Effects of micro video combined scene simulation games on preoperative anxiety in pediatric patients with congenital heart disease

Abstract

Objective To explore the effects of micro video combined scene simulation games on preoperative anxiety in pediatric patients with congenital heart disease. Methods All the participants were divided into two groups, with 100 cases in each. Patients who underwent congenital heart disease surgery from January to June 2016 were allocated in the control group, and from July to December 2016, patients who underwent the same surgery were allocated in the observation group. The patients of the control group were given routine perioperative nursing care. The patients of the observation group were given micro video combined scene simulation games. All the patients were evaluated with the questionnaire of modified Yale Perioperative Anxiety Scale (mYPAS) and Induction Compliance Checklist (ICC) for the degree of preoperative anxiety and the degree of cooperation in the indection period. Results The level of perioperative anxiety of the two groups were (28.58±2.98) and (28.94±2.63) , and there was no statistical difference (P>0.05) . The degree of anxiety in preoperative waiting period of the observation group was (30.21±2.78) , which was lower than that of the control group (36.89±3.41) . The degree of anxiety in the anesthetic induction period was (31.46±3.34) , which was remarkably lower than that of the control group (41.45±4.19) . The degree of cooperation in induction period of the patients in the observation group was (2.67±1.45) , which was lower than that of the control group (6.95±1.78) . All the differences were statistically significant (t=15.21, 18.83, 8.62; P<0.001) . Conclusions Micro video combined scene simulation game can effectively reduce the level of preoperative anxiety in children with congenital heart disease and improve the cooperation in the induction period of anesthesia. Key words: Child, preschool; Anxiety; Congenital heart disease; Micro video; Scene simulation game