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The Influence of Patient-Centered Communication on Children's Anxiety and Use of Anesthesia for MR

Castro, M Conceição ; Ramos, Isabel ; Carvalho, Irene Palmares

International journal of environmental research and public health, 2022-12, Vol.20 (1), p.414 [Periódico revisado por pares]

Switzerland: MDPI AG

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  • Título:
    The Influence of Patient-Centered Communication on Children's Anxiety and Use of Anesthesia for MR
  • Autor: Castro, M Conceição ; Ramos, Isabel ; Carvalho, Irene Palmares
  • Assuntos: Airway management ; Anesthesia ; Anesthesia - methods ; Animal assisted therapy ; Anxiety ; Child ; Child, Preschool ; Children ; Children & youth ; Communication ; Heart rate ; Humans ; Magnetic Resonance Imaging ; Medical records ; Patient-Centered Care ; Questions ; Simulation ; Sociodemographics
  • É parte de: International journal of environmental research and public health, 2022-12, Vol.20 (1), p.414
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Background: The aim of this study was to inspect the influence of patient-centered communication (PCC) with 4- to 10-year-old children on the use of anesthesia for magnetic resonance imaging exams (MRs). Methods: A total of thirty children received the PCC and pre-simulated the exam with an MR toy. Another 30 children received routine information about the MR and pre-simulated the exam with the toy. Anesthesia use in these two groups was additionally compared with a previously existing group of children (n = 30) who had received only routine information about the exam (CG). Children’s anxiety was assessed with a self-report question plus heartbeat frequency. Children’s satisfaction was assessed through several questions. The analyses were based on group comparisons and regression. Results: A total of two children (7%) in the PCC + simulation group used sedation compared with 14 (47%) in the simulation group and 21 (70%) in the CG. Differences between the PCC + simulation and the other two groups were significant (p < 0.001), although not between the simulation and the CG. The decrease in anxiety was significantly greater (self-reported p < 0.001; heart rate p < 0.05) and satisfaction was higher (p = 0.001) in the PCC + simulation, when compared with the simulation group. Reduced anxiety was associated with less anesthesia use (OR 1.39; CI 1.07−1.79; p = 0.013). Conclusions: PCC + simulation was more effective than simulation and routine practice in decreasing children’s anxiety, increasing satisfaction, and reducing the use of anesthesia for MRs.
  • Editor: Switzerland: MDPI AG
  • Idioma: Inglês
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