Original Article

Investigating the Effect of Educational Film Presentation on the Anxiety Level of Mothers Visiting the Preoperative Anesthesia Clinic

Abstract

With the increasing number of pediatric surgeries and the transfer of caregiving roles to parents, appropriate preparation and reduction of their stress levels for proper care of children before and after surgery is essential. If parental anxiety can be reduced through various methods, not only can it improve parental performance and their comfort, but it can also prevent the impact of anxiety on the child. Therefore, we aimed to investigate the effect of educational film presentation on the anxiety level of mothers visiting the obstetric anesthesia clinic at the Children's Medical Center in 2020. This study was a randomized double-blind controlled trial conducted as an intervention. Sampling was done randomly, and the study population consisted of two groups of 38 individuals, whose children were candidates for MRI. The intervention group watched the educational film, while the second group served as the control group. Subsequently, their anxiety levels were assessed and compared using the Beck Anxiety Inventory. The data were entered into SPSS Ver. 21 software and analyzed accordingly. The mean age of mothers in this study was 33.41 years with a standard deviation of 7 years. The mean age of children was 3.79 years with a standard deviation of 3.4 years. Among the children, 30 were girls (39.5%) and 46 were boys (60.5%). The mean age of girls was 4.35 years with a standard deviation of 4.16 years, while the mean age of boys was 3.433 years with a standard deviation of 2.787 years. Overall, 39 participants (50.6%) watched the educational film, while 38 participants (49.4%) were in the control group. The mean score of anxiety level according to the Beck Anxiety Inventory (BAI) was 9.47 with a standard deviation of 9.77. The level of anxiety was significantly higher in the intervention group who watched the educational film compared to the control group (P=0.012). The results of the present study indicated that parental anxiety increased after watching the educational video on anesthesia methods. It is recommended that alternative strategies be considered for reducing parental anxiety in future studies.

1. Kain ZN, Mayes LC, O'Connor TZ, Cicchetti DV. Preoperative anxiety in children: predictors and outcomes. Arch Pediatr Adolesc Med 1996;150:1238-45.
2. Kotiniemi LH, Ryhänen PT, Moilanen IK. Behavioural changes in children following day‐case surgery: a 4‐week follow‐up of 551 children. Anaesthesia 1997;52:970-6.
3. Motahri Niya H, Hojjati H. The influence of education on anxiety in mothers of children with surgery. Journal of J Pediatr 2019;5:49-55.
4. Tait AR, Voepel-Lewis T, Gauger V. Parental recall of anesthesia information: informing the practice of informed consent. Anesth Analg 2011;112:918-23.
5. Litke J, Pikulska A, Wegner T. Management of perioperative stress in children and parents. Part I—The preoperative period. Anaesthesiol Intensive Ther 2012;44:165-9.
6. Cagiran E, Sergin D, Nuri Deniz M, Tanatti B, Emiroglu N, Alper I. Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children. J Int Med Res 2014;42:572-80.
7. Cumino Dde O, Cagno G, Gonvalves VF, Wajman DS, Mathias LA. Impact of preanesthetic information on anxiety of parents and children. Braz J Anesthesiol 2013;63:473-82.
8. Kampouroglu G, Velonaki VS, Pavlopoulou I, Drakou E, Kosmopoulos M, Kouvas N et al. Parental anxiety in pediatric surgery consultations: the role of health literacy and need for information. J Pediatr Surg 2020;55:590-6.
9. Lander J, Warnock F. Supporting the parents of children in day surgery. Can Nurse 1999;95:29-33.
10. Aranha PR, Sams LM, Saldanha P. Impact of preoperative education program on parental anxiety: A pilot project. Arch Med Health Sci 2016;4:30-4.
11. Nikfarid L, Khalil Zadeh N, Ghanbarian A. Effect of a preparation leaflet on the preoperational anxiety of parents in pediatric day-case surgery in the Markaz-Tebbi Pediatric Hospital. IJNR 2008;2:7-12.
12. Mirbagher Ajorpaz N, Ezadi A, Heidari S. Comparison of routine education and video CD on anxiety level before general surgery. Qom Univ Med Sci J 2014;8:19-25.
13. Ayenew NT, Endalew NS, Agegnehu AF, Bizuneh ZB. Prevalence and factors associated with preoperative parental anxiety among parents of children undergoing anesthesia and surgery: A cross-sectional Study. Int J Surg Open 2020;24:18-26.
14. Samadi Sh, Shahvari Z. Professionalism in Anesthesiology; A Qualitative Meta-Synthesis. J Iranian Med Counc 2022;5:638-48
15. Agbayani CJ, Fortier MA, Kain ZN. Non-pharmacologic methods of reducing perioperative anxiety in children. BJA Educ 2020;20:424-30.
16. Kapkin G, Manav G, Karayagiz Muslu G. Effect of therapeutic play methods on hospitalized children in Turkey. A szstematic Review. Erciyes Med J 2020;42:127-31.
17. Sharifzadeh M, Agah J, Khosravi A, Samadi Sh, Davari Sani SJ. Collaborative method consisting lecture, problem‑based learning and weblog for clinical courses of medical students in comparison with lecture method. J Educ Health Promot 2021;10:1-6.
18. Rantala A, Pikkarainen M, Miettunen J, He HG, Polkki T. The effectiveness of web-based mobile health interventions in paediatric outpatient surgery: A systematic review and meta-analysis of randomized controlled trials. J Adv Nurs 2020;72:1949-60.
19. Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J 2008;65:136-40.
Files
IssueVol 61 No 12 (2023) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/acta.v61i12.16371
Keywords
Educational film presentation Maternal anxiety Pediatric anesthesia

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Malekianzadeh B, Samimi Sadeh S, Eslami B, Ostadalipour A, Ariana P, Nazari N. Investigating the Effect of Educational Film Presentation on the Anxiety Level of Mothers Visiting the Preoperative Anesthesia Clinic. Acta Med Iran. 2024;61(12):743-748.