This study aimed to examine the effects of preoperative education using a tablet computer hospital play video on postoperative anxiety, emergence delirium and pain in children undergoing tonsillectomy.
The subjects of the present study were children ...
This study aimed to examine the effects of preoperative education using a tablet computer hospital play video on postoperative anxiety, emergence delirium and pain in children undergoing tonsillectomy.
The subjects of the present study were children aged 6-11 years admitted to C University Hospital to undergo tonsillectomy, consisting of 30 pediatric patients in an experimental group and 30 pediatric patients in a control group who agreed to participate in the present study. The subjects in the experimental group were randomly assigned from the scheduled surgery list according to age stratification on the day before surgery. The control group was randomly matched with the experimental group according to age stratification. The hospital play video sequentially consisted of a pediatric patient’s surgery and anesthesia and recovery stages. The preoperative contents consisted of movement to a surgical bed, movement to an operating room, the scenes of surgery waiting room and operation room, clothes of medical professionals in the operating room, anesthesia machines and anesthesia preparation process, while its postoperative contents included the scenes of recovery room, recovery process, pediatric patients’ condition, correct posture, bed rest, not crying, fasting after the surgery and cold food intake. The experimental group was provided with preoperative information on the day before the surgery using the hospital play video, while the control group received routine nursing on the day before the surgery. The general characteristics of the subjects, their preoperative anxiety and pain on the day before the surgery were measured. Postoperative anxiety and pain were measured at 10 minutes and 30 minutes after the surgery. Postoperative emergence delirium was measured at 10 and 30 minutes after the surgery. Collected data were analyzed using repeated measures of ANOVA, Bonferroni correction, and Mann-Whitney U test. The results are as follows:
1. The degree of anxiety immediately after the surgery was lower in the experimental group receiving preoperative information using the hospital paly video than that in the control.
2. The degree of emergence delirium after the surgery was lower in the experimental group receiving preoperative information using the hospital play video than that in the control contro.
3. The degree of pain immediately after the surgery was lower in the experimental group receiving preoperative information using the hospital play video than that in the control group.
The results of the present study showed that preoperative education providing program using a hospital play video was effective in relieving postoperative anxiety, delirium and pain in children undergoing tonsillectomy under general anesthesia. Therefore, it can be used in clinical practice as a recovery-oriented nursing intervention program for children undergoing tonsillectomy