Evidence Based Care

Evidence Based Care

The influence of the puppet Kolah Ghermezi on preoperative anxiety among hospitalized children with appendicitis in Dr Shaikh hospital of Mashhad

Document Type : Original Quantitative and Qualitative Research Paper

Authors
Tayebeh Reyhani 1
Zahra Dehghan 2
Reza Shojaeian 3
Seyedmohsen Ashgharinekah 4
Hamidreza Behnam Vashani 1
1 Instructor of Pediatric Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Phd candidate in Pediatric, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Assistant Professor, School of Education and Psychology, Mashhad University of Ferdowsi, Mashhad, Iran
10.22038/ebcj.2014.3391
Abstract
Background: Anxiety is the commonest problems before surgery. Preoperative anxiety not only causes pain and many suffering for children, but also has a negative impact on the recovery after surgery and probably later than that. Selecting a low risk and cost-effective way to control children's anxiety before surgery seems necessary.
Aim: Influence of the puppet Kolah Ghermezi on preoperative anxiety in hospitalized children with appendicitis.
Methods: In one quasi-experimental randomized control trial at Dr. Shaykh hospital of Mashhad, 50 children aged  between 6 and 12 years old who were being prepared for appendicitis operation, were selected by simple draw and  divided into two groups of intervention and control. Children in the intervention group were familiarized with the puppet Kolah Ghermezi one hour prior to the operation . The RCMAS anxiety test was then conducted on each child before referring them to an anesthesiologist. Data were analyzed by independent  and paired T-tests using SPSS version 16.
Results: 18 girls and 32 boys with a mean age of  9.45 ± 2 years participated in the study. In the intervention group,  the mean anxiety before and after the intervention was 48.9 ± 16.7 and 31.5±12.4, and in control group was 45.5±17.3 and 59.1 ± 19.6, respectively. Differences in the anxiety before and after treatment in both groups was significant, showing a decrease in the intervention group while in the control group had an increase (p <0/001).
Conclusion: The puppet Kolah Ghermezi can be recommended as an effective way to reduce the anxiety before surgery.
Keywords
puppet
Preoperative Anxiety
children 6-12 years
Subjects
  1. Nikbakhtnaserabadi AR, Taghavieelarijani T, Mahmoodi M. A Comparative Study of Two Repeated Invocations Recommended Relaxation and Anxiety Status of Patients before Abdominal Surgery. journal of Hayat. 2004;10(23):29-37. (persian)
  2. Bassampour SS, NikbakhtNaserabadi AR, Mehran A, Pooresmaeil Z, Valiee S. Effect of Acupressure on Patients’ Anxiety and Vital Sign before Abdominal Surgeries. Journal of Faculty of Nursing and Midwifery,Medical science tehran. 2008;14(2):23-43. (persian)
  3. Mamiyanlo H, Alhani F, Ghofranipuor F. Effect of School-age Children Admitted to the Program on Anxiety Games Children's Medical Center in Tehran, 1378-79. Journal of Medical Sciences Modares. 2001; 4(1):55-62. (persian)
  4. Rabiee MR, Kazemimalekmahmoodi S. The Effect of Music on Anxiety of Hospitalized Children. Journal of Medical Sciences and Health Services of Gorgan. 2007;9(3):59-64. (persian)
  5. Norian M, Jalaleddini A, Saatchi K, Kavossidoulanfar A. Effects of Stroke Massage Using Sesame Oil on Hospitalization Anxiety in School-age Girls. journal of  University of Medical Sciences Birjand. 2013;10(3):210-18. (persian)
  6. Bahrami N, Soleymani MA, Arjinee Z, Sharifnia SH, Masodi R, Shahrokhi A. Impact Anxious Patient Care Based Upon the Nursing Process for Elective Surgery for Women. Journal of Nursing Iran. 2012;25(77):9-30. (persian)
  7. Ghardashi F. Factors Affecting Preoperative Anxiety. Journal of  University of Medical Sciences Semnan. 2007;8(3):123-30. (persian)
  8. Peery JN, Hooper V, Masiongale J. Reduction of Preoperative Anxiety in Pediatric Surgery Patients Using Age-appropriate Teaching Interventions. J Perianesth Nurs. 2012;27(2):69-81.
