Perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures: a quantitative systematic review

Chieng, Ying Jia Shermin, Chan, Wai Chi Sally, Klainin-Yobas, Piyanee and He, Hong-Gu (2014) Perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures: a quantitative systematic review. Journal of Advanced Nursing, 70 2: 243-255. doi:10.1111/jan.12205

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Author Chieng, Ying Jia Shermin
Chan, Wai Chi Sally
Klainin-Yobas, Piyanee
He, Hong-Gu
Title Perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures: a quantitative systematic review
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 1365-2648
0309-2402
Publication date 2014-02
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/jan.12205
Open Access Status
Volume 70
Issue 2
Start page 243
End page 255
Total pages 13
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Collection year 2015
Language eng
Formatted abstract
Aims: To examine the relationship between perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures and the differences in children's perioperative anxiety and postoperative pain among subgroups of demographics.
Background: While anxiety and pain are regarded as two common problems experienced by children and adolescents perioperatively and the relationship between them has been reported in previous studies, there has been no review paper examining this phenomenon.
Design: A quantitative systematic review.
Data sources: Nine electronic databases were searched for studies published in English from the inception date of the databases to December 2010, using various combinations of search terms of 'adolescents', 'anxiety', 'child', 'pain', 'surgery' and 'correlation/relationship'.
Review methods: Using the Joanna Briggs Institute's comprehensive systematic review strategies, relevant studies were independently appraised and extracted by two reviewers using the standardized critical appraisal instruments and data extraction tool from Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument.
Results: Ten studies were included in this review from 943 studies initially retrieved. Children and adolescents who had higher level of perioperative anxiety experienced a higher level of postoperative pain. Inconclusive evidence was found regarding differences of perioperative anxiety and postoperative pain between demographic subgroups of gender, age and past surgical experience.
Conclusion: Results of this review inform healthcare providers of the role perioperative anxiety plays on children's and adolescents' postoperative pain and indicate the need to use interventions to reduce perioperative anxiety and, therefore, optimize their postoperative pain management during the perioperative period. 
Keyword Adolescents
Anxiety
Children
Elective surgical procedure
Nursing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 19 July 2013

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 05 Sep 2014, 14:17:27 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work