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Articoli

N. 3 (2021)

Children’s and Parents’ Anxiety Levels pre and post Thoracoplasty. Play Specialist-based Intervention beneficial Outcomes

DOI
https://doi.org/10.3280/rip2021oa12716
Inviata
12 ottobre 2021
Pubblicato
21-10-2021

Abstract

Paediatric surgery elicits anxiety in children and their parents. The present study tests the impact of Play Specialist-based intervention (PS) on children’s and parents’ anxiety pre and post thoracoplasty. The study was held at Gaslini pediatric hospital (Genoa, Italy) and involved families with a child undergoing thoracoplasty to correct childrenʼs pectus carinatum (PC) or excavatum (PE). Children provided with PS-based intervention (n=40) were compared with control children (n=32). The mothers of PS children (n=40) were compared with the control mothers (n=32), and the fathers of PS children (n=40) were compared with the control fathers (n=32). Visual Analog Scale (VAS) was administered to assess pre and post thoracoplasty anxiety. T-tests and Analyses of Covariance (ANCOVA), Bayes factors for t-tests and ANCOVA were computed. A significant interaction effect between time and group (i.e., PS and controls) emerged for children, mothers, and fathers. Bonferroni post-hoc analyses revealed that PS children’s and PS mothers’ postoperative anxiety was lower than controls’ postoperative anxiety. PS fathers’ experienced greater preoperative anxiety than controls and no significant differences with control fathers emerged in postoperative anxiety. PS-based intervention emerged to reduce children’s and parents’ anxiety over time, and to diminish children’s and mothers’ postoperative anxiety in comparison with the controls.

