Background

Preoperative anxiety in pediatric patients can affect the course of surgery and cause adverse outcomes. Distraction is used as a measure to reduce preoperative anxiety in pediatric patients.

Objective

This study aimed to evaluate the effect of distraction on preoperative anxiety in pediatric patients.

Methods

We searched randomized controlled trials in databases (PubMed, Embase, Cochrane Library and ProQuest). Relevant studies were included by strict adherence to the inclusion and exclusion criteria, and intervention methods included a variety of distraction measures compared with routine care. The primary outcome was anxiety level after the intervention in holding area and (or) induction room measured by the modified Yale Preoperative anxiety Scale. Two researchers independently screened and extracted relevant data. A random-effects model was utilized to analysis the effect size as there was significant heterogeneity among the included studies. To further explore the reasons for potential heterogeneity and the effects of different distraction interventions, subgroup analysis was performed.

Results

Our search retrieved 793 records. 44 trials were included for qualitative analysis, of which 19 randomized controlled trials with 1341 patients were included for meta-analysis. Our study suggested a decreasing anxiety level of 5.34 versus 15.28 points respectively in holding area and induction room, where the distraction interventions group compared to the control group (MD: -5.34, 95% CI: -7.97 to -2.71 at holding aera; MD: -15.28, 95% CI: -21.48 to -9.09 at induction room). According to subgroup analysis, all subgroups showed significant effects of distraction on preoperative anxiety in pediatric patients. However, the heterogeneity between studies was high.

Conclusion

Distraction as a preoperative anxiety management technique can benefit pediatric patients undergoing elective surgery, and healthcare personnel can apply preoperatively to alleviate preoperative anxiety in pediatric patients.

Registration

not registered.

Tweetable abstract

none.

中文翻译：

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分散注意力作为儿科患者术前焦虑管理技术的有效性：随机对照试验的系统评价和荟萃分析

背景

儿科患者的术前焦虑会影响手术过程并导致不良后果。分心被用作减少儿科患者术前焦虑的措施。

客观的

本研究旨在评估分心对儿科患者术前焦虑的影响。

方法

我们检索了数据库（PubMed、Embase、Cochrane Library 和 ProQuest）中的随机对照试验。通过严格遵守纳入和排除标准纳入相关研究，干预方法包括与常规护理相比的各种分散注意力的措施。主要结果是采用改良的耶鲁术前焦虑量表测量的等候区和（或）诱导室干预后的焦虑水平。两名研究人员独立筛选并提取相关数据。由于纳入研究之间存在显着的异质性，因此使用随机效应模型分析效应大小。为了进一步探讨潜在异质性的原因以及不同分心干预措施的影响，进行了亚组分析。

结果

我们的搜索检索到 793 条记录。44 项试验被纳入定性分析，其中 19 项随机对照试验纳入 1341 名患者进行荟萃分析。我们的研究表明，与对照组相比，牵制区和诱导室的焦虑水平分别降低了 5.34 分和 15.28 分（MD：-5.34，95% CI：-7.97 至 -2.71 在保持区；MD : -15.28, 95% CI: -21.48 到 -9.09 在感应室）。根据亚组分析，所有亚组都显示出分心对儿科患者术前焦虑的显着影响。然而，研究之间的异质性很高。

结论

分心作为术前焦虑管理技术可以使接受择期手术的儿科患者受益，医护人员可以在术前应用以减轻儿科患者的术前焦虑。

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可推文摘要

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