Abstract
Background and objectives
Tonsillectomy is one of the most commonly used pediatric surgeries with high stress levels for children and their parents. The present study was designed and implemented regarding the fact that limited studies have ever been carried out about the effects of complementary therapies such as acupressure on the preoperative anxiety levels in children throughout the world.
Materials and methods
Present study was a randomized clinical trial that was done in three groups with 144 children aged 5–12 years undergoing tonsillectomy. In present study, the children were allocated in three groups: intervention, control and sham. In the intervention group, the acupressure was applied on the Yintang point and in the sham group, was applied at a sham acupoint. No intervention was performed in the control group. Before and after intervention, the pediatric anxiety levels were measured using instruments. The results were analyzed using descriptive and inferential statistics such as the Kruskal-Wallis and Wilcoxon tests, chi-square (χ2) and analysis of variance (ANOVA) test. The significance level was considered p < 0.05.
Results
The total anxiety score in children was (70.39 ± 20.93) in the control group, (67.83 ± 16.78) in the intervention group and (71.40 ± 21.82) in the sham group, not significant difference (p > 0.05). The different in the overall anxiety score among children before intervention compare to after intervention was as following: Control group (–3 ± 17.46), intervention group (8.42 ± 32.98) and sham group (–4.32 ± 24.47).
Conclusion
Like other surgical procedures, the tonsillectomy has serious stress for children. Our study demonstrates that the acupressure has a significant effect on the level of preoperative anxiety in children undergoing surgery. Therefore, nurses can use this technique to reduce the pediatric anxiety.
References
[1] Mirbagher Ajorpaz N, Sadat Shahshani M, Dianati M. Effect of music on preoperative anxiety and some physiological indexes of general surgery. J Kermanshah Univ Med Sci. 2011;15(2):90–5.Suche in Google Scholar
[2] Basampour SH, Nasrabadi AN, Mehran A, Poresmaeil Z, Valiee S. Effect of acupressure on patients’ anxiety and vital sign before abdominal surgeries. J Fac Nurs Midwifery Tehran Univ Med Sci. 2008;14(2):23–34.Suche in Google Scholar
[3] Uddin I, Kurkuman AR, Jamil T, Iftikhar R. Pre-operative anxiety in patients admitted for elective surgery in King Saud hospital, Unaizah, Al-Qassim Kingdom of Saudi Arabia. Pak J Med Sci. 2008;18(4):306–10.Suche in Google Scholar
[4] Quiles MJ, Ortigosa JM, Méndez FX, Pedrache S. The child surgery worries questionnaire adolescent form. Psychol Spain. 2000;4(1):82–7.10.1037/t15886-000Suche in Google Scholar
[5] Phippen M, Wells MP. Patient care during operative and invasive procedures. 7th ed. Philadelphia, PA: Saunders; 2000. p. 70–9.Suche in Google Scholar
[6] Whaley I, Wong D. Nursing care of infant and children. 7th ed. Philadelphia, PA: Mosby; 2003. p. 1032–8.Suche in Google Scholar
[7] Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre‐operative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia. 2005;60(10):978–81.10.1111/j.1365-2044.2005.04332.xSuche in Google Scholar
[8] Cho HK, Park IJ, Jeong YM, Lee YJ, Hwang SH. Can perioperative acupuncture reduce the pain and vomiting experienced after tonsillectomy? A meta‐analysis. Laryngoscope. 2016;126(3):608–15.10.1002/lary.25721Suche in Google Scholar
[9] Gilbey P, Bretler S, Avraham Y, Sharabi-Nov A, Ibrgimov S, Luder A. Acupuncture for posttonsillectomy pain in children: a randomized, controlled study. Pediatr Anesth. 2015;25(6):603–9.10.1111/pan.12621Suche in Google Scholar
[10] Fraley BW. Preoperative anxiety and education in the adolescent population. Beckley, WV: Mountain State University; 2007.Suche in Google Scholar
[11] Caumo W, Ferreira MB. Preoperative anxiety: psychobiology and effects in postoperative recovery. Pain clinic. 2003;15(2):87–101.10.1163/156856903321579217Suche in Google Scholar
[12] Preoperative anxiety in pediatrics [Internet]. 2012. Available from: http://ornaa.org/newsletter/articles/2011.dir/11JAN-SCORNA-_Preoperative_Anxiety_in_Pediatrics.pdf.Suche in Google Scholar
[13] Hatefi M, Behzadi S, Dastjerdi MM, Ghahnavieh AA, Rahmani A, Mahdizadeh F, et al. Correlation of homocysteine with cerebral hemodynamic abnormality, endothelial dysfunction markers, and cognition impairment in patients with traumatic brain injury. World Neurosurg. 2017;97:70–9.10.1016/j.wneu.2016.09.080Suche in Google Scholar
