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±èÇö¿µ ( Kim Hyeon-Young ) - Sahmyook University College of Nursing
½Å¼±È ( Shin Sun-Hwa ) - Sahmyook University College of Nursing
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Abstract
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Purpose: The purpose of this study was to examine the effectiveness of non-pharmacological interventions for reducing perioperative anxiety in children undergoing surgery.
Methods: A systematic review of randomized controlled trials (RCTs) with the primary outcome of children¡¯s perioperative anxiety was conducted. The literature search was performed using various databases, including Cochrane Library, CINAHL, EMBASE, PubMed, and Korean electronic databases with confined to RCTs between 2000 and 2020. A total of sixteen studies were suitable the inclusion criteria and were systematically reviewed. The bias risk of randomized studies was evaluated using Cochrane¡¯s risk of bias tool. For the meta-analysis, RevMan 5.4 was used to analyze effect sizes of interventional factors.
Results: Finally, twelve RCTs studies were used for meta-analysis. The non-pharmacological interventions implemented to reduce perioperative anxiety in children were therapeutic play, clown therapy and information provision. First, therapeutic play had a significant effect on reducing preoperative anxiety, with an effect size of -1.46 (95% CI=-1.78~-1.14). Second, clown therapy had a significant effect on reducing preoperative anxiety, with an effect size of -0.97 (95% CI=-1.45~-0.49). Finally, the provision of information had a significant effect on reducing preoperative anxiety, with an effect size of -0.75 (95% CI=-0.99~-0.51).
Conclusion: This meta-analysis suggests that non-pharmaceutical interventions provide effective methods of reducing perioperative anxiety in children. Therefore, the findings verify evidence that various non-pharmacological interventions are effective means for reducing children¡¯s preoperative anxiety.
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KeyWords
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ºÒ¾È, ¼Ò¾Æ, ¸ÞŸºÐ¼®, ¼ö¼úÁÖ±â
Anxiety, Children, Meta-analysis, Perioperative period
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