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Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients

BACKGROUND: Children and parents experience significant anxiety and distress during the preoperative period. This is important because preoperative anxiety in children is associated with adverse postoperative outcome. So we suggest behaviorally oriented preoperative anxiety intervention program base...

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Autores principales: Lee, Jong-Hyuk, Jung, Han-Kil, Lee, Gang-geun, Kim, Han-Young, Park, Sun-Gyoo, Woo, Seong-Chang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888843/
https://www.ncbi.nlm.nih.gov/pubmed/24427456
http://dx.doi.org/10.4097/kjae.2013.65.6.508
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author Lee, Jong-Hyuk
Jung, Han-Kil
Lee, Gang-geun
Kim, Han-Young
Park, Sun-Gyoo
Woo, Seong-Chang
author_facet Lee, Jong-Hyuk
Jung, Han-Kil
Lee, Gang-geun
Kim, Han-Young
Park, Sun-Gyoo
Woo, Seong-Chang
author_sort Lee, Jong-Hyuk
collection PubMed
description BACKGROUND: Children and parents experience significant anxiety and distress during the preoperative period. This is important because preoperative anxiety in children is associated with adverse postoperative outcome. So we suggest behaviorally oriented preoperative anxiety intervention program based on the anesthesia and psychology with smartphone application, world-widely used. METHODS: A total 120 patients (aged 1-10 years old) who were scheduled for elective surgery under general anesthesia was included in this randomized controlled trial. We randomized the patients into three groups, with using intravenous (IV) midazolam sedation (M group), with using smartphone application program (S group), and with using low dose IV midazolam plus smartphone application program (SM group). And the child anxiety was assessed using the modified Yale Preoperative Anxiety Scale (mYPAS) at holding area, 5 min after intervention, entrance to operating room. RESULTS: In all three groups, mYPAS after intervention were lower than the preoperative holding area (M group 52.8 ± 11.8 vs 41.0 ± 7.0, S group 59.2 ± 17.6 vs 36.4 ± 7.3, SM group 58.3 ± 17.5 vs 26.0 ± 3.4). A comparison of mYPAS scores between each group showed that the S group reduced anxiety lower than M group (P < 0.01), and the SM group exhibited significantly lower anxiety than the two other groups (P < 0.01). CONCLUSIONS: The preoperative preparation program using smartphone application is simple and customized by individual development that effective in the reduction of preoperative anxiety.
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spelling pubmed-38888432014-01-14 Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients Lee, Jong-Hyuk Jung, Han-Kil Lee, Gang-geun Kim, Han-Young Park, Sun-Gyoo Woo, Seong-Chang Korean J Anesthesiol Clinical Research Article BACKGROUND: Children and parents experience significant anxiety and distress during the preoperative period. This is important because preoperative anxiety in children is associated with adverse postoperative outcome. So we suggest behaviorally oriented preoperative anxiety intervention program based on the anesthesia and psychology with smartphone application, world-widely used. METHODS: A total 120 patients (aged 1-10 years old) who were scheduled for elective surgery under general anesthesia was included in this randomized controlled trial. We randomized the patients into three groups, with using intravenous (IV) midazolam sedation (M group), with using smartphone application program (S group), and with using low dose IV midazolam plus smartphone application program (SM group). And the child anxiety was assessed using the modified Yale Preoperative Anxiety Scale (mYPAS) at holding area, 5 min after intervention, entrance to operating room. RESULTS: In all three groups, mYPAS after intervention were lower than the preoperative holding area (M group 52.8 ± 11.8 vs 41.0 ± 7.0, S group 59.2 ± 17.6 vs 36.4 ± 7.3, SM group 58.3 ± 17.5 vs 26.0 ± 3.4). A comparison of mYPAS scores between each group showed that the S group reduced anxiety lower than M group (P < 0.01), and the SM group exhibited significantly lower anxiety than the two other groups (P < 0.01). CONCLUSIONS: The preoperative preparation program using smartphone application is simple and customized by individual development that effective in the reduction of preoperative anxiety. The Korean Society of Anesthesiologists 2013-12 2013-12-26 /pmc/articles/PMC3888843/ /pubmed/24427456 http://dx.doi.org/10.4097/kjae.2013.65.6.508 Text en Copyright © the Korean Society of Anesthesiologists, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Lee, Jong-Hyuk
Jung, Han-Kil
Lee, Gang-geun
Kim, Han-Young
Park, Sun-Gyoo
Woo, Seong-Chang
Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
title Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
title_full Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
title_fullStr Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
title_full_unstemmed Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
title_short Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
title_sort effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888843/
https://www.ncbi.nlm.nih.gov/pubmed/24427456
http://dx.doi.org/10.4097/kjae.2013.65.6.508
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