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Abstract Background Hospital anxiety caused by strabismus surgery has an unpleasant and disturbing feeling for both children and their parents.

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This study aimed to determine the effect of viewing a self-produced audio-visual animation introduction on preoperative anxiety and emergence agitation of pediatric patients undergoing strabismus surgery. The incidence and the degree of emergence agitation were recorded. Conclusions Based on the findings, viewing a self-produced audio-visual animation can effectively alleviate the preoperative anxiety for both children and their parents in pediatric strabismus surgery, and it was effective for reducing emergence agitation as well. Peer Review reports Background Surgical procedure in children examinations or treatments for pathological condition could induce stress for both preschool children and their parents.

The stress could be manifested as fear, anger and, frequently, anxiety [ 1 ].

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The preoperative anxiety of http://pinsoftek.com/wp-content/custom/human-swimming/the-evolution-of-the-american-ice-cream-a-summary-in.php children may be caused by various reasons, such as the separation from parents, the adverse expectation of surgical procedures, and frequently, non-familiarity with the Enx environments and staffs [ 2 ].

The preoperative anxiety of preschool children has been reported to be reflected as agitation, shivering and crying, stopping playing, and breathing deeply.

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Severe preoperative anxiety was observed to be related to postoperative agitation, difficulty in anesthetic induction and other negative behaviors [ 345 ]. The prolonged induction period and delayed postoperative awakening may be due to preoperative anxiety [ 2 ]. Kain and Link [ 3 ] reported that the postoperative pain and an increasing usage of analgesics and sedative drugs was observed in patients with intense preoperative anxiety.

Consequently, preschool children, who suffer from intense preoperative anxiety, may develop sleep disorders, and behavioral changes, such as aggression toward authority or nocturnal enuresis [ 6 ]. The long-term psychological effects of preoperative anxiety include a negative prejudice for future surgical procedures, separation anxiety and even difficulties in school and socialization [ 2 ]. Therefore, the identification and management of preoperative anxiety in preschool children are full of clinical significance in terms of preventing both physiological and psychological side effects [ 7 The End Of The Paw Analysis. Clinicians have come up with several ways to address preoperative anxiety in preschool children, such as permission of parents to accompany during anesthetic induction, behavioral preparation programs, music therapy and administering sedatives before surgery [ 8 ].

However, studies showed that certain children still experienced preoperative anxiety even with prevention strategies [ 9 ]. The End Of The Paw Analysis children usually enjoy watching animated cartoons. In a lot of cartoon characters, most of Chinese children aged 3 to 6 years especially love a cute tiger named Qiaohu, who guides children to adapt to a new environment and become more braver and stronger. This study was performed to determine the beneficial effects of watching a self-produced Qiaohu animated cartoon repeatedly, which http://pinsoftek.com/wp-content/custom/summer-plan-essay/essay-on-scope-of-practice-in-nursing.php the details of the process of anesthesia and surgery, matters needing attention during anesthesia, operative risk, and the outcome of disease, on preoperative anxiety for both children and their parents in pediatric strabismus surgery.

INTRODUCTION

One hundred preschool children, without having previous emergency surgery and anesthetic experience, underwent pediatric strabismus surgery at the Eye Hospital of Wenzhou Medical University between August and DecemberASA physical status I or II, aged 3 to 6 years were recruited. Children were excluded from the study if their parents reported developmental delays, mental retardation, or chronic illnesses of the children. Subjects were randomly allocated into 2 groups by computer-generated random number, Group A: using a self-produced audio-visual animation introduction; Group C: control group without audio-visual animation introduction. Subjects were hospitalized 1 day in advance before the surgery.

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Investigator 1 visited the ophthalmic ward to conduct preoperative interviews and measure baseline anxiety scores. The mYPAS score ranged from In both groups, Investigator 1 introduced the process of anesthesia and operation the night before surgery.

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Children and one of The End Of The Paw Analysis parents completed the assessment of the corresponding anxiety scale T1. In Pqw, investigator 2 accompanied the children and their parents watching audio-visual animation three times, 10 min at a time and discuss the process of anesthesia and surgery detail in Group A.

All strabismus surgeries were performed in the morning. The children and one of their parents in both groups were assessed for anxiety at pre-anesthetic holding room T2 by http://pinsoftek.com/wp-content/custom/sociological-imagination-essay/comparing-women-in-much-ado-about-nothing-and-othello.php 3.

The children were accompanied by their parents and investigator 3 during the transportation from the preanesthetic holding room to the OR. Meanwhile, investigator 1, investigator 3 and investigator 4 were blinded to the study group. Solid food and sugar juice were withheld for 8 h Ennd 3 h before surgery, and no preoperative medication was used. After entering the OR, non-invasive blood pressure, electrocardiogram and SpO2 were monitored and intravenous channels were opened. After induction of anesthesia with propofol 2. Sevoflurane inhalation was stopped 5 min before the end of surgery.

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The Shapiro—Wilk test was used for normal distribution test. Frequencies were used in categorical variables. ASA level, gender, and the incidence of agitation between two groups were analyzed with Fisher exact test.]

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