Abstract
AimTo understand preoperative experiences and information needs of Chinese school-aged children undergoing elective surgery to design standardized preoperative education programs to alleviate preoperative anxiety. MethodsSemi-structured interviews combined with drawing, writing, and telling techniques were conducted in 12 children. The paintings were interpreted alongside children's verbal expressions. All data were analyzed using thematic analysis. ResultsThree themes emerged: Origins of surgical knowledge: proximity-based knowledge, media exposure, past personal medical experiences, ward-mate interactions, healthcare staff education; Pre-surgery Experiences: anticipation of pain, post-op sensations and impact on life; fantasizing about the operation; being aware of risks; demonstrating psychological resilience; being curious about anesthesia experience; enjoying a break; Preoperative Informational Needs: 55 identified. ConclusionsLack of standardized preoperative education creates a gap between children's knowledge and actual surgical experiences. Developing preoperative education tailored to individualized informational needs and developmental level helps fill their gaps, alleviate preoperative anxiety and improve health outcomes.
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