Clinical Application Of Chinese Version Of Modified-Yale Preoperative Anxiety Scale

ObjectiveThe Chinese Version of the Modified Yale Preoperative Anxiety Scale(Cm-YPAS)was used to investigate the preoperative anxiety level of children.The anxiety level of children in preoperative waiting area(T1),going to the operating room(T2),entering the operating room(T3)and anesthesia induction period(T4)were investigated and the main influencing factors were analyzed.Evaluation of the practicability of Cm-YPAS.To provide a scientific theoretical basis for the implementation of targeted nursing interventions.MethodsThis study is a cross-sectional study.A convenient sampling method was used to collect 242 children who had received surgical treatment in a tertiary A-level hospital in Dalian from October 2017 to May 2018.A self-designed general information questionnaire,a questionnaire on parenting styles and a Chinese-made Cm-YPAS were used as the research tools to conduct a questionnaire survey.After data collection,Excel office software is used to complete double data entry and SPSS22.0 is used for data processing.Descriptive statistics,repeated measurement analysis of variance,t-test,one-way analysis of variance,Pearson correlation analysis and multivariate regression analysis were used for data statistics and analysis,with P < 0.05 as the significant difference.Results1.Cm-YPAS can accurately assess the preoperative anxiety level of children at T1～T4,and can effectively distinguish the anxiety level of children(P<0.001).2.The scores of Cm-YPAS in children at T1 ~ T4 were(39.80±20.21),(45.46±15.81),(52.01±18.89)and(64.26±17.61)respectively.There was significant difference in the score of Cm-YPAS among the four times of repeated measurement variance analysis(P<0.001).According to the diagnostic thresholds of "no anxiety,mild anxiety" and "moderate anxiety,severe anxiety" at T1～T4,the proportion of "moderate anxiety,severe anxiety" at four moments was 26.45%,18.18%,57.85% and85.95%,respectively.3.Univariate analysis of Cm-YPAS scores at T1 showed that there were significant differences in Cm-YPAS scores among children with different preoperative hospitalization days,departments,ages,history of allergy and trauma(P<0.05).Univariate analysis of Cm-YPAS scores at T2 showed that there were significant differences in Cm-YPAS scores among children with different preoperative hospitalization days,departments,ages,hospitalization times and caregivers’ educational level(P<0.05).Univariate analysis of Cm-YPAS scores at T3 showed that there were significant differences in Cm-YPAS scores among children with different preoperative hospitalization days,departments,hospitalization times and caregivers’ educational level(P<0.05).Univariate analysis of Cm-YPAS scores at T4 showed that there were significant differences in Cm-YPAS scores among children with different preoperative hospitalization days,departments,ages,hospitalization times and caregivers’ educational level(P < 0.05).Univariate analysis of Cm-YPAS scores of children with different postoperative hospitalization days from T1 to T4 showed that there was significant difference in Cm-YPAS scores between children with different postoperative hospitalization days(P<0.001).4.The scores of parenting styles from high to low are:democratic(40.00±4.85),autocratic(20.34±3.83),laissez-faire(16.94±4.24),inconsistent(12.61±3.76)and spoiled(12.45±3.59).5.The total score of Cm-YPAS at T1～T4 was weakly negatively correlated with democratic parenting style(r=-0.131～0.230,P<0.05),and positively correlated with spoiled parenting style(r=0.142~0.383,P<0.05).6.Multivariate regression analysis of Cm-YPAS in children at T1 time showed that the main influencing factors were preoperative hospitalization days,age,ophthalmic surgery and spoiled parenting style;Multivariate regression analysis of Cm-YPAS in children at T2 time showed that preoperative hospitalization days,caregivers’ educational level,ophthalmic surgery and urological surgery were the main influencing factors;Multivariate regression analysis of Cm-YPAS in children at T3 showed that preoperative hospitalization days,caregivers’ educational level and ophthalmic surgery were the main influencing factors;Multivariate regression analysis of Cm-YPAS in children at T4 showed that preoperative hospitalization days,caregivers’ educational level,ophthalmic surgery and democratic upbringing were the main influencing factors.Conclusions1.Cm-YPAS is simple,convenient and practical.It can accurately and quickly reflect the anxiety level of children and effectively distinguish the anxiety level.It is suitable for preoperative anxiety assessment of children in China.2.The preoperative anxiety level of children at T1～T4 time showed an upward trend and reached its peak at T4 time.Among them,children with moderate and severe anxiety at T3 and T4 time accounted for a high proportion.Therefore,appropriate intervention before T3 time can effectively reduce preoperative anxiety level and reduce complications.3.There was a correlation between preoperative anxiety level and parental rearing style.The more spoiled the parenting style,the higher the preoperative anxiety level of the children;the more democratic the parenting style,the lower the preoperative anxiety level of the children.4.Preoperative hospitalization days and ophthalmic surgery were the main influencing factors of preoperative anxiety level of children at T1～T4,and caregivers’ educational level was the main influencing factor of preoperative anxiety level of children at T2~T4.Age and spoiled rearing style were the main influencing factors of preoperative anxiety level of children at T1,urological surgery was the main influencing factor of preoperative anxiety level of children at T2,and democratic rearing style was the main influencing factor of preoperative anxiety level of children at T4.