Effect Of Audiovisual Preparation Accompanied By Parent On Emergence Agitation In School-age Children With Ophthalmic Surgery

Objective:To evaluate the impact of the audiovisual preparation accompanied by parent on emergence agitation of school-age children with ophthalmic surgery.Methods:Eighty-six children under general anesthesia,aged 6-12 years old,ASA physical statusⅡ,were divided into two groups（n=43 ecah）by using a random number table method.The children in the AV group（audience intervention group）and their parents were given an audiovisual rehearsal intervention the day before the operation,and the children in the C group（control group）and their parents were given a regular visit the day before the operation.The parents of the children in the group were present during induction.The anxiety levels were tested with the modified Yale perioperative anxiety scale（Mypas-）in preoperative visit（T₁）and anesthesia induction（T₂）.The anxiety levels of the parent in preoperative visit（T₁）and induction anesthesia（T₂）were recorded.The operation time,recovery time and the emergence agitation scores were recorded respectively.Results:The anxiety scores in preoperative visit and the incidence of emergence agitation in the AV group were significantly lower than those in the C group（P<0.01）.Parental anxiety scores were moderately correlated with children’s anxiety scores and agitation scores（r=0.475,P<0.01 and r=0.562,P<0.01）.Conclusion:The audio-visual preparation accompanied by parents can reduce children’s preoperative anxiety and parental anxiety,reduce the incidence of emergence agitation in school-age children to reduce adverse reactions during perioperative period.