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International Journal of Advances in Nursing Management
Year : 2017, Volume : 5, Issue : 4
First page : ( 339) Last page : ( 346)
Print ISSN : 2347-8632. Online ISSN : 2454-2652.
Article DOI : 10.5958/2454-2652.2017.00072.5

Effectiveness of Multimodal Preoperative Preparation Program on Children Undergoing Surgery

Aranha Priya Reshma1,*, Dr. Sams Larissa Martha2, Dr. Saldanha Prakash3

1Department of Child Health Nursing, Yenepoya Nursing College, Yenepoya University

2Department of Medical Surgical Nursing, Laxmi Memorial College of Nursing

3Department of Paediatrics, Yenepoya Medical College Hospital

*Corresponding Author E-mail: priyaresh.menezes@gmail.com

Online published on 24 May, 2018.



The advanced era of technological development in child healthcare has resulted in more paediatric procedures being performed in various settings. Millions of children undergo surgery every year which is a stressful event. Many non pharmacological strategies are being used to manage the preoperative fear and anxiety in children. The current study aims to assess the effectiveness of multimodal preoperative preparation program (MPPP) on children undergoing surgery in terms of its effect on the psycho physiological parameters.


A quasi experimental study was conducted in a selected multi speciality hospital. Using the purposive sampling technique, a total of 110 children aged 8–12 years were assigned to non intervention (n = 55) and intervention (n = 55) groups respectively. The MPPP was administered to intervention group. The children in the non intervention group received the routine preoperative care. Child's fear and anxiety was assessed on admission, prior to shifting the child to OT, 24 hours and 48 hours after surgery where as child's pulse, respiration, blood pressure, oxygen saturation was assessed on admission, prior to shifting the child to OT, 6 hours, 12 hours, 24 hours and 48 hours after surgery and pain was assessed at 24 and 48 hours after surgery.

Significant Findings of the Study

Mean fear and anxiety scores of children were significantly lower in intervention group than that of non intervention group (p<0.05). Among the physiological parameters, only pulse, respiration and blood pressure showed significant difference (p<0.05) between the groups, whereas oxygen saturation and pain scores did not differ significantly (p>0.05). The study also found that there is a significant association between the psycho physiological parameters of children with the selected demographic variables (p<0.05). A positive correlation was found between the psychological and physiological parameters of children undergoing surgery.


The MPPP is effective on psycho physiological parameters of children undergoing surgery in terms of decreasing the fear and anxiety, stabilizing the physiological parameters of children and can be used in preparing school aged children for surgery and can be practised in the clinical setup.



Multimodal preoperative preparation program, children, fear, anxiety, physiological parameters.


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