An Intervention Study Of Play Services On Children's Perioperative Anxiety

Children undergoing surgery often experience anxiety,exhibit negative emotional manifestations pre-operatively and postoperative pain due to unfamiliar environment,long hospital stay,pain and other reasons.They did not cooperate with doctors and nurses during treatment,and they were afraid of surgery,So the treatment effect and progress have been affected.At the same time,the main caregivers of the child will also have negative emotions such as anxiety and depression.Play services are a gentle,non-threatening intervention that helps children and primary caregivers become familiar with the medical environment and medical processes.The purpose of this study was to ease preoperative anxiety,anesthesia,and postoperative pain through game play,while relieving preoperative anxiety in the primary caregivers of the child.Based on the author's clinical medical social work practice in N Children's Hospital,this study uses the stress CPT model and rational emotion behavior therapy to study the effect of play service in a quantitative and qualitative way.Through the comparison of the intervention group and the control group,50 children and their main caregivers were selected as the intervention group.The game intervention service was performed before the operation,and the game room was opened regularly to allow the children to participate in the non-themed game activities.The "If I am a little doctor/nurse" is provided 3-5 days before the child's surgery.The "Little Hero in the Operating Room" is provided one day before surgery.The services will help the child familiarize with the medical device and encourage the child to use the doll to demonstrate the treatment process and express emotions and release stress.Another 50 children and their primary caregivers were used as control groups and only routine medical and nursing procedures were performed.Another 50 children and their primary caregivers were used as control groups and only routine medical and nursing procedures were performed.For the two groups of subjects,the anxiety level of the child and the primary caregiver was measured 3-5 days before surgery,and was measured again 1 day before surgery.After the child entered the anesthesia room,the nurse recorded his sedation and agitation.The pain was followed up by the medical social worker at the following moments: 12 hours after surgery,24 hours after surgery,and 48 hours after surgery.Finally,the multi-dimensional interview qualitative data is used to further verify the quantitative research conclusions.The results of the study showed that there was a significant difference between the intervention group and the control group on the preoperative anxiety of the child,the preoperative anxiety of the primary caregiver,the anesthetic sedation score and satisfaction rate of the child,the arousal score during the recovery period,the average recovery time and the postoperative pain.The results of the study show that play services can significantly alleviate the anxiety of children and primary caregivers,reduce the psychological pressure of the main caregivers,and enable children to receive treatment in a more relaxed and happy mood,reducing the adverse effects of high-pressure and stressful conditions on children and parents.Play services help children to cooperate with doctors during induction of anesthesia,reduce negative behavior,shorten anesthesia waiting time,and improve anesthesia efficiency.At the same time,the play service can significantly reduce the pain of children from 12 hours after surgery to 24 hours after surgery,and has a positive effect on reducing postoperative pain in children within 24-48 hours.This study has reference value for clinical social intervention services for medical social workers.