Anxiety of parents and children undergoing gastrointestinal endoscopy correlates with sedative doses

Elif Erdoğan; Selda Tekin; Esra Polat; Esra Adıyeke; Nurten Bakan

Makale detayları

Anxiety of parents and children undergoing gastrointestinal endoscopy correlates with sedative doses

Yazarlar:

Elif Erdoğan | Selda Tekin | Esra Polat | Esra Adıyeke | Nurten Bakan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.238-243

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286225

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aim: Sedation is a fundamental component of the pediatric gastrointestinal endoscopy GIE. The dosing of drugs to be used for sedating the child is an important aspect of the efficacy and safety of procedural sedation. Besides, outpatient procedures are stressful situations for pediatric patients and also their families, and therefore, parental anxiety may affect children indirectly. The first aim of the study was to assess the association between parental anxiety and required sedative dose in children undergoing GIE. The second aim was to assess the factors associated with childrens preoperative anxiety. Material and Method: This study was a prospective, observational, and single-center study performed by the same fellowship-trained pediatric gastroenterology specialist and the same anesthesiology specialist. Parental anxiety was evaluated with the State-Trait-Anxiety-Scale STAI and childrens anxiety was evaluated with the Modified Yale Preoperative Anxiety Scale mYPAS. Midazolam, ketamine, propofol, and fentanyl were administered for the childrens sedation. There were 2 comparisons in this study, the anxiety of parents according to mean STAI scores, and anxiety of children according to mYPAS scores. Results: Of 120 children and parents, 87 parents 73 and 57 children 48 had high anxiety. Of 120 parents, 111 parents 92 were mothers of the children. Younger children had higher anxiety levels. Before and the start of the GIE heart rates of children were higher both in the high anxiety group of parents and children. In sedatives, high anxiety parents children and high anxiety children were required more ketamine dosages. p0,05 Conclusion: Parental anxiety affects anxiety in children having GIE, and this increases the required sedative doses. Childrens younger age, lower weight and high ASA scores were associated with childrens preoperative anxiety.

 Aim: Sedation is a fundamental component of the pediatric gastrointestinal endoscopy GIE. The dosing of drugs to be used for sedating the child is an important aspect of the efficacy and safety of procedural sedation. Besides, outpatient procedures are stressful situations for pediatric patients and also their families, and therefore, parental anxiety may affect children indirectly. The first aim of the study was to assess the association between parental anxiety and required sedative dose in children undergoing GIE. The second aim was to assess the factors associated with childrens preoperative anxiety. Material and Method: This study was a prospective, observational, and single-center study performed by the same fellowship-trained pediatric gastroenterology specialist and the same anesthesiology specialist. Parental anxiety was evaluated with the State-Trait-Anxiety-Scale STAI and childrens anxiety was evaluated with the Modified Yale Preoperative Anxiety Scale mYPAS. Midazolam, ketamine, propofol, and fentanyl were administered for the childrens sedation. There were 2 comparisons in this study, the anxiety of parents according to mean STAI scores, and anxiety of children according to mYPAS scores. Results: Of 120 children and parents, 87 parents 73 and 57 children 48 had high anxiety. Of 120 parents, 111 parents 92 were mothers of the children. Younger children had higher anxiety levels. Before and the start of the GIE heart rates of children were higher both in the high anxiety group of parents and children. In sedatives, high anxiety parents children and high anxiety children were required more ketamine dosages. p0,05 Conclusion: Parental anxiety affects anxiety in children having GIE, and this increases the required sedative doses. Childrens younger age, lower weight and high ASA scores were associated with childrens preoperative anxiety.

 Aim: Sedation is a fundamental component of the pediatric gastrointestinal endoscopy GIE. The dosing of drugs to be used for sedating the child is an important aspect of the efficacy and safety of procedural sedation. Besides, outpatient procedures are stressful situations for pediatric patients and also their families, and therefore, parental anxiety may affect children indirectly. The first aim of the study was to assess the association between parental anxiety and required sedative dose in children undergoing GIE. The second aim was to assess the factors associated with childrens preoperative anxiety. Material and Method: This study was a prospective, observational, and single-center study performed by the same fellowship-trained pediatric gastroenterology specialist and the same anesthesiology specialist. Parental anxiety was evaluated with the State-Trait-Anxiety-Scale STAI and childrens anxiety was evaluated with the Modified Yale Preoperative Anxiety Scale mYPAS. Midazolam, ketamine, propofol, and fentanyl were administered for the childrens sedation. There were 2 comparisons in this study, the anxiety of parents according to mean STAI scores, and anxiety of children according to mYPAS scores. Results: Of 120 children and parents, 87 parents 73 and 57 children 48 had high anxiety. Of 120 parents, 111 parents 92 were mothers of the children. Younger children had higher anxiety levels. Before and the start of the GIE heart rates of children were higher both in the high anxiety group of parents and children. In sedatives, high anxiety parents children and high anxiety children were required more ketamine dosages. p0,05 Conclusion: Parental anxiety affects anxiety in children having GIE, and this increases the required sedative doses. Childrens younger age, lower weight and high ASA scores were associated with childrens preoperative anxiety.

 Aim: Sedation is a fundamental component of the pediatric gastrointestinal endoscopy GIE. The dosing of drugs to be used for sedating the child is an important aspect of the efficacy and safety of procedural sedation. Besides, outpatient procedures are stressful situations for pediatric patients and also their families, and therefore, parental anxiety may affect children indirectly. The first aim of the study was to assess the association between parental anxiety and required sedative dose in children undergoing GIE. The second aim was to assess the factors associated with childrens preoperative anxiety. Material and Method: This study was a prospective, observational, and single-center study performed by the same fellowship-trained pediatric gastroenterology specialist and the same anesthesiology specialist. Parental anxiety was evaluated with the State-Trait-Anxiety-Scale STAI and childrens anxiety was evaluated with the Modified Yale Preoperative Anxiety Scale mYPAS. Midazolam, ketamine, propofol, and fentanyl were administered for the childrens sedation. There were 2 comparisons in this study, the anxiety of parents according to mean STAI scores, and anxiety of children according to mYPAS scores. Results: Of 120 children and parents, 87 parents 73 and 57 children 48 had high anxiety. Of 120 parents, 111 parents 92 were mothers of the children. Younger children had higher anxiety levels. Before and the start of the GIE heart rates of children were higher both in the high anxiety group of parents and children. In sedatives, high anxiety parents children and high anxiety children were required more ketamine dosages. p0,05 Conclusion: Parental anxiety affects anxiety in children having GIE, and this increases the required sedative doses. Childrens younger age, lower weight and high ASA scores were associated with childrens preoperative anxiety.

Makale detayları

Anxiety of parents and children undergoing gastrointestinal endoscopy correlates with sedative doses

Yazarlar:

Elif Erdoğan | Selda Tekin | Esra Polat | Esra Adıyeke | Nurten Bakan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.238-243

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286225

pISSN:

2636-8579

sedation

pediatrics

parent

endoscopy

preoperative anxiety

sedation

pediatrics

parent

endoscopy

preoperative anxiety

Sayı

Makale detayları

Yazarlar: Elif Erdoğan | Selda Tekin | Esra Polat | Esra Adıyeke | Nurten Bakan

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.238-243

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001286225

pISSN: 2636-8579

Sayı

Yazarlar:

Elif Erdoğan | Selda Tekin | Esra Polat | Esra Adıyeke | Nurten Bakan

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.238-243

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286225

pISSN:

2636-8579