Riferimenti bibliografici

  1. Aranha, P. R., Sams, L. M., & Saldanha, P. (2017). Preoperative preparation of children. International Journal of Health & Allied Sciences, 6(1), 1.
  2. Chotai, P. N., Nollan, R., Huang, E. Y., & Gosain, A. (2017). Surgical informed consent in children: a systematic review. Journal of Surgical Research, 213, 191-198. DOI: 10.1016/j.jss.2017.02.047.
  3. Dicken, C. (1963). Good impression, social desirability, and acquiescence as suppressor variables. Educational and Psychological Measurement, 23(4), 699-720. DOI: 10.1177/2F001316446302300406.
  4. Dolan, A. (1993). A day in the life of a hospital play specialist. The British journal of theatre nursing: NATNews: the official journal of the National Association of Theatre Nurses, 3(3), 31-32.
  5. Endler, N. S., & Kocovski, N. L. (2001). State and trait anxiety revisited. Journal of Anxiety Disorders, 15(3), 231-245. DOI:10.1016/S0887-6185(01)00060-3.
  6. Feng, J., Hu, T., Liu, W., Zhang, S., Tang, Y., Chen, R., ... & Wei, F. (2001). The biomechanical, morphologic, and histochemical properties of the costal cartilages in children with pectus excavatum. Journal of Pediatric Surgery, 36(12), 1770-1776. DOI:10.1053/jpsu.2001.28820.
  7. Gill, C. (2010). Helping children cope with renal disease: the role of play specialist. Journal of Renal Nursing, 2(5), 244-247. DOI: 10.12968/jorn.2010.2.5.78490.
  8. Hart-Spencer P, Griffiths A (2015). How Play Specialists can reduce use of anaesthesia during radiotherapy. Cancer Nursing Practice, 14(10), 16-20. DOI: 10.7748/cnp.14.10.16.s20.
  9. Hecker, E., Hecker, H. C., & Hecker, K. A. (2013). Pleural empyema-treatment strategies in light of etiology. Zentralblatt fur Chirurgie, 138(3), 353-77. DOI: 10.1055/s-0032-1328638.
  10. Hornblow, A. R., & Kidson, M. A. (1976). The visual analogue scale for anxiety: a validation study. Australian and New Zealand Journal of Psychiatry, 10(4), 339-341. DOI: 10.3109/00048677609159523.
  11. JASP Team (2019). JASP Version 0.11.1. Available at: https://jasp-stats.org/download.
  12. Jawaid, M., Mushtaq, A., Mukhtar, S., & Khan, Z. (2007). Preoperative anxiety before elective surgery. Neurosciences, 12(2), 145-148.
  13. Jurdi, S., Montaner, J., Garcia-Sanjuan, F., Jaen, J., & Nacher, V. (2018). A systematic review of game technologies for pediatric patients. Computers in Biology and Medicine, 97, 89-112. DOI: 10.1016/j.compbiomed.2018.04.019.
  14. Kain, Z. & Mayes, L. (1996). Anxiety in children during the perioperative period. In: Bornstein, M., Genevro,J., eds. Child Development and Behavioral Pediatrics. Mahwah, NJ: Lawrence Erlbaum, 85-103. DOI: 10.1213/00000539-199905000-00013.
  15. Kain, Z. N., Mayes, L. C., OʼConnor, T. Z., & Cicchetti, D. V. (1996). Preoperative anxiety in children: predictors and outcomes. Archives Of Pediatrics & Adolescent Medicine,150(12), 1238-1245. DOI: 10.1001/archpedi.1996.02170370016002.
  16. Kain, Z. N., Wang, S. M., Mayes, L. C., Caramico, L. A., & Hofstadter, M. B. (1999). Distress during the induction of anesthesia and postoperative behavioral outcomes. Anesthesia & Analgesia, 88(5), 1042-1047. DOI: 10.1213/00000539-199905000-00013.
  17. Kaminski, M., Pellino, T., Wish, J. (2002). Play and pets: the physical and emotional impact of child-life and pet therapy on hospitalized children. Childrenʼs Health Care, 31(4), 321-335. DOI:10.1207/S15326888CHC3104_5.
  18. Kampouroglou, G., Velonaki, V. S., Pavlopoulou, I., Drakou, E., Kosmopoulos, M., Kouvas, N., & Tsoumakas, K. (2020). Parental anxiety in pediatric surgery consultations: the role of health literacy and need for information. Journal of Pediatric Surgery, 55(4), 590-596. DOI: 10.1016/j.jpedsurg.2019.07.016.
  19. Kotiniemi, L. H., Ryhänen, P. T., & Moilanen, I. K. (1997). Behavioral changes in children following day- case surgery: a 4-week follow-up of 551 children. Anaesthesia, 52(10), 970-976. DOI: 10.1111/j.1365-2044.1997.202-az0337.x.
  20. Kuhtin, O., Veith, M., Alghanem, M., Martel, I., Giller, D., Haas, V., & Lampl, L. (2020). Thoracoplasty-current view on indication and technique. The Thoracic and Cardiovascular Surgeon, 68(04), 331-340. DOI: 10.1055/s-0038-1642633.
  21. Li, W. H., Chung, J. O. K., Ho, K. Y., & Kwok, B. M. C. (2016). Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC pediatrics, 16(1), 36. DOI: 10.1186/s12887-016-0570-5.
  22. McCue, K. (1988). Medical play: An expanded perspective. Childrenʼs Health Care, 16(3), 157-161. DOI: 10.1207/s15326888chc1603_5.
