The Effects of Pre-operative Visual Information and Parental Presence Intervention on Anxiety, Delirium, and Pain of Post-Operative Pediatric Patients in PACU.
10.4040/jkan.2012.42.3.333
- Author:
Je Bog YOO
1
;
Min Jung KIM
;
Soo Hyun CHO
;
Yoo Jung SHIN
;
Nam Cho KIM
Author Information
1. Samsung Medical Center PACU, Seoul, Korea.
- Publication Type:Original Article ; Controlled Clinical Trial ; English Abstract
- Keywords:
Recovery room;
Child;
Anxiety;
Delirium;
Pain
- MeSH:
Adolescent;
Anesthesia Recovery Period;
Anesthesia, General;
*Anxiety;
Child;
*Delirium;
Female;
Humans;
Male;
*Pain;
*Pain Measurement;
Parents;
Patient Education as Topic;
Postanesthesia Nursing;
Preoperative Care;
Recovery Room
- From:Journal of Korean Academy of Nursing
2012;42(3):333-341
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage. METHODS: This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit). Dependent variables were anxiety, delirium, and pain in the pediatric patients measured three times at 10 minute intervals after extubation in the PACU. Measurements included Numerical Rating Scale for assessing state anxiety, Pediatric Anesthesia Emergence Delirium Scale by Sikich & Lerman (2004) for delirium, and Objective Pain Scale by Broadman, Rice & Hannallah (1988) for pain. RESULTS: Experimental group showed significantly decreased state anxiety at time points-10, 20, and 30 minutes after extubation. Delirium was significantly lower at 10 minutes and 30 minutes after extubation in the experimental group. Pain was significantly lower at 10 minutes after extubation in the experimental group. CONCLUSION: The results of this study suggest that this intervention can be a safe pre-operative nursing intervention for post-surgical pediatric patients at PACU.
