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临床试验/NCT06709443
NCT06709443已完成不适用

Impact of Parental Presence on the Mean Anxiety Level of Children During Anesthesia Induction - A Randomized Controlled Trial

Liaquat National Hospital & Medical College1 个研究点 分布在 1 个国家目标入组 75 人开始时间: 2024年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
75
试验地点
1
主要终点
Anxiety

研究概览

简要总结

Anxiety is when children feel scared, worried, or nervous before or during anesthesia induction. This can happen because they don't know what's happening, are scared of the hospital or medical equipment, or are worried about being separated from their parents.

When parents are present, they can:

  • Provide emotional support and reassurance
  • Distract the child from scary things
  • Help the child feel more calm and safe This can help reduce the child's anxiety levels.

When parents are not present, children may feel:

  • More scared and anxious
  • Alone and unsupported
  • More worried about what's happening This can increase the child's anxiety levels. we can prepare children and parents beforehand about what will happen
  • Allow parents to be present during anesthesia induction
  • Use distraction techniques like toys or videos
  • Use gentle and calm anesthesia induction techniques By doing these things, we can help reduce anxiety in children and make the experience less scary for them.

详细描述

Induction of pediatric anesthesia represents a highly stressful event for children, often resulting in preoperative anxiety that can impair the child's perioperative experience and result in adverse postoperative outcomes. It has been proposed that parental presence during induction of anesthesia Preoperative anxiety is linked to postoperative maladaptive behaviors, such as pain following surgery, insomnia, conflicts between the child and his parent, separation anxiety, increased urinary frequency during the night, reduced appetite, lack of interest, agitation, and alienation.may be a non-pharmacologic intervention to reduce children's anxiety. In patients with extreme anxiety, unfavorable postoperative behaviors after anesthesia induction are likely to result in long-term issues, which adversely affect the process of recovery, and also develop a feeling of inadequate care. Parental presence at anesthesia induction is the interaction that takes place in the induction room during the course of anesthesia induction between the child, parent, anesthesiologist, and perioperative nurses.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

年龄范围
5 Years 至 10 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Pediatric patients
  • aged 5-10 years
  • minor surgery
  • duration <1 hour
  • ASA 1 and ASA 2 patients

排除标准

  • Patients and attendant refusal
  • Emergency surgeris
  • Renal insuffciency
  • Age less than 5 and more than 10 years

结局指标

主要结局

Anxiety

时间窗: minimum 2 to 3 minutes during Induction of anesthesia

Modified yale preoperative anxiety scale (myPAS) assess activity, vocaliztion and Emotional expressivity andstate of apparent arousal. score 4 to 18 4 means no anxiety and 18 means highly anxious

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ghulam Fatima

Principal Investigator

Liaquat National Hospital & Medical College

研究点 (1)

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