[14] Ghardashi F. Factors affecting preoperative anxiety. J Semnan Univ Med Sci. 2007;8(3):123–30.Suche in Google Scholar
[15] McMann ME, Kain ZN. The management of preoperative anxiety in children: an update. Anesth Analg. 2001;93(1):98–105.10.1097/00000539-200107000-00022Suche in Google Scholar
[16] Krauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006;367(9512):760–80.10.1016/S0140-6736(06)68230-5Suche in Google Scholar
[17] Anderson K, Weisman S. Non pharmacologic methods of analgesia and sedation. Clin Pediatr Emerg Med. 2007;8:24–8.Suche in Google Scholar
[18] Avisa P, Kamatham R, Vanjari K, Nuvvula S. Effectiveness of acupressure on dental anxiety in children. Pediatr Dent. 2018;40(3):177–83.Suche in Google Scholar
[19] Pour PS, Ameri GF, Kazemi M, Jahani Y. Comparison of effects of local anesthesia and two-point acupressure on the severity of venipuncture pain among hospitalized 6–12-year-old children. J Acupunct Meridian Stud. 2017;10(3):187–92.10.1016/j.jams.2017.04.001Suche in Google Scholar PubMed
[20] de Mello EG, Gonçalves VB, Novo NF, Novo NF, Moro ET. Relationship between preschool children and the caregiver’s preoperative anxiety. A cross study assessing modified Yale preoperative anxiety Scale (m-YPAS). Rev Fac Ciênc Méd Sorocaba. 2015;17(3):131–4.Suche in Google Scholar
[21] Jenkins BN, Fortier MA, Kaplan SH, Mayes LC, Kain ZN. Development of a short version of the modified Yale Preoperative Anxiety Scale. Surv Anesthesiol. 2015;59(3):142–3.10.1097/01.sa.0000464137.14999.22Suche in Google Scholar
[22] Jung K, Im MH, Hwang JM, Oh AY, Park MS, Jeong WJ. Reliability and validity of Korean version of modified: Yale preoperative anxiety scale. Ann Surg Treat Res. 2016;90(1):43–8.10.4174/astr.2016.90.1.43Suche in Google Scholar PubMed PubMed Central
[23] Fortier MA, Del Rosario AM, Martin SR, Kain ZN. Perioperative anxiety in children. Pediatr Anesth. 2010;20(4):318–22.10.1111/j.1460-9592.2010.03263.xSuche in Google Scholar PubMed
[24] Gulur P, Fortier MA, Mayes LC, Kain ZN. Perioperative behavioral stress in children. In: A practice of anesthesia for infants and children. 6th ed. Philadelphia, PA, USA: Elsevier; 2019. p. 25–34.e3.10.1016/B978-0-323-42974-0.00003-3Suche in Google Scholar
[25] Liu PP, Sun Y, Wu C, Xu WH, Zhang RD, Zheng JJ. The effectiveness of transport in a children’s ride-on car for reducing preoperative anxiety in preschool children: a randomised controlled prospective trial. Br J Anaesth. 2018;121(2):438–44.10.1016/j.bja.2018.02.067Suche in Google Scholar PubMed
[26] Charana A, Tripsianis G, Matziou V, Vaos G, Iatrou C, Chloropoulou P. Preoperative anxiety in greek children and their parents when presenting for routine surgery. Anesthesiol Res Pract. 2018;2018:6.10.1155/2018/5135203Suche in Google Scholar PubMed PubMed Central
[27] Wang SM, Escalera S, Lin EC, Maranets I, Kain ZN. Extra-1 acupressure for children undergoing anesthesia. Anesth Analg. 2008;107(3):811–6.10.1213/ane.0b013e3181804441Suche in Google Scholar PubMed
[28] Rachoti V, Ambika K, Sheela W. Effectiveness of acupressure on anxiety of hospitalized children undergoing invasive procedures. Int J Ment Health Nurs. 2015;1(1):139–42.10.5958/2395-180X.2015.00031.6Suche in Google Scholar
[29] Hmwe NT, Subramanian P, Tan LP, Chong WK. The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: a randomized controlled trial. Int J Nurs Stud. 2015;52(2):509–18.10.1016/j.ijnurstu.2014.11.002Suche in Google Scholar PubMed
[30] Bae H, Bae H, Min B-I, Cho S. Efficacy of acupuncture in reducing preoperative anxiety: a meta-analysis. Evid Based Complement Alternat Med. 2014;2014:12.10.1155/2014/850367Suche in Google Scholar PubMed PubMed Central
©2019 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorial
- Pharmacology for obesity: perspectives of history
- Reviews
- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
- Flourishing and academic engagement among adolescents with overweight and obesity
- Increased aggressive behavior among youth in the United States who have experienced multiple forms of victimization
- Knowledge and awareness of oral cancer and impact of pictorial warnings on the willingness to quit tobacco in young tobacco consumers in India
- The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
- Is a smartphone application effective in improving physical activity among medical school students? Results from a quasi-experimental study
- Effect of education based on protection motivation theory on adolescents’ reproductive health self-care: a randomized controlled trial
