Effect of self-driving of pediatric patients undergoing elective surgery to the operating room in reducing preoperative anxiety and pain and boost parental satisfaction

Background: Preoperative anxiety in children is highly prevalent, associated with negative outcomes, and has the potential to alter the dynamics of a surgical operation. If preoperative anxiety is mismanaged, it can result in postponed or canceled essential procedures. Objective: The study aimed to investigate whether self-driving of children to an operating room could relieve their preoperative anxiety and pain, in addition to assessing parental satisfaction. Methods: A prospective, two-armed quasi-experimental study was designed with three measurement time points, including 60 children (4–10 years) from both genders who had undergone elective surgeries and who were randomly allocated to the study group (n = 30) and control group (n = 30). Both groups received standard information provided by the nursing staff, and the study group only used self-driving to the operating room. The primary outcome was change in the children preoperative anxiety levels, as measured by the modified Yale Preoperative Anxiety Scale (m-YPAS) and the measurement of the physiological variables both in ward and when the children approached the anesthesia room. Pain was assessed by the Faces Pain Scale-Revised (FPS-R). A secondary outcome was parent satisfaction.&nbsp

Effect of empowerment program on parents' self competence regarding care of their children with cochlear implantation

Background: Children with severe or profound hearing loss are substantially get benefit from cochlear implantation that plays an important role in development of listening skills, communication abilities, social skills and participation and help children to progress in their life as an ability to carry out successful livelihood. Objective was to evaluate effect of empowerment program on parents' self competence regarding care of their children with cochlear implantation. Methods: A quasi-experimental design was used. This study was conducted at Phoniatric Unit of Ear, Nose and Throat department in Bahteem Specialized Hospital. A purposive sample of (75) parents accompanying their children with cochlear implantation. Four tools were used; A structured interviewing questionnaire sheet, Child medical data sheet, Parents' reported practices checklist and Parenting Sense of Competency Scale. Results: there were highly statistical significance difference in parents' knowledge, reported practice and self competence level regarding care for their children with cochlear implantation pre and post empowerment program implementation. while, there were no statistical significance difference in parents' knowledge, reported practice and self competence level regarding care for their children with cochlear implantation between post and after 3 months of empowerment program implementation