  23. Moore, E. R., Bennett, K. L., Dietrich, M. S., & Wells, N. (2015). The effect of directed medical play on young childrenʼs pain and distress during burn wound care. Journal of Pediatric Health Care, 29(3), 265-273. DOI: 10.1016/j.pedhc.2014.12.006.
  24. Moura, L. A. D., Dias, I. M. G., & Pereira, L. V. (2016). Prevalence and factors associated with preoperative anxiety in children aged 5-12 years. Revista Latino-Americana De Enfermagem, 24 , 2708. DOI: 10.1590/1518-8345.0723.2708.
  25. Odell, J. A. (2012). The history of surgery for pulmonary tuberculosis. Thoracic Surgery Clinics, 22(3), 257-269. DOI: 10.1016/j.thorsurg.2012.05.003.
  26. Perasso, G., Maggiore, A., Allegri, C., & Camurati, G. 2020). Telematic Play Specialist Intervention in the Covid-19 era: Benefits for parents of children with clinical conditions. International Journal of Preventive Health and Medicine, 1(1), 1-7. DOI: 10.35940/ijpmh.A2005.111120.
  27. Perasso, G., Camurati, G., Morrin, E., Dill, C., Dolidze, K., Clegg, T., Simonelli, I., Lo, H.Y.C., Magione-Standish, A., Pansier, B., Gulyurtlu, S.C., Garone, A., Rippen, H. (2021). Five Reasons Why Pediatric Settings Should Integrate the Play Specialist and Five Issues in Practice. Frontiers in Psychology, (12): 687292. DOI: 10.3389/fpsyg.2021.687292.
  28. Pomicino, L., Maccacari, E., & Buchini, S. (2018). Levels of anxiety in parents in the 24 hr before and after their childʼs surgery: A descriptive study. Journal Of Clinical Nursing, 27(1-2), 278-287. DOI: 10.1111/jocn.13895.
  29. Robicsek, F., Cook, J. W., Daugherty, H. K., & Selle, J. G. (1979). Pectus carinatum. The Journal of Thoracic and Cardiovascular Surgery, 78(1), 52-61. DOI: 10.1016/S0022-5223(19)38162-0.
  30. Scrimin, S., Haynes, M., Altoe, G., Bornstein, M. H., & Axia, G. (2009). Anxiety and stress in mothers and fathers in the 24 h after their childʼs surgery. Child: Care, Health And Development, 35(2), 227-233. DOI: 10.1111/j.1365-2214.2008.00920.x.
  31. Shirley, P. J., Thompson, N., Kenward, M., & Johnston, G. (1998). Parental anxiety before elective surgery in children A British perspective. Anaesthesia, 53(10), 956-959. DOI: 10.1046/j.1365-2044.1998.00533.x.
  32. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto, CA: Consulting Psychologists Press.
  33. Sposito, A. M. P., de Montigny, F., Sparapani, V. D. C., Lima, R. A. G. D., Silva-Rodrigues, F. M., Pfeifer, L. I., & Nascimento, L. C. (2016). Puppets as a strategy for communication with B razilian children with cancer. Nursing & Health Sciences, 18(1), 30-37. DOI: 10.1111/nhs.12222.
  34. Thompson, N., Irwin, M. G., Gunawardene, W. M. S., & Chan, L. (1996). Preoperative parental anxiety. Anaesthesia, 51(11), 1008-1012. DOI: 10.1111/j.1365-2044.1996.tb14992.x.
  35. Ullan, A. M., & Belver, M. H. (2019) Integrative Pediatrics and Child Care Play as a Source of Psychological Well-Being for Hospitalized Children: Study Review. Integrative Pediatrics and Child Care, 2(1), 92-98.
  36. Vagnoli, L., Caprilli, S., Vernucci, C., Zagni, S., Mugnai, F., & Messeri, A. (2015). Can presence of a dog reduce pain and distress in children during venipuncture?. Pain Management Nursing, 16(2), 89-95. DOI: 10.1016/j.pmn.2014.04.004.
  37. Wagenmakers, E. J., Verhagen, A. J., Ly, A., Matzke, D., Steingroever, H., Rouder, J. N., Morey, R. D (2017). The need for Bayesian hypothesis testing in psychological science. In Lilienfeld, S.O. & Waldman, I. (Eds.), Psychological science under scrutiny: recent challenges and proposed solutions, pp. 123-138. Oxford, UK: John Wiley and Sons. DOI: 10.1002/9781119095910.ch8.
  38. Waters, P., Welch, K., Micheli, L. J., Shamberger, R., & Hall, J. E. (1989). Scoliosis in children with pectus excavatum and pectus carinatum. Journal of Pediatric Orthopaedics, 9(5), 551-556. DOI: 10.1097/01241398-198909010-00009.
  39. Webster, A. (2000). The facilitating role of the play specialist. Paediatric Nursing, 12(7), 24.
  40. Williams, V. S., Morlock, R. J., & Feltner, D. (2010). Psychometric evaluation of a visual analog scale for the assessment of anxiety. Health and Quality of Life Outcomes, 8(1), 57. DOI: 10.1186/1477-7525-8-57.
  41. Wong, C. L., Ip, W. Y., Kwok, B. M. C., Choi, K. C., Ng, B. K. W., & Chan, C. W. H. (2018). Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial. BMJ open, 8(7), e021071. DOI: 10.1136/bmjopen-2017-021071.

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