achule, Kanbiro Gedeno, Zemedu Aweke
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引用次数: 0

Abstract

Background: Anxiety disorders are common in children and among the most prevalent psychiatric issues. Untreated preoperative anxiety can lead to increased complications and a higher risk for future anxiety disorders and major depression. Therefore, addressing preoperative anxiety in children is crucial to prevent perioperative and long-term adverse effects.

Objective: This review aimed to evaluate various articles and develop a management plan based on evidence for the prevention of preoperative anxiety in children using non-pharmacological approaches in areas with limited resources.

Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Databases, such as PubMed, Cochrane Library, and Google Scholar, were searched for high-quality evidence to draw appropriate conclusions.

Result: A total of 7669 articles were retrieved from the search engines. These articles were then filtered based on intervention, outcome, population data, inclusion and exclusion criteria, and methodological quality. After the filtration process, only 35 studies met the inclusion criteria for comprehensive review.

Conclusion: The Children's Emotional Manifestation Scale (CEMS) effectively assesses preoperative anxiety in children. Evidence suggests that non-pharmacological interventions such as clowning, music therapy, audiovisuals, virtual reality, and cognitive-behavioral therapy are effective in preventing preoperative anxiety. Practitioners can choose a suitable non-pharmacological approach based on availability and cost.

在资源有限的环境下,用非药物方法管理儿科患者的术前焦虑:一篇文献综述。
背景:焦虑症在儿童中很常见,也是最普遍的精神问题之一。术前焦虑未经治疗可导致并发症增加,未来患焦虑症和重度抑郁症的风险更高。因此,解决术前焦虑的儿童是至关重要的,以防止围手术期和长期不良反应。目的:本综述旨在评估各种文献,并根据证据制定管理计划,在资源有限的地区使用非药物方法预防儿童术前焦虑。方法:本系统评价按照系统评价和荟萃分析首选报告项目(PRISMA)协议进行。检索了PubMed、Cochrane Library和谷歌Scholar等数据库,以寻找高质量的证据来得出适当的结论。结果:在搜索引擎中共检索到7669篇文章。然后根据干预、结果、人群数据、纳入和排除标准以及方法学质量对这些文章进行筛选。经过筛选,只有35项研究符合纳入标准,可以进行综合评价。结论:儿童情绪表现量表(CEMS)能有效评估儿童术前焦虑。证据表明,非药物干预,如小丑,音乐治疗,视听,虚拟现实和认知行为治疗是有效的预防术前焦虑。从业者可以根据可用性和成本选择合适的非药物方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Medicine and Surgery
Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-
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5.90%
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1665
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