Prevalence and factors associated with preoperative anxiety in children aged 5-12 years

Abstract Objective: to estimate the prevalence and factors associated with preoperative anxiety in children who wait for outpatient surgery. Method: cross-sectional analysis of baseline data of a prospective cohort study that investigates the predictors of postoperative pain in children aged 5-12 years submitted to inguinal and umbilical hernia repair. It was selected 210 children, which were interviewed in the preoperative holding area of a general hospital. Anxiety was evaluated using the modified Yale Preoperative Anxiety Scale (mYPAS). Sociodemographic and clinical variables were analyzed as exposure and anxiety (mYPAS final score>30) as outcome. Logistic regression was used to identify factors associated with preoperative anxiety. Results: forty-two percent (42.0%) of children presented preoperative anxiety (CI95%: 35.7%-48.6%), with mean scores equal to 30.1 (SD=8.4). Factors associated with preoperative anxiety were: age group of 5-6 years (OR=2.28; p=0.007) and socioeconomic status classified as class C (OR=2.39; p=0.016). Conclusion: the evaluation of children who wait for outpatient surgery should be multidimensional and comprise information on age and socioeconomic status, in order to help in the identification and early treatment of preoperative anxiety

Assistência de Enfermagem no período de recuperação anestésica: revisão de literatura La asistencia de enfermería en el período de recuperación anestésica: revisión de literatura Recovery room: a review of nursing care literature

Após constatação de que os pacientes submetidos aos mais diversos procedimentos cirúrgicos, ao serem admitidos na unidade de recuperação anestésica, apresentavam seus prontuários com dados relevantes mal registrados, de forma desorganizada e incompletos, foi realizado um levantamento bibliográfico nacional no período 1990 à 2002 para identificar e analisar como a assistência de enfermagem em sala de recuperação anestésica é documentada. Utilizou-se o sistema informatizado de busca LILACS (Literatura Latino Americana de Ciências da Saúde), PERIENF (Acervo de Periódicos da Escola de Enfermagem da Universidade de São Paulo) e BDENF (Biblioteca J. Baeta Viana da Universidade Federal de Minas Gerais). Os indexadores foram: assistência de enfermagem, recuperação anestésica e período pós-operatório imediato. Encontrou-se 16 artigos referentes a este tema, apesar da importância dada a continuidade do cuidado ao paciente neste período.<br>Después de constatarse que los pacientes sometidos a los más diversos procedimientos quirúrgicos, al ser admitidos en la unidad de recuperación anestésica, tenían historias clínicas con los datos relevantes mal registrados, de forma desorganizada y incompletos, fue que se realizó una revisión bibliográfica nacional en el período de 1990 al 2002 para identificar y analizar cómo es documentada la asistencia de enfermería en sala de recuperación anestésica. Se utilizó el sistema informatizado de búsqueda LILACS (Literatura Latino Americana de Ciencias de la Salud) PERIENF (Acervo de Periódicos de la Escuela de Enfermería de la Universidad de São Paulo) y BDENF (Biblioteca J. Baeta Viana de la Universidad Federal de Minas Gerais). Los indexadores fueron: asistencia de enfermería, recuperación anestésica y período post operatorio inmediato. Se encontraron 16 artículos referentes a este tema, a pesar de la importancia dada a la continuidad del cuidado al paciente en este período.<br>The present study was undertaken after it was observed that patients submitted to surgical procedures arrived in recovery room with incomplete records, thus complicating continuing nursing care. The goal of the present study is to analyze bibliographic data from 1990 to 2002 on recovery room nursing care. The data was obtained from LILACS (Latin America Literature about Health Science), PERIENF (Nursing School Library of the University of São Paulo) and BDENF (Library of Federal University of Minas Gerais). The key words were nursing care, recovery room and immediate post-operative period. Only 16 articles were found, indicating a shortage of literature on this topic. The recovery room period is an important period of hospitalization and the data are essential for continuous care