Audiovisuelle tiltak for å redusere preoperativ angst hos barn som skal opereres: En systematisk oversikt

Systematic Review: Audiovisual Interventions for Reducing Preoperative Anxiety in Children Undergoing Elective Surgery

Forfattere
Chow, C. H. Van Lieshout, R. J. Schmidt, L. A. Dobson, K. G. Buckley, N.
Årstall
2016
Tidsskrift
Journal of Pediatric Psychology
Volum
41
Sider
182-203
OBJECTIVE: To examine the effectiveness of Audiovisual (AV) interventions at reducing preoperative anxiety and its associated outcomes in children undergoing elective surgery. METHODS: A systematic review of randomized controlled trials (RCTs) and nonrandomized studies where the primary outcome was children's preoperative anxiety was conducted. Secondary outcomes included postoperative pain, behavioral changes, recovery, induction compliance, satisfaction, and cost-effectiveness. The risk of bias of each study was assessed. RESULTS: In all, 18 studies were identified. A meta-analytic approach and narrative synthesis of findings were used to summarize the results of the studies. CONCLUSIONS: This systematic review suggests that AV interventions can be effective in reducing children's preoperative anxiety. Videos, multi-faceted programs, and interactive games appear to be most effective, whereas music therapy and Internet programs are less effective. While AV interventions appear potentially useful, adequately powered RCTs are required to conclusively pinpoint the components and mechanisms of the most effective AV interventions and guide practice. Copyright © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Tiltaksnivå

Tidlig innsats

Tema

Psykiske vansker og lidelser

Angstproblematikk

Stress

Biologiske risikofaktorer, sykdommer og symptomer

Medisinske prosedyrer

Tiltak

Psykososiale hjelpetiltak

Avspenningstiltak (sykehusklovn, avspenning knyttet til medisinske prosedyrer)

Organisering av tiltak

E-helsetiltak (spill, internett, telefon)

Aldersgruppe

Barn i førskolealder (3-5 år)

Barn i skolealder (6-12 år)

Ungdom (13-18 år)

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