  9. Shabaniyan GR, Poriamofrad E, Akhlaghi M. Comparison of Orange Blossom Water and Diazepam in Reducing Anxiety before Surgery. journal of  University of Medical Sciences Shahrekord. 2008;10(4):13-8. (persian)
  10. Rohi G, Rahmani H, Abdolahi AA, Mahmoodi GhR. The Effect of Music on Anxiety and Some Physiological Parameters of Patients before Abdominal Surgery. Journal of  University of Medical Sciences Gorgan. 2005;17(1):75-8. (persian)
  11. Ahmed ML, Farrell MA, Parrish K, Karla A. Preoperative Anxiety in Children Risk Factors and Non-pharmacological Management. Middle East J Anesthesiol. 2011;21(2):153-70.
  12. Wright KD, Stewart SH, Finley A, Buffett J. Prevention and Intervention Strategies to Alleviate Preoperative Anxiety in Children A Critical Review. Behavior modification. 2007;31(1):52-79.
  13. Babashahi M, Fayazi S, Aghel N, Haghighizade MH. Effect of Aromatherapy on Anxiety Level among Preoperative patients. Journal of Medicine. 2010;9(5):507-16. (persian)
  14. Bagherian S, Borhani F, Abbaszadeh A, Ranjbar H, Solaimani F. The Effect of Distraction by Bubble-making on the Procedural Anxiety of Injection in Thalassemic School- age Children in Kerman Thalasemia Center. journal of  University of Medical Sciences Shahid Beheshti. 2012;22(76):52-9. (persian)
  15. Hasani V, Fathi M, Saadatniaki A. Evaluation of Anti Anxiety Effect of Rectal Diazepam as a Premedication with Oral Midazolam on Children Who are Undergoing Eye Surgery. Journal of Society of Anaesthesiology and Intensive Care 2009;30(65):34-40. (persian)
  16. Naziri F, Alijanpoor E, Rabiee SM, Seyfi SH, Mir M, Hoseenpoor M, Bijanee A. Comparison of Oral Midazolam and Promethazine on the Level of Separation Anxiety from Parents to Children before Anesthesia. Journal of Medical Sciences and Health Services of Babol. 2007;9(4):29-32. (persian)
  17. Memarzadeh M, Hosseinpour M, Aflakiani H. Evaluation of Playing Room on Preoperative Anxiety of 2-6 years old children in Al-Zahra Hospital. Journal Iranian of Surgery. 2006;14(4):1-6. (persian)
  18. Abdekhodaei MS, Sadeghiordoubady A. Prevalence of Separation Anxiety in Children and Effect of Cognitive Behavioral Play Therapy on Reducing it. journal of clinical psychlogy. 2011;3(12):51-8. (persian)
  19. The Role of Puppet Therapy on Children's Mental Health. (Home page on the internet). [cited2013 Nov20]. Available from: http://vista.ir.
  20. Zakerimoghadam M, Aliasgharpoor M, Mehran A, Mohammadi S. Effect of Patient Education on Anxiety about Pain Control in Patients Undergoing Abdominal Surgery. Journal of Hayat. 2009;15(4):13-22. (persian)
  21. Taghavi MR. Standardization Children's Manifest Anxiety Scale (RCMAS) for Different Levels of Education Students in Shiraz. Journal of Social Sciences and Humanities of Shiraz University.2005;24(4):179-88. (persian)
  22. Asgharinekah SM. Evaluation of Potential Use in the Treatment and Rehabilitation of Hand Dolls Autistic Children. The Secend National Congress of Art Therapy in Iran Tehran.2009;77.
  23. Tahmasbi S. Second National Seminar on Education and Healtin Preschool Children. Tehran: University of Welfare Sciences and Rehabilitation; 2011:23-4.
  24. Hashemi M,  MirzamaniSM, Davarmanesh A, Salehi M, Nazadikashani Gh. Effect Puppet Show Aggression in Female Students in Educable Mentally Retarded Children. Journal of Neurological Rehabilitation. 2010;11(15). (Persian)
  25. Asgharinekah SM, Afruoz GA, Bazargan A, Shokohiyekta M. Puppet Play Therapy for Children Intervened Impact on Communication Skills. Journal of Fundamentals of Mental Health. 2011;13(1):44-55. (persian)
  26. Martin SE, Boekamp JR, McConville DW, Wheeler EE. Anger and Sadness Perception in Clinically Referred Preschoolers: Emotion Processes and Externalizing Behavior Symptoms. Child Psychiatry Hum. 2009;4(1):30-46.