A randomised controlled study on efficacy of midazolam and cartoon for decreasing preoperative anxiety in preschool children undergoing strabismus surgery.

IF 1 Q3 SURGERY Journal of perioperative practice Pub Date : 2025-11-01 Epub Date: 2024-12-19 DOI:10.1177/17504589241303111
Yuexi Jin, Yingchao Ye, Quanguang Wang, Kejian Shi, Thomas J Papadimos, Yun Xia, Zhangyan Chen, Wenxin Wu, Wanna Jiang, Zhousheng Jin, Le Liu, Yiquan Wu
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Abstract

Background: This study aimed to evaluate the effect and influence of midazolam and cartoon on postoperative behaviour in reducing preoperative anxiety in preschool children.

Methods: Three hundred children undergoing monocular strabismus correction were divided into three groups: midazolam (M), cartoon (C), and CM. Preoperative anxiety scores, cooperation scores during anaesthesia induction, awakening time, emergence agitation, and postoperative adverse behaviours were recorded.

Result: The preoperative anxiety scores of group CM in the preoperative area and before anaesthesia induction were lower than those of group C and M. Compared with Group C, the cooperation scores of Group M and Group CM decreased significantly. And group M's awakening time was prolonged. The incidence of agitation during awakening and adverse behaviour 1 week after surgery and the cooperation scores in group CM was lower than in groups M and C. The anxiety levels were positively correlated with the agitation and behavioural changes.

Conclusion: Watching cartoon videos combined with a low-dose midazolam shows efficacy in reducing preoperative anxiety in children.

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咪达唑仑和卡通降低学龄前儿童斜视手术术前焦虑的随机对照研究。
背景:本研究旨在评价咪达唑仑和卡通对学龄前儿童减少术前焦虑的术后行为的效果和影响。方法:300例单眼斜视矫正患儿分为咪达唑仑组(M)、卡通组(C)和CM组。记录术前焦虑评分、麻醉诱导时配合评分、苏醒时间、出现时躁动、术后不良行为。结果:CM组术前区域及麻醉诱导前焦虑评分均低于C组和M组。与C组比较,M组和CM组的合作评分均显著降低。M组苏醒时间延长。CM组患者术后1周觉醒时躁动、不良行为发生率及配合评分均低于M、c组,焦虑水平与躁动、行为改变呈正相关。结论:观看卡通视频联合小剂量咪达唑仑可有效减轻患儿术前焦虑。
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来源期刊
Journal of perioperative practice
Journal of perioperative practice Nursing-Medical and Surgical Nursing
CiteScore
1.60
自引率
0.00%
发文量
59
期刊介绍: The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.
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