- The range of normative surface skin temperature changes in adolescents: prospective multicenter study
- Women’s reproductive health needs assessment questionnaire: development and validation
- Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study
- Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study
- Will I, Wont I? Factors associated with self-reported prediction of future indulgence in intimate partner violence among adolescents in South India
- High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents
- Spiritual health: is it a determinant factor for preventing risky behaviors among university students?
- Adolescent’s psychological health in Iran
- The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents
- Socio-demographic differentials of cognitive development and nutrition among school children: evidence from the tribal areas of Jharkhand, India
- Parents to chronically ill adolescents have ambivalent views on confidential youth consultations – a mixed methods study
- Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion
- Rate of weight gain as a predictor of readmission in adolescents with eating disorders
- Hydration status, total water intake and subjective feelings of adolescents living in a hot environment, during a typical school day
- Head and neck cancer awareness: a survey of young people in international communities
- The significant role of educational status in PKU patients: the beneficial effect of psychological support in depression
- The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis
- Short Communications
- The influences of stimulation mode and stimulus frequency on acoustic reflex latency (ARL) among young adults
- Improving recruitment and retention of adolescents and young adults with cancer in randomized controlled clinical trials
Artikel in diesem Heft
- Frontmatter
- Editorial
- Pharmacology for obesity: perspectives of history
- Reviews
- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
- Flourishing and academic engagement among adolescents with overweight and obesity
- Increased aggressive behavior among youth in the United States who have experienced multiple forms of victimization
- Knowledge and awareness of oral cancer and impact of pictorial warnings on the willingness to quit tobacco in young tobacco consumers in India
- The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
- Is a smartphone application effective in improving physical activity among medical school students? Results from a quasi-experimental study
- Effect of education based on protection motivation theory on adolescents’ reproductive health self-care: a randomized controlled trial
- The range of normative surface skin temperature changes in adolescents: prospective multicenter study
- Women’s reproductive health needs assessment questionnaire: development and validation
- Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study
- Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study
- Will I, Wont I? Factors associated with self-reported prediction of future indulgence in intimate partner violence among adolescents in South India
- High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents
- Spiritual health: is it a determinant factor for preventing risky behaviors among university students?
- Adolescent’s psychological health in Iran
- The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents
- Socio-demographic differentials of cognitive development and nutrition among school children: evidence from the tribal areas of Jharkhand, India
- Parents to chronically ill adolescents have ambivalent views on confidential youth consultations – a mixed methods study
- Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion
- Rate of weight gain as a predictor of readmission in adolescents with eating disorders
- Hydration status, total water intake and subjective feelings of adolescents living in a hot environment, during a typical school day
- Head and neck cancer awareness: a survey of young people in international communities
- The significant role of educational status in PKU patients: the beneficial effect of psychological support in depression
- The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis
- Short Communications
- The influences of stimulation mode and stimulus frequency on acoustic reflex latency (ARL) among young adults
- Improving recruitment and retention of adolescents and young adults with cancer in randomized controlled clinical trials