The study aims to evaluate the effect of interesting games on reducing preoperative anxiety and improving compliance withanesthesia in children. 59 preschool-aged children undergoing elective surgery were randomly assigned to two groups. The children were divided into an experimental group and control group using a random number table. The experimental group comprised 29 children, including 20 male and 9 female children with an average age of 4.52 – 1.21 years. . The control group comprised 30 children, including 23 male and 7 female children with an average age of 4.37-1.09 years.
For the experimental group, the anaesthesia induction room was decorated with items of interest to children. Cartoons were pasted onto all walls; the floor was covered by splicing foam floorboards of different colours; many kinds of toys were provided, including cartoon car models, puppets, and drawing boards; and a mini DVD player and various cartoon discs were provided. The children in the experimental group entered the decorated anaesthesia induction room with their parents within 15-20 min before the operation. One nurse from the operating room accompanied them. The children selected a game according to their own interest, and the nurse joined them to increase the sense of trust. The nurse then began thevenipuncture procedure while another nurse attracted the childâ€™s attention using various methods of encouragement, such as implied wording, encouraging wording, or reward methods such as, â€œYou are so good, The Pleasant Sheep does not cry when it is given the injection, you are so brave like the sheep,â€
The children in the control group underwent routine care and preparation for 15-20 min before the operation. One parent accompanied the child into the waiting room before the operation. The nurse said a few words to comfort the child and answered any questions raised by the child and his or her parent to address their concerns about the anaesthesia and the operation. The operating room nurse brought the child into the general anaesthesia induction room to perform thevenipuncture procedure and anaesthetic induction. The child was then moved to the operating room.
The childrenâ€™s anxiety was assessed using the Modified Yale Preoperative Anxiety Scale (mYPAS) when they entered the operating room, while they were waiting to undergo surgery, and during anaesthetic induction. Moreover, the childrenâ€™s compliance with anaesthetic induction was assessed using the Induction Compliance Checklist (ICC).
Theresults shows that there are no statistically significant differences in themYPAS scores were observed between the two groups upon entering the operating room (p > 0.05). ThemYPAS scores were significantly lower in the experimental group than in the control group while waitingfor surgery and during anaesthetic induction (p < 0.05), while there were nosignificant differences in themYPAS scores upon entering the operating room. The childrenâ€™s compliance with anaesthetic induction was significantly higher in the experimental group than in the control group (p < 0.05). The study concludes that engagement in an interesting game can reduce preschool-aged childrenâ€™s preoperative anxiety and improve their compliance with anaesthetic induction.
1)Identify the dependent and the independent variables in the study?
2)What type of research design was used in the study?
3)What are the aims of the study as stated by the researchers?
4)What are the main findings of this study?