Department of Child Health and Diseases Nursing, Ataturk University Faculty of Nursing, Erzurum, Turkey.
Department of Child Health and Diseases Nursing, Erzincan Binali Yildirim University Faculty of Health Sciences, Erzincan, Turkey.
Child Care Health Dev. 2023 Sep;49(5):906-913. doi: 10.1111/cch.13100. Epub 2023 Feb 8.
The aim of this study was to evaluate the effect of reading a preoperative preparation-themed storybook on children's preoperative fear and anxiety levels.
The research design was a randomized controlled experiment. The research sample included 80 children (40 in the story group and 40 in the control group) who met the inclusion criteria. Data collection tools were collected through face-to-face interviews with the 'Survey Form', 'Child Fear Scale (CFS)' and 'Modified Yale Preoperative Anxiety Scale (mYPAS)'. In the research, the book named Elif Has Surgery was used as an intervention tool. In the story group, the preoperative preparation-themed storybook was read to the child in their room at the clinic by their mother within 10 min. The control group received only clinical routine. The study was approved by the ethics committee.
There was a statistically significant difference between the groups in the mean scores of the CFS and mYPAS scales in the control and story groups (p < 0.05).
This study found that reading a preoperative preparation-themed storybook reduced children's fear and anxiety before surgery. It may be recommended to expand the use of preoperative preparation-themed storybooks in order to prevent fear and anxiety experienced before surgery in paediatric surgery clinics. Story reading is an effective, cheap, non-pharmacological intervention. The clinical trial registration number is NCT05478369.
本研究旨在评估阅读术前准备主题故事书对儿童术前恐惧和焦虑水平的影响。
研究设计为随机对照试验。研究样本包括符合纳入标准的 80 名儿童(故事组 40 名,对照组 40 名)。数据收集工具通过与“调查问卷”、“儿童恐惧量表(CFS)”和“改良耶鲁术前焦虑量表(mYPAS)”的面对面访谈收集。在研究中,使用名为 Elif 接受手术的书籍作为干预工具。在故事组中,由母亲在诊所房间内向孩子阅读术前准备主题的故事书,时长 10 分钟。对照组仅接受临床常规护理。该研究获得了伦理委员会的批准。
对照组和故事组的 CFS 和 mYPAS 量表的平均评分在组间存在统计学差异(p<0.05)。
本研究发现,阅读术前准备主题故事书可降低儿童手术前的恐惧和焦虑。为了预防小儿外科诊所中手术前的恐惧和焦虑,可能需要推荐扩大使用术前准备主题故事书。故事阅读是一种有效、廉价、非药物干预措施。临床试验注册号为 NCT05478369。