Effect of Play Therapy on Reducing One Day Surgery Preoperative Anxiety Among Children
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Anxiety is one of the most prevalent preoperative problems in children. It is estimated that approximately 50%–70% of children undergoing surgery experience severe anxiety and distress prior to surgery. Accurate measurement of anxiety is an important role of nurses in the pediatric day surgery setting as high levels of anxiety can lead to adverse consequences both during surgery and post-surgery. Thus, interventions to reduce preoperative anxiety are important for children and families. The aim of this study was to determine the effect of play therapy on reducing one day surgery preoperative anxiety among children at Assiut University Children Hospital. A quazi-experimental research design was used for this study. Setting: This study was conducted in the surgical unit at Assiut University Children’s Hospital. Sampling: All children aged 3 to 12 years, who was admitted for one day surgery during a three - month's period. Three tools were used for this study: Tool I: An interviewing questionnaire sheet, Tool II: Modified Yale Preoperative Anxiety Scale (mYPAS), Tool III: The Spielberger State Anxiety Scale for children (SSAS-c). Results: The vast majority (90.3%, 96.8%) of both study and control groups respectively were anxious. More than three fourths (77.4%) of the study group children were experienced severe levels of anxiety before play therapy intervention which reduced to (41.9 %) after play therapy intervention. Highly statistically significant difference (P=0.000) was found between pre and post play therapy intervention in the study group while statistically significant differences (P=0.02, P=0.03) were found between studied children levels of Spielberger State anxiety and their male gender and rural residence respectively during pre and post play therapy intervention. No significant difference was found between studied children levels of anxiety and their age or birth order, also previous hospitalization or previous surgery did not significantly impact the child’s level of anxiety. Concluded that play therapy was an effective method for reducing anxiety among children undergoing one day surgery as a feasible and cost effective intervention for children. The study recommended incorporating therapeutic play intervention in the preoperative periods as preoperative preparation.
Authors and Affiliations
Fathia Z. Mohamed, Eman S. Ahmed, Marzoka A. Gadalla, Ibrahim A. Ibrahim
Keywords
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- EP ID EP436564
- DOI 10.9790/1959-0704111523.
- Views 118
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