TITLE:
The Effectiveness of Video Distraction on Children Preoperative Anxiety: An Integrative Literature Review
AUTHORS:
Doa’a Dwairej, Hala Obeidat, Inaam Khalaf
KEYWORDS:
Video Distraction, Preoperative Anxiety, Children, Anesthesia Induction Compliance, Emergence Delirium
JOURNAL NAME:
Open Journal of Nursing,
Vol.8 No.3,
March
15,
2018
ABSTRACT: Background: Children who undergo a day case surgery experience high levels of
preoperative anxiety. Preoperative anxiety interferes with anesthesia induction
compliance and is associated with many short and long term postoperative
complications. Recently, video distraction intervention has been evaluated for
its anxiolytic effects in preoperative children. Aim: The aim of this
integrative review was to demonstrate the varying methodological approaches
utilized to evaluate the effectiveness of a video distraction intervention in
reducing preoperative anxiety in children undergoing day case surgery. Methods:
A total of 8 articles, meeting the inclusion criteria, were evaluated and
included. Findings: The eight studies investigating the effect of video distraction on
children preoperative anxiety concluded that video
distraction was significant in controlling children preoperative anxiety. Four
of the eight studies (50%), investigated video
distraction effectiveness against pharmacological comparisons and demonstrated
superior or equal anxiolytic effect of video distraction on different points
along the surgical continuum. Three of the eight
studies compared video distraction against parental presences and video
distraction showed superior anxiolytic effect. Three of the eight studies
evaluated the effect of video distraction on anesthesia induction compliance
and emergence delirium. A significant effect on anesthesia induction was
demonstrated while non-significant effect on emergence delirium was documented. Conclusion: Video distraction is a safe, time and cost effective non
pharmacological anxiolytic intervention. It can be provided by nurses to
control children high level of anxiety before surgery and during anesthesia
induction.