Nazia Akhtar, Muhammad Anwar-ul haq.
Preoperative Interactive Communication Program to Children and Effects at Induction of General Anaesthesia.
Pak J Med Health Sci Jan ;8(2):415-20.

Aim: To evaluate the effectiveness of a preoperative interactive communication program on the behavior of children at the time of induction of general anaesthesia. Study design: Randomized, controlled trial Place of study: The Children’s Hospital and the Institute of Child Health, Lahore. Methods: Surgical outpatients, ASA physical status I and II, aged 5-10 year scheduled to undergo general anaesthesia and elective surgery, were enrolled. 80 patients were divided in control (n=40) and interventional groups (n=40). Control group A received routine preoperative evaluation and preparation. Interventional group B received interactive model based communication program in preoperative time. Both groups were assessed in the preop holding time and in the operating room at the time of induction by using Global Mood Score. Results: Children’s behavior as measure by the global mood score increased in control group of preoperative holding time in comparison to preoperative holding time of interventional group as in and Chi Square is 104-161 and P-Value=0.000 statistically significant. Global Mood Score in operating room time at induction of anaesthesia of control group increases as compare to operating room time of induction of anaesthesia of the interventional group. Chi-Square = 21.939 and P-value is 0.039 Conclusion: Paediatric surgery centre personnel should consider the prescription of preparation programs based on available resources, and characteristics of children, to achieve the effective cooperation of children at the time of induction of general anaesthesia.

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