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Prevalence and factors associated with preoperative anxiety among children in Ethiopia
7th International Anesthesia and Pain Medicine Conference & 17th International Conference on Otorhinolaryngology: ENT Surgery & 14th Global Conference on Tissue Engineering and Regenerative Medicine, Stem cell research
Aim: The aim of this study was to determine the prevalence
of preoperative anxiety and associated factors in children in
Ethiopia.
Patients and methods: A total of 173 children were included
in this study. Data was collected by direct observation, chart
review, and interview of child-parent by using a questionnaire.
Descriptive statistics were conducted to summarize children's
information and to determine the prevalence of preoperative
anxiety. Binary logistic regression analysis was performed
to identify the association between preoperative anxiety in
children and independent variables. The bi-variable analysis
had performed to determine each of the independent
variables and only variables with p-value <0.2 were entered
into the multivariable analysis. The strength of the association
was present by the odds ratio and 95% Confidence interval.
P-value <0.05 was considered as statistically significant.
Results: The prevalence of preoperative anxiety in children
in the operation room was 75.44% (95% Confidence Interval
(CI): 68.36, 81.34). Younger age (AOR: 5.65, 95%CI: 1.69,
18.80), previous surgery and anesthesia (AOR: 6.73, 95%CI:
1.25, 36.19), outpatient surgery (AOR: 5.16, 95%CI: 1.32,
20.23) and parental anxiety (AOR: 3.26, 95%CI: 1.30, 20.23)
were significantly associated with preoperative children
anxiety.
Conclusion and recommendations: The prevalence of
preoperative anxiety in children was considerably high.
Younger age, previous surgery and anesthesia, outpatient
surgical setting and parental anxiety were the independent risk
factors for preoperative anxiety. Therefore; we recommend
that the operating staff should assess anxiety in children
regularly during the preoperative period and appropriate
anxiety reduction methods for children should be introduced
in our hospital. Additionally, more emphasis should be given
to children with young age, previous anesthesia and surgery,
outpatient surgery, and those who have an anxious parent.
Biography
Amare Belete Getahun has completed his Msc degree at the age of 25 years from University of Gondar, Ethiopia. He is the medical researcher within five years at multi-national journals and advisors of under and post graduate students he also works as senior clinical anesthetist at university of Gondar hospital. He has over six publications that have been cited.
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