Graduate School, Chengdu Medical College, Chengdu 610500, China.
Department of Interventional Radiology, Affiliated Hospital of Qinghai University, Xining 810000, China.
Int J Nurs Stud. 2022 Jun;130:104232. doi: 10.1016/j.ijnurstu.2022.104232. Epub 2022 Mar 12.
Preoperative anxiety in pediatric patients can affect the course of surgery and cause adverse outcomes. Distraction is used as a measure to reduce preoperative anxiety in pediatric patients.
This study aimed to evaluate the effect of distraction on preoperative anxiety in pediatric patients.
We searched randomized controlled trials in databases (PubMed, Embase, Cochrane Library and ProQuest). Relevant studies were included by strict adherence to the inclusion and exclusion criteria, and intervention methods included a variety of distraction measures compared with routine care. The primary outcome was anxiety level after the intervention in holding area and (or) induction room measured by the modified Yale Preoperative anxiety Scale. Two researchers independently screened and extracted relevant data. A random-effects model was utilized to analysis the effect size as there was significant heterogeneity among the included studies. To further explore the reasons for potential heterogeneity and the effects of different distraction interventions, subgroup analysis was performed.
Our search retrieved 793 records. 44 trials were included for qualitative analysis, of which 19 randomized controlled trials with 1341 patients were included for meta-analysis. Our study suggested a decreasing anxiety level of 5.34 versus 15.28 points respectively in holding area and induction room, where the distraction interventions group compared to the control group (MD: -5.34, 95% CI: -7.97 to -2.71 at holding aera; MD: -15.28, 95% CI: -21.48 to -9.09 at induction room). According to subgroup analysis, all subgroups showed significant effects of distraction on preoperative anxiety in pediatric patients. However, the heterogeneity between studies was high.
Distraction as a preoperative anxiety management technique can benefit pediatric patients undergoing elective surgery, and healthcare personnel can apply preoperatively to alleviate preoperative anxiety in pediatric patients.
not registered.
术前焦虑会影响患儿手术过程并导致不良结局。分散注意力是一种用于降低儿科患者术前焦虑的措施。
本研究旨在评估分散注意力对儿科患者术前焦虑的影响。
我们在数据库（PubMed、Embase、Cochrane 图书馆和 ProQuest）中搜索了随机对照试验。严格按照纳入和排除标准纳入相关研究，干预方法包括与常规护理相比的各种分散注意力措施。主要结局是在等候区和（或）诱导室中使用改良耶鲁术前焦虑量表测量的干预后焦虑水平。两名研究人员独立筛选和提取相关数据。由于纳入研究之间存在显著异质性，因此采用随机效应模型分析效应大小。为了进一步探讨潜在异质性的原因和不同分散注意力干预的效果，进行了亚组分析。
我们的搜索共检索到 793 条记录。44 项试验进行了定性分析，其中 19 项随机对照试验共 1341 名患者纳入了荟萃分析。我们的研究表明，在等候区和诱导室中，分散注意力干预组与对照组相比，焦虑水平分别降低了 5.34 分和 15.28 分（MD：-5.34，95%CI：-7.97 至-2.71 在等候区；MD：-15.28，95%CI：-21.48 至-9.09 在诱导室）。根据亚组分析，所有亚组均显示分散注意力对儿科患者术前焦虑有显著影响。然而，研究之间的异质性很高。
分散注意力作为一种术前焦虑管理技术，可以使接受择期手术的儿科患者受益，医护人员可以在术前应用，以减轻儿科患者的术前焦虑。
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