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ORIGINAL ARTICLE
Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 208-214

Impact of multimodal preoperative preparation program on children undergoing surgery


1 Department of Child Health Nursing, Yenepoya Nursing College, Mangaluru, Karnataka, India
2 Department of Medical Surgical Nursing, Laxmi Memorial College of Nursing, Mangaluru, Karnataka, India
3 Department of Paediatrics, Yenepoya Medical College, Mangalore, Karnataka, India

Correspondence Address:
Priya Reshma Aranha
Department of Child Health Nursing, Yenepoya Nursing College, Yenepoya University, Mangalore - 575018, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/amhs.amhs_95_17

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Background: The advanced era of technological development in child health care has resulted in more pediatric procedures being performed in various settings. Millions of children undergo surgery every year which is a stressful event. Many nonpharmacological strategies are being used to manage the preoperative fear and anxiety in children. The current study aims to assess the effectiveness of multimodal preoperative preparation program (MPPP) on children undergoing surgery in terms of its effect on the psychophysiological parameters. Objective: The aim of this study is to assess the effectiveness of MPPP on the psychophysiological parameters of children undergoing surgery. Materials and Methods: A quasi-experimental study was conducted in a selected multi-specialty hospital. Using the purposive sampling technique, a total of 110 children aged 8–12 years were assigned to nonintervention (n = 55) and intervention (n = 55) groups, respectively. The MPPP was administered to the intervention group. The children in the nonintervention group received the routine preoperative care. Child's fear and anxiety was assessed on admission, prior to shifting the child to operation theater (OT), 24 and 48 h after surgery, whereas child's pulse, respiration, blood pressure (BP), and oxygen saturation was assessed on admission, prior to shifting the child to OT, 6, 12, 24, and 48 h after surgery and pain was assessed at 24 and 48 h after surgery. Results: The mean fear and anxiety scores of children were significantly lower in the intervention group than that of nonintervention group (P < 0.05). Among the physiological parameters, only pulse, respiration, and BP showed significant difference (P < 0.05) between the groups, whereas oxygen saturation and pain scores did not differ significantly (P > 0.05). This study also found that there is a significant association between the psychophysiological parameters of children with the selected demographic variables (P < 0.05). A positive correlation was found between the psychological and physiological parameters of children undergoing surgery. Conclusion: The MPPP is effective on psychophysiological parameters of children undergoing surgery in terms of decreasing the fear and anxiety, stabilizing the physiological parameters of children and can be used in preparing school-aged children for surgery and can be practiced in the clinical setup.


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