https://drive.google.com/file/d/1Id5X8lK3VUN3s-p6LCJvXV8BLT5iiQ_P/view?usp=sharinghttps://drive.google.com/drive/folders/1nELDECp29zO-u72nACcqrdmRjUHqidUZ?usp=sharinghttps://drive.google.com/drive/folders/1qK5XOOdJhIu3ZjY0FakMISTYALx2W-_L?usp=sharin

Kalipa, M.N.

Spijkerman, Sandra

Vermeulen, Juan

English

Kalipa, Mandisa N.

UPSpace at the University of Pretoria

       05101520253035GenerallyanxiousChild gettingsurgeryMedicationto sleepChild notallowed toeatTreatmentafter surgeryPain aftersurgeryChildadmitted tohospitalSeperatedfrom childSeperatedfrom otherchildrenChild mightdieFACTORS CONTRIBUTING TO CAREGIVER ANXIETYStrongly disagree Disagree Agree Strongly agree0510152025303540More involved in decision makingAccompany child to theatreIn theatre when child falls asleepMore information from nursesMore information from surgeonMore information from anaesthetistTalking to other caregiversEducational videoInformation leafletWith child in recovery roomChild receiving premedicationFACTORS RELIEVING CAREGIVER ANXIETYStrongly disagree Disagree Agree Strongly agree    Non- anxious caregiver n=12 (%) Anxious caregiver  n=38 (%) p-value More involved in decision making 6(50%) 33(87%) 0,007 Accompany child to theatre 9(75%) 35(92%) 0,141 In theatre when child falls asleep 7(58%) 30(79%) 0,156 More information from nurses 8(67%) 33(87%) 0,191 More information from surgeon 8(67%) 35(92%) 0,048 More information from anaesthetist 8(67%) 36(95%) 0,024 Talking to other caregivers 8(67%) 32(84%) 0,225 Educational video 5(42%) 25(66%) 0,137 Information leaflet 10(83%) 37(97%) 0,139 With child in recovery room 10(92%) 35(92%) 1 Child receiving premedication 9(75%) 34(89%) 0,337 Contributing factors for preoperative caregiver anxiety at Steve Biko Academic Hospital. Vermeulen PJ, Kalipa MN, Spijkerman S; Department of Anaesthesiology (UP) Background • Caregiver anxiety may significantly contribute to the child’s emotional state and level of anxiety perioperatively.  • Identification of both contributing and relieving factors to caregiver anxiety may help reduce negative perioperative outcomes.  • The objectives were to determine the relationship between caregiver anxiety and socio-demographic characteristics and to identify possible contributing and relieving factors. Methods • This was a cross sectional study conducted in the paediatric surgical wards at Steve Biko Academic Hospital (SBAH).  • Caregivers of children booked for elective surgery at SBAH were approached to complete a questionnaire. All children younger than 13 years, accompanied by their caregivers, were approached.  • The questionnaire consisted of three parts, part 1 included demographic information, part 2 assessed possible factors that could contribute to anxiety and part 3, possible alleviating factors to anxiety.  • Descriptive statistics consisted of means, standard deviations, frequencies and proportions. A Chi-square test and logistic regression assessed association between anxiety and socio-demographic characteristics, contributing factors and relieving factors. All tests were performed at a 5% level of significance. Results • Of the 50 caregivers who completed the questionnaire, 38 (76%) were found to be anxious with mean scores of 30,06 (95% CI 28,32-31,80) out of a maximum of 40.  • There was no statistically significant association between demographic data collected and anxiety.  • There were 36 (72%) of caregivers who considered themselves to be generally anxious. A total of 41 (82%) caregivers were concerned about post-operative pain while 40 (80%) caregivers indicated that being separated from their children contributed to their anxiety.  • Being more involved in decision making (p=0,007) and receiving more information from both the surgeon (p=0,048) and the anaesthetist (p=0,024) before surgery were considered statistically significant relieving factors of anxiety. Conclusion • Caregivers in our population were anxious. • The possibility of postoperative pain and being separated from their children contributed most to caregiver anxiety. • Involving caregivers in the decisions regarding surgery for their children and giving them more information regarding their surgery, might improve children’s perioperative anxiety, decrease morbidity and improve overall satisfaction. • The information obtained in this study can be used to implement interventions to reduce caregiver anxiety in our population. 

Contributing factors for preoperative caregiver anxiety at Steve Biko Academic Hospital

https://repository.up.ac.za/bitstream/2263/87499/1/Vermeulen_Contributing_2021.pdf

Contributing factors for preoperative caregiver anxiety at Steve Biko Academic Hospital

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