Background: Children who undergo a day case surgery experience high levels\nof preoperative anxiety. Preoperative anxiety interferes with anesthesia induction\ncompliance and is associated with many short and long term postoperative\ncomplications. Recently, video distraction intervention has been evaluated\nfor its anxiolytic effects in preoperative children. Aim: The aim of this integrative\nreview was to demonstrate the varying methodological approaches utilized\nto evaluate the effectiveness of a video distraction intervention in reducing\npreoperative anxiety in children undergoing day case surgery. Methods: A\ntotal of 8 articles, meeting the inclusion criteria, were evaluated and included.\nFindings: The eight studies investigating the effect of video distraction on\nchildren preoperative anxiety concluded that video distraction was significant\nin controlling children preoperative anxiety. Four of the eight studies (50%),\ninvestigated video distraction effectiveness against pharmacological comparisons\nand demonstrated superior or equal anxiolytic effect of video distraction\non different points along the surgical continuum. Three of the eight studies\ncompared video distraction against parental presences and video distraction\nshowed superior anxiolytic effect. Three of the eight studies evaluated the effect\nof video distraction on anesthesia induction compliance and emergence\ndelirium. A significant effect on anesthesia induction was demonstrated while\nnon-significant effect on emergence delirium was documented. Conclusion:\nVideo distraction is a safe, time and cost effective non pharmacological anxiolytic\nintervention. It can be provided by nurses to control children high level\nof anxiety before surgery and during anesthesia induction.
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