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Audiovisual information prevents significant increase in parental anxiety during children's elective surgeriesAudiovisual information helps parents stay calm before child surgery

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Key Takeaway
Consider using audiovisual information to maintain stable parental anxiety levels during children's elective surgeries.

This randomized controlled trial enrolled 316 parents of children undergoing elective surgeries to evaluate the impact of audiovisual information on parental anxiety. The study compared a group receiving audiovisual information supplementing written and verbal information against a control group receiving only written and verbal information.

In the control group, STAI-I scores increased significantly from 39.4 ± 10.1 to 41.8 ± 9.9 (p < 0.001). In contrast, the audiovisual group maintained stable scores of 40.6 ± 10.7 before and 40.6 ± 10.1 after the briefing (p = 0.978). A positive correlation was found between mother and child STAI scores (r = 0.444, p = 0.001).

Secondary outcomes showed that the audiovisual group reported significantly higher optimism regarding anesthesia (72.6% vs. 52.8%, p < 0.001) and higher satisfaction with information (70.1% vs. 49.4%, p < 0.001). No safety data or adverse events were reported.

While the study suggests that multimedia-based resources can improve parental preparedness and satisfaction, it does not provide data on clinical outcomes for the children. Clinical application may improve the consistency of information delivery in perioperative nursing practice.

Waiting for a child to go into surgery is one of the most stressful moments a parent can face. While doctors provide information, the way that information is delivered matters. A study of 316 parents of children undergoing elective surgeries looked at how different types of information affected their stress levels.

One group of parents received only written and spoken information. Their anxiety scores rose significantly after the briefing. In contrast, the group that received audiovisual information—which included visual elements—had stable anxiety scores. These parents also reported much higher levels of optimism about the anesthesia and were more satisfied with the information they received.

While the study shows that multimedia can help parents feel more prepared and less anxious, it is important to note that the data only reflects the parents' feelings. The study did not measure the clinical outcomes for the children. These results suggest that adding videos or visual aids to nursing routines could help families feel more supported during the pre-surgery process.

What this means for you:
Adding visual and audio elements to surgery prep can keep parent anxiety stable and improve their confidence.

Common questions

Does using videos or visuals help reduce parent anxiety?

Yes, the study found that parents who received audiovisual information had stable anxiety scores. In contrast, parents who only received written and spoken information saw a significant increase in their anxiety levels after the briefing.

How did parents feel about the information provided?

Parents who received audiovisual information reported much higher satisfaction with the information provided. They also showed significantly higher levels of optimism regarding the anesthesia compared to the group that only received written and spoken information.

Does this study show that the children were safer?

The study focused specifically on the feelings and anxiety of the parents. It did not provide any data regarding the clinical outcomes or safety of the children during their surgeries.

Study Details

Study typeRct
EvidenceLevel 2
PublishedJan 2026
View Original Abstract ↓
INTRODUCTION: This study examined the effects of supplementing written and verbal information with audiovisual preoperative information explaining anaesthesia procedures on parental anxiety and satisfaction before elective paediatric surgeries. METHODS: This randomized controlled trial involved 316 parents visiting an anaesthesia department for their children's preoperative evaluation between March 2019 and November 2022. The State-Trait Anxiety Inventory (STAI I-II) and a questionnaire were administered pre-briefing. Parents were divided into a control group (written and verbal information only) and a visual group (additional audiovisual information). On surgery day, parents completed the STAI-I and a satisfaction survey. RESULTS: Post-briefing, total STAI-I scores remained stable in the visual group (before: 40.6 ± 10.7 vs. after: 40.6 ± 10.1, p = 0.978) but increased significantly in the control group (before: 39.4 ± 10.1 vs. after: 41.8 ± 9.9, p < 0.001). After the briefing, a positive correlation was observed between the STAI scores of mothers and their children (r = 0.444, p = 0.001). On the day of surgery, the visual group reported significantly higher rates of optimism regarding anaesthesia (72.6% vs. 52.8%, p < 0.001) and greater satisfaction with the information provided (70.1% vs. 49.4%, p < 0.001) compared to the control group. CONCLUSIONS: The addition of audiovisual information to the verbal and written briefing prevented an increase in parents' STAI-I scores after the briefing, thereby maintaining stable anxiety levels. IMPLICATIONS FOR PRACTICE: Integrating multimedia-based educational resources into routine preoperative nursing practice may enhance the quality and consistency of information delivery, improve parental preparedness for surgery, and support family-centred perioperative care.
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