Comparison of the Effects of Personal Versus Hospital-Provided Dolls on Preoperative Anxiety and Postoperative Delirium in Preschool Children

What this Trial Is About

Researchers are evaluating how the use of personal dolls versus hospital-provided dolls affects preoperative anxiety and postoperative delirium in female preschool children aged 3 to 7 years undergoing elective adenoidectomy and/or tonsillectomy under general anesthesia. The study aims to determine if either doll use is associated with lower anxiety levels before surgery and reduced incidence or severity of delirium after surgery. Participants are observed in three groups: those accompanied by a hospital-provided doll, those with their own personal doll, and those with no doll. During the study, children will be observed according to their group without any intervention assigned by investigators, maintaining standard perioperative care. Anxiety is assessed at four specific times before surgery using the modified Yale Preoperative Anxiety Scale and Visual Analog Scale for Anxiety. Serum cortisol, a stress marker, is measured during routine intravenous cannulation. Postoperative delirium is evaluated at three time points after surgery using the Pediatric Anesthesia Emergence Delirium Scale. Participants will undergo anxiety assessments in waiting areas and operating rooms, blood sample collection during routine care, and delirium assessments in the recovery unit. Researchers will compare anxiety scores, cortisol levels, and delirium scores among the three groups. The study provides insights into non-drug methods like doll use to reduce perioperative stress in young surgical patients. Participation lasts through the perioperative period with evaluations before and after surgery.

Personal Versus Hospital-Provided Dolls in Preschool Children