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DOI: 10.1055/s-0030-1265172
© Georg Thieme Verlag KG Stuttgart · New York
Use of a Preoperative Playroom to Prepare Children for Surgery
Publication History
received April 15, 2010
accepted after revision August 16, 2010
Publication Date:
05 November 2010 (online)

Abstract
Objective: The aim of this study was to evaluate the efficacy of a playroom next to the operating room to reduce preoperative anxiety in children.
Methods and Materials: In 2009, we designed a playroom in a preoperative waiting room in our hospital. The playroom had colored toys and cars appropriate for different ages and a TV and video to show cartoons. Patients were randomly assigned into a case or a control group. Control group patients were admitted to the preoperative waiting room 30 min prior to operation. Case group patients were admitted to the playroom for the same period of time. The anxiety levels of the children were compared using the modified Yale Preoperative Anxiety Scale (m-YPAS).
Results: In this study 200 children were evaluated (100 patients in the case group, 100 patients in the control group). There were 20 female and 80 male patients in the case group with a mean age of 4.33±1.5 years and 26 female and 74 male patients in the control group with a mean age of 3.87±1.2 years (p=NS). Inguinal herniorraphy was the most common procedure in both groups. Preoperative anxiety was significantly decreased for all categories of the anxiety score as assessed by m-YPAS questionnaire.
Conclusion: A preoperative playroom is a very effective method to reduce preoperative anxiety in children.
Key words
preoperative anxiety - anxiety questionnaire - playing - m-YPAS
References
- 1
Bringuier S, Dadure C, Raux O. et al .
The perioperative validity of the visual analog anxiety scale in children: a discriminate
and useful instrument in routine clinical practice to optimize postoperative pain
management.
Anesth Analg.
2009;
109
(3)
737-744
Reference Ris Wihthout Link
- 2
Wollin SR, Plummer JL, Owen H. et al .
Anxiety in children having elective surgery.
J Pediatr Nurs.
2004;
19
(2)
128-132
Reference Ris Wihthout Link
- 3
Doverty N.
Therapeutic use of play in hospitals.
Br J Nurs.
1992;
1
77-81
Reference Ris Wihthout Link
- 4
LeVieux-Anglin L, Sawyer EH.
Incorporating play interventions into nursing care.
Pediatr Nurs.
1993;
19
459-463
Reference Ris Wihthout Link
- 5
Vessey JA, Mahon MM.
Therapeutic play and the hospitalized child.
J Pediatr Nurs.
1990;
5
328-333
Reference Ris Wihthout Link
- 6
Li HC, Lopez V, Lee TL.
Psycho educational preparation of children for surgery: the importance of parental
involvement.
Patient Educ Couns.
2007;
65
(1)
34-41
Reference Ris Wihthout Link
- 7
Cohen J.
A power primer.
Psychol Bull.
1992;
112
155
Reference Ris Wihthout Link
- 8 Polit DF, Beck CT. Nursing Research: Principles and Methods. 7th ed. Philadelphia: Lippincott Williams and Wilkins; 2004
Reference Ris Wihthout Link
- 9
Kain ZN, Mayes LC, Cicchetti DV. et al .
The Yale Preoperative Anxiety Scale: how does it compare with a “gold standard’.
Anesth Analg.
1997;
85
(4)
783-788
Reference Ris Wihthout Link
- 10 Spielberger CD. Manual for the State-Trait Anxiety Inventory for Children. Palo Alto, CA: Consulting Psychologists Press; 1973
Reference Ris Wihthout Link
- 11
Vangoli L, Caprilli S, Robiglio A. et al .
Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective
study.
Pediatrics.
2005;
116
e563-e567
Reference Ris Wihthout Link
- 12
Gorayeb RP, Petean EB, de Oliveira Pileggi F. et al .
Importance of psychological intervention for the recovery of children submitted to
elective surgery.
J Pediatr Surg.
2009;
44
(7)
1390-1395
Reference Ris Wihthout Link
- 13
Lumley MA, Melamed BG, Abeles LA.
Predicting children's presurgical anxiety and subsequent behaviour changes.
Journal of Pediatric Psychology.
1993;
184
481-497
Reference Ris Wihthout Link
- 14
Yip P, Middleton P, Cyna AM. et al .
Non-pharmacological interventions for assisting the induction of anaesthesia in children.
Cochrane Database of Systematic Reviews.
2009;
Issue 3. Art. No.: CD006447. DOI: 10.1002/14651858.CD006447.pub2
Reference Ris Wihthout Link
- 15
Li HC, Lopez V.
Effectiveness and appropriateness of therapeutic play intervention in preparing children
for surgery: a randomized controlled trial study.
J Spec Pediatr Nurs.
2008;
13
(2)
63-73
Reference Ris Wihthout Link
- 16
Li HC.
Evaluating the effectiveness of preoperative interventions: the appropriateness of
using the Children's Emotional Manifestation Scale.
J Clin Nurs.
2007;
16
(10)
1919-1926
Reference Ris Wihthout Link
- 17
Oppenheim D, Simonds C, Hartmann O.
Clowning on children's wards.
Lancet.
1997;
350
1838-1840
Reference Ris Wihthout Link
- 18
Bornstein Y.
Medical clowns at hospitals and their effect on hospitalized children.
Harefuah.
2008;
147
(1)
30-32
Reference Ris Wihthout Link
- 19
Golang G, Tighe P, Dobija N. et al .
Clowns for the prevention of preoperative anxiety in children: a randomized controlled
trial.
Pediatr Anesth.
2009;
19
(3)
262-266
Reference Ris Wihthout Link
- 20
Larosa-Nash PA, Murphy JM.
Behavioural disorders in children.
AORN J.
2005;
61
(3)
526-531
Reference Ris Wihthout Link
- 21
Stewart EJ, Algren C.
Reducing anxiety in children and adolescents.
Todays OR Nurse.
2005;
16
(2)
9-14
Reference Ris Wihthout Link
Correspondence
Ass. Prof. Mehrdad Hosseinpour
Trauma Research Center
Kashan University of Medical
Sciences (KAUMS)
Kashan
Islamic Republic of Iran
Phone: +98 311 6255 368
Fax: +98 311 6684 510
Email: meh_hosseinpour@yahoo.com