Effectiveness of pre-operative virtual OT tour upon anxiety of children undergoing surgery

Jeena, Joy (2013) Effectiveness of pre-operative virtual OT tour upon anxiety of children undergoing surgery. Masters thesis, Apollo College of Nursing, Chennai.

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Abstract

An Experimental Study to Assess the Effectiveness of Pre-Operative Virtual Operation Theatre(OT) Tour Upon Anxiety in Children Undergoing Surgery at Selected Hospital, Chennai. OBJECTIVES: 1. To assess the level of anxiety before and after pre-operative virtual OT tour in control and experimental group of children undergoing surgery. 2. To determine the effectiveness of pre-operative virtual OT tour upon level of anxiety by comparing the level of anxiety before and after pre-operative virtual OT tour in control and experimental group of children undergoing surgery. 3. To determine the level of satisfaction regarding pre-operative virtual OT tour in the experimental group of children undergoing surgery. 4. To find out the association between the selected demographic variables and the level of anxiety before and after pre-operative virtual OT tour in experimental and control group of children undergoing surgery. 5. To find out the association between the selected clinical variables and the level of anxiety before and after pre-operative virtual OT tour in control and experimental group of children undergoing surgery. The conceptual framework of the study was based on “Wiedenbach’s Helping Art of Clinical Nursing theory” given by Wiedenbach which was modified for the present study. The study variables were the anxiety level of children undergoing surgery and pre operative virtual OT tour. An extensive review of literature and guidance by experts formed the foundation to the development of Demographic variables proforma, Clinical variables proforma, Facial Image Scale for anxiety and Rating Scale on the level of satisfaction about pre operative virtual OT tour. A Time series experimental design was used in this study. The present study was conducted in Apollo Children’s Hospital, Chennai. A sample size of 60 children who met the inclusion criteria were chosen for this study of which 30 were taken for the control group and 30 for the experimental group through systematic random sampling. The data collection tools were validated and the reliability was established through test-retest and split half technique. The researcher used validated tool for collecting data. After the pilot study, the data for the main study was collected by using the interview method. The data was collected by using Demographic variables proforma, Clinical variables proforma, Facial Image Scale for anxiety and Rating Scale on the level of satisfaction about pre operative virtual OT tour. A Facial Image Scale for anxiety was administered to the participants and their anxiety level was found in both control and experimental group before the pre operative virtual OT tour. The pre operative virtual OT tour was then given individually to the experimental group of children undergoing surgery. Pre-operative virtual OT tour comprised of a video of about 7 minutes’ duration which included the sequence of events a child has to undergo from the time of admission till discharge after surgery. Adequate explanations were provided regarding each procedure and the doubts of the children and their parents were clarified. Then the anxiety level of the child undergoing surgery was assessed in the Operation Theatre by the staff nurses in the OT and during the immediate post-operative period by the investigator for both the control and the experimental groups of children undergoing surgery using Facial Image Scale. Level of satisfaction regarding pre operative virtual OT tour was also assessed in the experimental group of children undergoing surgery. MAJOR FINDINGS OF THE STUDY: • Majority of the children in the control and experimental groups were doing their primary education (66%, 70%), belonged to nuclear family (77%, 63%), lived in urban area (73%, 66%) with a family income >Rs.20,001(90%,77%), used to share their fears with their mothers (80%, 70%) respectively. • In control group most of the fathers were graduates (57%) and mothers had undergone secondary education (50%) whereas in experimental group most of the parents were graduates (63%). • Significant percentage of children in the control and the experimental groups were between the age group of 11-12yrs (40%, 40%),were males(53%, 50%) and belonged to the Hindu religion (47%, 50%), had genito urinary problems (33%, 37%) with illness lasting few months (37%, 40%) respectively. • All children in the control and the experimental groups had a previous history of hospitalization, had received information about surgery from their doctors (100%, 100%) and none of them had seen a video of a surgery before (100%, 100%) respectively. • Majority of children in the control group experienced severe anxiety (90%, 90%) in pretest and post test. • Majority of children in experimental group experienced severe anxiety (90%) before pre-operative virtual OT tour whereas after the pre-operative virtual OT tour, severe anxiety was found to be reduced to mild anxiety (60%) and moderate anxiety (40%). • The difference in mean and standard deviation of the anxiety levels of children before pre-operative virtual OT tour (M=4.1, 4.1 & SD=0.3, 0.3) between the control and experimental groups was not statistically significant (p<0.001), whereas after pre-operative virtual OT tour, there is a difference in the mean and standard deviation of anxiety levels (M=4.1, 0.3 & SD=2.4, 0.49) between the control and experimental groups of children undergoing surgery. So the null hypothesis Ho1 was rejected with regard to experimental group alone. • Majority of the children were highly satisfied (87%) with pre-operative virtual Operation Theatre tour and none of them were dissatisfied with the intervention. This shows that pre-operative virtual Operation Theatre tour was highly effective in reducing the anxiety of children undergoing surgery. • There was significant association between the selected demographic variable gender and anxiety level in the control group (χ2=3.8,df=1) at p<0.05 , but there was no significant association between other demographic variables and anxiety levels in the control and experimental groups. Hence the null hypothesis Ho2 was rejected with regard to gender. • No significant association was found between the clinical variables and the level of anxiety in both the control and experimental group of children undergoing surgery. So the null hypothesis H03 emphasizes that clinical variables have no influence over the anxiety of children undergoing surgery and necessitates the provision of an external agent in reducing the anxiety of children undergoing surgery. This study demonstrated that pre-operative virtual OT tour can help in reducing the anxiety of children undergoing surgery. RECOMMENDATIONS: 1. The same study could be conducted on larger samples for better generalization. 2. The study could be replicated by allocating more time for data collection. 3. The study could be conducted for all invasive procedures in children. 4. A similar study can be conducted comparing two or more groups like government, semi government and private hospitals.

Item Type: Thesis (Masters)
Additional Information: 30116613
Uncontrolled Keywords: Effectiveness ; pre-operative virtual Operation Theatre tour ; anxiety ; children ; undergoing surgery.
Subjects: NURSING > Paediatric Nursing
Depositing User: Subramani R
Date Deposited: 02 Jan 2019 03:14
Last Modified: 02 Jan 2019 07:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/10307

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