The Effect of a Preoperative Preparation Video on Preoperative Anxiety Among Children Undergoing Dental Treatment Under General Anesthesia: A Randomized Controlled Trial.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Mawia Bataineh, Abbas Ayman Al-Skafi, Suhad H AlJundi
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引用次数: 0

Abstract

Background: Preoperative anxiety in children undergoing dental treatment under general anesthesia (GA) can have detrimental effects on their well-being during and after the procedure.

Aim: To investigate the effectiveness of a preparation video in reducing preoperative anxiety in children.

Design: 84 children (4-7 years) with no previous GA experience who required comprehensive dental treatment under GA were randomly divided into two groups. Participants in the study group watched the video the day before the surgery, while the control group received standard care. Anxiety levels were measured using the modified Yale Preoperative Anxiety Scale (m-YPAS) and Visual Facial Anxiety Scale (VFAS) at different timepoints. Postoperatively, pain and emergence delirium were measured using Face, Legs, Activity, Cry, Consolability (FLACC) and Pediatric Anesthesia Emergence Delirium (PAED) scales, respectively.

Results: Mean age was 5.29 years (SD = 1.17). Demographics showed no significant differences between groups (p > 0.05). Anxiety levels indicated by m-YPAS, were significantly lower in the study group compared to the control group at all timepoints (p < 0.05). The study group exhibited significantly lower VFAS score means at first and second timepoints. Postoperative measures showed no significant differences between groups. No correlation was found between m-YPAS and FLACC or m-YPAS and PAED. However, a moderate correlation was identified between FLACC and PAED.

Conclusions: The video intervention alleviated preoperative anxiety among children undergoing dental treatment under GA.

术前准备录像对全麻牙科治疗患儿术前焦虑的影响:一项随机对照试验。
背景:在全麻(GA)下接受牙科治疗的儿童术前焦虑会对他们在手术期间和手术后的健康产生不利影响。目的:探讨术前准备录像对减轻儿童术前焦虑的效果。设计:84例(4-7岁)无GA经验且需要综合牙科治疗的儿童随机分为两组。研究组的参与者在手术前一天观看视频,而对照组则接受标准护理。采用改良的耶鲁术前焦虑量表(m-YPAS)和视觉面部焦虑量表(VFAS)在不同时间点测量焦虑水平。术后分别采用面部、腿部、活动、哭泣、安慰(FLACC)和小儿麻醉出现性谵妄(PAED)量表测量疼痛和出现性谵妄。结果:平均年龄5.29岁(SD = 1.17)。统计学差异无统计学意义(p < 0.05)。与对照组相比,研究组的m-YPAS焦虑水平在所有时间点均显著降低(p)。结论:视频干预减轻了接受GA牙科治疗儿童的术前焦虑。
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来源期刊
CiteScore
5.50
自引率
2.60%
发文量
82
审稿时长
6-12 weeks
期刊介绍: The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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