A Comparison of Preoperative Psychological Preparation with Midazolam Premedication to Reduce Anxiety in Children Undergoing Adenotonsillectomy

A Comparison of Preoperative Psychological Preparation with Midazolam Premedication to Reduce Anxiety in Children Undergoing Adenotonsillectomy


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نویسندگان: مهین سید حجازی , بهزاد علی اکبری شربیانی , نسرین تقی زادیه

کلمات کلیدی: Adenotonsillectomy, children anxiety, midazolam, premedication, psychological preparation

نشریه: 1152 , 1&2 , 17 , 2020

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نویسنده ثبت کننده مقاله بهزاد علی اکبری شربیانی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 74253
عنوان فارسی مقاله A Comparison of Preoperative Psychological Preparation with Midazolam Premedication to Reduce Anxiety in Children Undergoing Adenotonsillectomy
عنوان لاتین مقاله A Comparison of Preoperative Psychological Preparation with Midazolam Premedication to Reduce Anxiety in Children Undergoing Adenotonsillectomy
ناشر 4
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح دو – PubMed
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Introduction: Considering the multiplicity of adenotonsillectomy in children 2–10‑year old at the paediatric surgery centres, patient anxiety leads to an increase in surgical and anaesthetic complications. Patients’ unfamiliarity with surgical and anaesthetic interventions may increase their stress. Midazolam premedication reduces patient anxiety. In previous studies, psychological preparation before surgery using understandable terms to children, has reduced their anxiety. The aim of this study was to compare and study behavioural reflections among the children in two groups: the first group was prescribed oral midazolam, and the second group received psychological preparation with the booklet about anaesthesia and anaesthesia‑resident explanation. Materials and Methods: This study is a clinical trial conducted on 48 children undergoing adenotonsillectomy. Children in the first group (midazolam group) received oral midazolam 0.5 mg/kg, 20 min before surgery. A booklet containing pictures and information about anaesthesia and the operating room was given to the second group (psychological preparation group) the night before surgery and anaesthesia resident explained the booklet to the children. The anxiety level was measured in both groups using the State‑Trait Anxiety Inventory for Children questionnaire the night before surgery and on the morning of surgery (after giving midazolam to Group II). The results were analysed using SPSS. Results: In this study, 58.3% of the first group and 45.8% of the second group were male. The mean age of the first and second groups was 8.45 ± 1.86 and 9.12 ± 1.72 years, respectively. The anxiety in the first group significantly decreased in the morning before surgery compared to the night before operation (P < 0.001). The anxiety in the second group significantly decreased in the morning before surgery compared to the night before as well (P < 0.001). Conclusion: The results showed that midazolam and psychological preparation prior to surgery can reduce the anxiety of children before adenotonsillectomy

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نویسنده نفر چندم مقاله
مهین سید حجازیاول
بهزاد علی اکبری شربیانیدوم
نسرین تقی زادیهچهارم

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