Advertisement

Child's Nervous System

, Volume 34, Issue 2, pp 197–198 | Cite as

Preoperative anxiety in children undergoing neurosurgical operations and proposed effective interventions

  • Chrysanthi Lioupi
  • Nikolaos Ch. SyrmosEmail author
  • Matteo Lioupis
  • Vaitsa Giannouli
Letter to the Editor

Dear Editor,

Preoperative anxiety is characterized by the patient’s experience of “being stressed and anxious” while awaiting surgery. As Perks, Chakravarti and Manninen indicated in their original study [1], the incidence of preoperative anxiety in neurosurgery patients was 89%, while the 55% diagnosed with a high level of anxiety. Patients’ anxiety mainly related to concerns about surgical factors, such as results of the operation and the possible physical injuries or mental suffering, while a small proportion of the patients reported anxiety due to the anesthesia procedure. It was pointed out that patients who experienced a high level of anxiety, presented more worries about the operation and needed more information about the surgical procedure. Although neurosurgical interventions and their outcome are great sources of anxiety for patients, little attention has been given on this field. Relative to this notion, we state that the research is even more scarce in pediatric patients [1]....

Notes

Compliance with ethical standards

Conflict of interest

No conflict of interest

References

  1. 1.
    Perks, A., S. Chakravarti, and P. Manninen. 2009. “Preoperative anxiety in neurosurgical patients.” Journal of Neurosurgery Anesthesiology Volume 21, Number 2, April 2009 21 (2): 127–130CrossRefGoogle Scholar
  2. 2.
    Welkom, J. S., L. L. Cohen, N. L. Joffe, and D. J. Bearden. 2009. “Psychological approaches to acute pediatric pain management.” Edited by S. D’Alonso & K. L. Grasso. (Eds.). Acute pain: causes, effects and treatment (pp. 155–168). New York: Nova Science PublishersGoogle Scholar
  3. 3.
    Wennstrom B, Hallberg L, Bergh I (2008) Use of perioperative dialogues with children undergoing day surgery. J Adv Nurs 62(1):96–106.  https://doi.org/10.1111/j.1365-2648.2007.04581.x CrossRefGoogle Scholar
  4. 4.
    Kain Z, Mayes L, Caldwell-Andrews A, Karas D, McClain B (2006) Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics 118(2):651–658.  https://doi.org/10.1542/peds.2005-2920 CrossRefGoogle Scholar
  5. 5.
    Chieng Y, Chan W, Wee-Liam J, Klainin-Yobas P, Wang W, He H (2013) Exploring influencing factors of postoperative pain in school-age children undergoing elective surgery. Journal for Specialists in Pediatric Nursing 18(3):243–252.  https://doi.org/10.1111/jspn.12030 CrossRefGoogle Scholar
  6. 6.
    Riquin E, Dinomais M, Malka J, Lehousse T, Duverger P, Menei P, Delion M (2017) Psychiatric and psychologic impact of surgery while awake in children for resection of brain tumors. World Neurosurgery 102:400–405.  https://doi.org/10.1016/j.wneu.2017.03.017 CrossRefGoogle Scholar
  7. 7.
    Kain Z, Mayes L, Weisman S, Hofstadter M (2000) Social adaptability, cognitive abilities, and other predictors for children’s reactions to surgery. J Clin Anesth 12(7):549–554.  https://doi.org/10.1016/S0952-8180(00)00214-2 CrossRefGoogle Scholar
  8. 8.
    Fortier M, Chorney J, Zisk-Rony R, Perret-Karimi P, Rinehart J, Camilon F, Kain Z (2009) Children’s desire for perioperative information. Anesth Analg 109(4):1085–1090.  https://doi.org/10.1213/ane.0b013e3181b1dd48 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Chow C, Lieshout R, Schmidt L, Dobson K, Buckley N (2016) Systematic review: audiovisual interventions for reducing preoperative anxiety in children undergoing elective surgery. J Pediatr Psychol 41(2):182–203.  https://doi.org/10.1093/jpepsy/jsv094 CrossRefGoogle Scholar
  10. 10.
    Liguori S, Stacchini M, Ciofi D, Olivini N, Bisogni S, Festini F (2016) Effectiveness of an app for reducing preoperative anxiety in children a randomized clinical trial. JAMA Pediatr 170(8):e160533.  https://doi.org/10.1001/jamapediatrics.2016.0533 CrossRefGoogle Scholar
  11. 11.
    Fortier M, Kain Z (2015) Treating perioperative anxiety and pain in children: a tailored and innovative approach. Pedriatic Anesthesia 25(1):27–35.  https://doi.org/10.1111/pan.12546 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2017

Authors and Affiliations

  • Chrysanthi Lioupi
    • 1
  • Nikolaos Ch. Syrmos
    • 2
    Email author
  • Matteo Lioupis
    • 2
  • Vaitsa Giannouli
    • 2
  1. 1.Department of Primary Education, School of Humanities and Social SciencesUniversity of ThessalyVolosGreece
  2. 2.School of MedicineAristotle University of ThessalonikiThessalonikiGreece

Personalised recommendations