IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2022i1p414-d1016164.html
   My bibliography  Save this article

The Influence of Patient-Centered Communication on Children’s Anxiety and Use of Anesthesia for MR

Author

Listed:
  • M. Conceição Castro

    (Department of Radiology, Centro Hospitalar Universitário de São João–Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal)

  • Isabel Ramos

    (Faculty of Medicine, University of Porto-Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal)

  • Irene Palmares Carvalho

    (Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto-Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal
    CINTESIS@RISE, Faculty of Medicine, University of Porto-Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal)

Abstract

Background: The aim of this study was to inspect the influence of patient-centered communication (PCC) with 4- to 10-year-old children on the use of anesthesia for magnetic resonance imaging exams (MRs). Methods: A total of thirty children received the PCC and pre-simulated the exam with an MR toy. Another 30 children received routine information about the MR and pre-simulated the exam with the toy. Anesthesia use in these two groups was additionally compared with a previously existing group of children ( n = 30) who had received only routine information about the exam (CG). Children’s anxiety was assessed with a self-report question plus heartbeat frequency. Children’s satisfaction was assessed through several questions. The analyses were based on group comparisons and regression. Results: A total of two children (7%) in the PCC + simulation group used sedation compared with 14 (47%) in the simulation group and 21 (70%) in the CG. Differences between the PCC + simulation and the other two groups were significant ( p < 0.001), although not between the simulation and the CG. The decrease in anxiety was significantly greater (self-reported p < 0.001; heart rate p < 0.05) and satisfaction was higher ( p = 0.001) in the PCC + simulation, when compared with the simulation group. Reduced anxiety was associated with less anesthesia use (OR 1.39; CI 1.07–1.79; p = 0.013). Conclusions: PCC + simulation was more effective than simulation and routine practice in decreasing children’s anxiety, increasing satisfaction, and reducing the use of anesthesia for MRs.

Suggested Citation

  • M. Conceição Castro & Isabel Ramos & Irene Palmares Carvalho, 2022. "The Influence of Patient-Centered Communication on Children’s Anxiety and Use of Anesthesia for MR," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:414-:d:1016164
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/1/414/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/1/414/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Imelda Coyne, 2006. "Consultation with children in hospital: children, parents’ and nurses’ perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(1), pages 61-71, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anna Stålberg & Anette Sandberg & Thomas Larsson & Imelda Coyne & Maja Söderbäck, 2018. "Curious, thoughtful and affirmative—Young children's meanings of participation in healthcare situations when using an interactive communication tool," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 235-246, January.
    2. Jeremy Jolley, 2006. "Commentary on Coyne I (2006) Consultation with children in hospital: children, parents’ and nurses’ perspectives. Journal of Clinical Nurisng 15, 61–71," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(6), pages 791-793, June.
    3. Janine Bröder & Orkan Okan & Torsten M. Bollweg & Dirk Bruland & Paulo Pinheiro & Ullrich Bauer, 2019. "Child and Youth Health Literacy: A Conceptual Analysis and Proposed Target-Group-Centred Definition," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    4. Fernanda Manuela Loureiro & Ana Vanessa dos Reis Ameixa Antunes & Tiina Pelander & Zaida Borges Charepe, 2021. "The experience of school‐aged children with hospitalisation," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(3-4), pages 550-558, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:414-:d:1016164. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.