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The Effects of Familiar Toy and Parental Presence Combination on Perioperative Pediatric Anxiety

Recruiting
Conditions
Perioperative Anxiety
Emergence Delirium
Interventions
Behavioral: Selection of the parent according to children preference
Behavioral: Bringing the favorite toy of the children that will accompany the child during their perioperative period
Registration Number
NCT06459089
Lead Sponsor
Karaman Training and Research Hospital
Brief Summary

This study will evaluate the effect of presence of favorite toy and parent during perioperative period on pediatric anxiety and emergence delirium. Half of the patients patients will be accompanied with their ownselected parent and the other half will be accompanied with their favorite toy in addition to their own selected parent.

Detailed Description

To reduce the incidence of preoperative anxiety in children, anesthesiologists have used a number of prevention strategies, including sedative premedication, parental presence during anesthetic induction, behavioral preparation programs, music therapy, hypnosis, and acupuncture.One of these distraction tool is familiar toy, children may also be comforted by familiar toys. Therefore, parent presence during perioperative period or playing with a favorite toy seems likely to alleviate preoperative anxiety in children. Until now, combination of these two method to reduce anxiety is not observed in literature. Then, the aim of this observational study is to evaluate the effect of both presence of favorite toy and parental presence compare to only parental presence during perioperative period on anxiety and emergence delirium in patients undergoing ambulatory surgery in our hospital's otorhinolaryngology department.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria

Patients with ASA 1 and 2, Those who have the ability to speak and obey commands will be included.

Exclusion Criteria

Mentally challenged Deaf Child Cerebral Palsy Premedicated Child Language Problem Unco-operative Previous surgery or anesthesia history

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Group1Selection of the parent according to children preferenceThe children will select the parent who acoompany theim during anesthesia induction
Group 2Selection of the parent according to children preferenceThe children will select the parent who accompany them dring anesthesia induction and bring their favorite toy also to the operating room.
Group 2Bringing the favorite toy of the children that will accompany the child during their perioperative periodThe children will select the parent who accompany them dring anesthesia induction and bring their favorite toy also to the operating room.
Primary Outcome Measures
NameTimeMethod
Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia.Perioperative period

The mYPAS will be used to evaluate the anxiety level of children. The mYPAS is an observational measure of preoperative anxiety consisting of 27 items in 5 domains (activity, emotional expressivity, state of arousal, vocalization, and use of parents). The adjusted mYPAS total score ranges from 22.9 to 100, with higher scores indicating greater anxiety.

Secondary Outcome Measures
NameTimeMethod
Evaluation with Pediatric Anesthesia Emergence Delirium Scale (PAED) in the postoperative waiting roomPostoperative 1st day

Incidence of post-anesthesia and postoperative delirium Discordant behaviors assessed with Pediatric Anesthesia Emergence Delirium Scale (PAED) with five features, each scored using a 5-point Likert scale

Trial Locations

Locations (1)

Karaman Training and Research Hospital

🇹🇷

Karaman, Turkey

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