Effect of Parental Presence during Induction on Perioperative Anxiety.
DOI:
https://doi.org/10.63682/jns.v14i32S.10233Keywords:
Pediatric anesthesia, parental presence, anesthesia induction, perioperative anxiety, pediatric surgeryAbstract
Background: Children usually develop significant anxiety before and during the induction of anesthesia because of their separation with parents, unfamiliar environment, and fear of medical processes. High levels of perioperative anxiety can result in ineffective cooperation in the process of anesthesia induction and adverse outcome of behavior after the surgery. The presence of parents at the time of administering anesthesia has been suggested as an adjuvant measure to minimize anxiety in children.
Objective: To evaluate the effect of parental presence during anesthesia induction on perioperative anxiety among pediatric patients undergoing elective surgical procedures.
Methodology: This is an observational comparative study carried out at Mohi ud Din Teaching Hospital Mirpur, AJK in six months between January 2025 and June 2025. Eighty-two pediatric patients who were electively admitted to undergo general anesthesia surgery were included. The children were split into two categories Group A, the use of parents during induction of anesthesia, and Group B, induction was conducted without the parents. In the preoperative area and the induction period, a scoring system on observational anxiety was used to measure anxiety levels. Inducing behavioral reactions, mask acceptance, emergence agitation and parental satisfaction were also noted. The statistical analysis of data was conducted with the help of proper statistical procedures, and a p-value was used as statistically significant at least 0.05.
Results: Children in the parental presence group demonstrated significantly lower anxiety scores during anesthesia induction compared with those in the non-parental presence group. Improved cooperation during mask placement and better behavioral responses were observed among children accompanied by their parents. Furthermore, postoperative agitation was less frequent in the parental presence group, and parental satisfaction scores were significantly higher.
Conclusion: Parental presence during anesthesia induction appears to be an effective non-pharmacological strategy to reduce perioperative anxiety in pediatric patients. Incorporating parental support during induction may improve the child’s behavioral response, enhance cooperation during anesthesia administration, and increase parental satisfaction..
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[1] Wingler, D., et al., Perioperative anxiety in pediatric surgery: Induction room vs. operating room. 2021. 31(4): p. 465-473.
[2] Battah, H., et al., Effectiveness of preoperative tour to a simulated anaesthesia induction at operating theatre in reducing preoperative anxiety in children and their parents: a pragmatic, single-blinded, randomised controlled trial/King Fahad Medical City. 2021. 7(5): p. 397.
[3] Santapuram, P., et al., Interventions for parental anxiety in preparation for pediatric surgery: a narrative review. 2021. 8(11): p. 1069.
[4] Ayenew, N.T., et al., Prevalence and factors associated with preoperative parental anxiety among parents of children undergoing anesthesia and surgery: A cross-sectional study. 2020. 24: p. 18-26.
[5] Sullivan, V., D.H. Sullivan, and D.J.J.o.p.n. Weatherspoon, Parental and child anxiety perioperatively: relationship, repercussions, and recommendations. 2021. 36(3): p. 305-309.
[6] Agbayani, C.-J., M. Fortier, and Z.J.B.e. Kain, Non-pharmacological methods of reducing perioperative anxiety in children. 2020. 20(12): p. 424-430.
[7] Mendoza, B.A., et al., Factors impacting parental and child satisfaction in the perioperative setting. 2021. 31(9): p. 932-943.
[8] Rannalli, D., L. Huckabay, and M.J.A.o.H. Brady, Effect of Parent Present Induction of Anesthesia on Anxiety of Children with Autism Spectrum Disorder. 2021. 2(2): p. Archives of Healthcare [2021; 2 (2): 28-41]-Archives of Healthcare [2021; 2 (2): 28-41].
[9] Velayos, M., et al., Healthcare staff as promoters of parental presence at anesthetic induction: Net Promoter Score survey. 2021. 10(6): p. 159.
[10] West, N., et al., Reducing preoperative anxiety with Child Life preparation prior to intravenous induction of anesthesia: A randomized controlled trial. 2020. 30(2): p. 168-180.
[11] Jung, M.J., et al., Pediatric distraction on induction of anesthesia with virtual reality and perioperative anxiolysis: a randomized controlled trial. 2021. 132(3): p. 798-806.
[12] . Tran, T.L., The effectiveness of preoperative preparation program in decreasing parental preoperative anxiety. 2021.
[13] . Nouri, J.M., et al., The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial. 2021. 10(1): p. 40.
[14] . Demkovska, N., B. Dornelas, and J. Liukka, Preoperative anxiety in pediatric patients undergoing elective surgery: risk factors and nursing interventions. 2021.
[15] . Bizzio, R., et al., Exploring non-pharmacological management among anesthesia providers to reduce preoperative distress in children. 2020. 50: p. 105-112.
[16] . Hügel, C., et al., Intravenous cannula placement in children for induction of general anesthesia: Prospective audit and identification of success factors. 2020. 30(8): p. 874-884.
[17] . Clausen, N.G., et al., The use of tablet computers to reduce preoperative anxiety in children before anesthesia: A randomized controlled study. 2021. 36(3): p. 275-278.
[18] . Getahun, A.B., et al., Magnitude and factors associated with preoperative anxiety among pediatric patients: cross-sectional study. 2020: p. 485-494.
[19] . Mathew, P.J., et al., Current practice of pre-anaesthesia preparation and perioperative parental satisfaction during paediatric ambulatory procedures in a developing country—an observational study. 2020. 39(5): p. 667-672.
[20] Wang, Y., et al., Preoperative video distraction alleviates separation anxiety and improves induction compliance of preschool children: a randomized controlled clinical trial. 2021. 101(26): p. 2066-2070.
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