In Pediatric Strabismus Surgery, Self-produced audio-visual
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Both children and their parents experience hospital anxiety as a result of strabismus surgery, which is painful and upsetting. The aim of this study was to see how watching a self-produced audio-visual animation introduction affected preoperative anxiety and emergence agitation in pediatric strabismus surgery patients.

In this prospective randomized study, analysis included 100 children scheduled for strabismus surgery with aged 3~6 years. The children were randomly divided into 2 groups (n=50 for each),
1)Group A- using a self-produced audio-visual animation introduction;
2)Group C- controlled group without audio-visual animation introduction

Children’s preoperative anxiety was determined by the modified Yale Preoperative Anxiety Scale (mYPAS) at different time points: the night before surgery(T1), at pre-anesthetic holding room(T2), and just before anesthesia induction(T3). The Spielberger State-Trait Anxiety Inventory (STAI) was used to record the anxiety of parents at T1,T2 and T3. The incidence and the degree of emergence agitation were recorded.

Results:
--The mYPAS scores at T2 and T3 were higher than T1 in both groups.

--The average score of mYPAS in Group A was significantly lower than in Group C at T2 and T3.

--The STAI scores in Group A at T2 and T3 were significantly lower than in Group C.

--The incidence of agitation in Group A was lower than that in Group C.

Finally, the results show that watching a self-produced audio-visual animation can effectively reduce preoperative anxiety in both children and their parents undergoing pediatric strabismus surgery, as well as emergence agitation.

Source: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-021-01922-6
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