Evaluation of parental anxiety following three methods of pre-anesthesia counseling: Video, brochure and verbal communication

Paediatr Anaesth. 2024 Jul;34(7):665-670. doi: 10.1111/pan.14905. Epub 2024 Apr 25.

Abstract

Background: The purpose of this study is to provide comprehensive and efficient pre-anesthesia counseling (PAC) utilizing audiovisual aids and to examine their effect on parental anxiety.

Methods: For this prospective, controlled study, 174 parents were recruited and randomized into three groups of 58 (Group A: video, Group B: brochure, and Group C: verbal). During pre-anesthesia counseling, the parent was provided with a detailed explanation of preoperative preparation, fasting instructions, transport to the operating room, induction, the emergence of anesthesia, and nursing in the post-anesthesia care unit based on their assigned group. We evaluated parental anxiety using Spielberger's State-Trait Anxiety Inventory before and after the pre-anesthesia counseling.

Results: The results of our study show a statistically significant difference in the final mean STAI scores among the three groups (Group A: 34.69 ± 5.31, Group B: 36.34 ± 8.59, and Group C: 43.59 ± 3.39; p < .001). When compared to the brochure and verbal groups, the parents in the video group have the greatest difference in mean baseline and final Spielberger's State-Trait Anxiety Inventory scores (12.207 ± 5.291, p .001).

Conclusion: The results of our study suggest that pre-anesthesia counseling by video or a brochure before the day of surgery is associated with a higher reduction in parental anxiety when compared to verbal communication.

Keywords: audio‐visual modes; parental anxiety; pediatric anesthesia.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anesthesia / methods
  • Anxiety* / prevention & control
  • Anxiety* / psychology
  • Audiovisual Aids
  • Child
  • Child, Preschool
  • Communication*
  • Counseling* / methods
  • Female
  • Humans
  • Male
  • Pamphlets*
  • Parents* / psychology
  • Preoperative Care* / methods
  • Prospective Studies
  • Video Recording