The Effect of Parental Anxiety Level on the Child's Anxiety Level and Postoperative Pain in Children Undergoing Surgery.

The Relationship Between Pre-operative Parental Anxiety Level and the Child's Anxiety Level and Its Effect on Postoperative Pain in Children Aged 2-6 Years Who Will Undergo Inguinal Area Surgery.

The aim of this prospective study is to investigate whether the anxiety levels of parents of children aged 2-6 years who will undergo inguinal area surgery have an effect on the child's preoperative anxiety level and postoperative pain level.

Study Overview

• Status: Completed
• Conditions: Anxiety; Children
• Intervention / Treatment: Other: determining scores with tests

Detailed Description

Hospitalization of children for any health problem or treatment is a complex and difficult process that negatively affects the child and his family and creates stress. Surgical treatment in children can be planned or unplanned, minor or major, invasive or non-invasive, but every type of surgery is considered a stressful experience. Studies have shown that by controlling the anxiety and fear experienced in the preoperative period, children can achieve faster recovery in the postoperative period, better pain tolerance and earlier discharge. For this reason, we aim to contribute to the literature by investigating whether the anxiety levels of the parents of children aged 2-6 who will undergo inguinal area surgery affect the child's preoperative anxiety level and postoperative pain level.

• Study Type: Observational
• Enrollment (Actual): 81

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Centre
    • Giresun, Centre, Turkey (Türkiye), 28000
      • Giresun Gynecology and Pediatrics Training Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Children who are planned to undergo surgery under general anesthesia due to inguinal area pathology

Description

Inclusion Criteria:

• The child is between the ages of 2-6
• Patients scheduled for surgery under general anesthesia due to inguinal area pathology
• Surgery performed as planned
• There is no mental or neurological disorder in both the mother and the child.
• There are no vision, hearing or speech problems in both the mother and the child.
• Parents and children who volunteer to participate in the research
• Children with ASA I

Exclusion Criteria:

• Not volunteering to participate in the study (those for whom parental consent cannot be obtained)
• Those who underwent surgery with a pathology other than the inguinal area
• Having emergency surgery
• Children at risk with ASA 2 and above
• Having a pathology that may cause difficulty in communicating with both the family and the child (such as mental retardation, neurological problem).

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

children group; Are between the ages of 2-6, are planned to undergo surgery under general anesthesia due to inguinal area pathology, No mental or neurological disorders in both mother and child No vision, hearing or speech problems in both mother and child Parents and children who volunteer to participate in the research will be included in the study. Those who did not volunteer to participate in the study, Undergoing surgery with a pathology other than the inguinal area, Having emergency surgery Children with pathologies (mental retardation, neurological problems, etc.) that may cause difficulty in communicating with both the family and the child will not be included in the study.

Other: determining scores with tests; Parents of children preparing for the operation will be given a child and family information form and STAI-I and STAI-II (State-Trait Anxiety Scale) scale forms and will be asked to fill them out themselves. An anesthesia technician blind to the content of the study will calculate and take notes on the children's anxiety levels, according to the m-YPAS (modified Yale Preoperative Anxiety) scale, in the preoperative waiting room (T1) and when the anesthesia ventilation mask is shown (T4). FLACC (Face, Legs, Activity, Cry, Consolabilityscale) scores and spO2, pulse values and complications such as nausea, vomiting and desaturation at the 5th, 10th, 20th and 30th minutes of all children taken to the recovery unit in the postoperative period will be recorded by the recovery unit nurse. . Children who are thought to have pain according to the FLACC score will be given 0.5 mg/kg meperidine as rescue analgesia and a note will be taken.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Anxiety level of parents	It will be measured with STAI-I and STAI-II (State-Trait Anxiety Scale) scale forms.	preoperative period
Anxiety level of the child undergoing surgery	According to the m-YPAS (modified Yale Preoperative Anxiety) scale, children's anxiety levels will be calculated in the preoperative waiting room (T1) and when the anesthesia ventilation mask is shown (T4).	preoperative and intraoperative period
Pain levels of children undergoing surgery	Pain levels of all children taken to the recovery unit will be measured with the FLACC (Face, Legs, Activity, Cry, Consolabilityscale) score at the 5th, 10th, 20th and 30th minutes.	postoperative period

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
heart rate	beats/min	intraoperative period
heart rate	beats/min	up to 8 hour postoperative
complication	such as nausea, vomiting and desaturation	up to 24 hour postoperative

Collaborators and Investigators

• Sponsor: Giresun University
• Investigators: Principal Investigator: Dilek YENİAY, Department of Anesthesiolgy, Giresun University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2025
• Primary Completion (Actual): April 1, 2025
• Study Completion (Actual): May 16, 2025

Study Registration Dates

• First Submitted: April 29, 2024
• First Submitted That Met QC Criteria: May 7, 2024
• First Posted (Actual): May 8, 2024

Study Record Updates

• Last Update Posted (Actual): January 28, 2026
• Last Update Submitted That Met QC Criteria: January 27, 2026
• Last Verified: January 1, 2026

More Information

Terms related to this study

• Keywords: pediatric; children; anxiety; anaesthesia; analgesia
• Additional Relevant MeSH Terms: Neurologic Manifestations; Nervous System Diseases; Mental Disorders; Neurobehavioral Manifestations; Perceptual Disorders; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Anxiety Disorders; Agnosia
• Other Study ID Numbers: 25.09.2023/07

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No