Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026
The Effect of Preoperative Child and Parental Anxiety on Emergence Agitation and Postoperative Pain in Children Undergoing Adenoidectomy and Tonsillectomy: A Prospective Observational Study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Gemici Dilek, Karakaya Deniz, Dost Burhan, Baris Sibel
Аннотация
PURPOSE: Emergence agitation (EA) is a frequent postoperative behavioral disturbance in children undergoing adenoid and tonsillar surgery and may be influenced by preoperative anxiety. This study aimed to examine the relationship between preoperative parental anxiety and EA, and to explore associations among parental anxiety, child anxiety, and postoperative pain.
DESIGN: A single-center, prospective observational study conducted at Ondokuz Mayıs University between March and October 2024.
METHODS: Ninety-nine children aged 3 to 7 years who underwent adenoidectomy, tonsillectomy, or adenotonsillectomy and their parents were included. Parental anxiety was measured with the State-Trait Anxiety Inventory, and children's anxiety with the modified Yale Preoperative Anxiety Scale. EA was evaluated using the Watcha Behavior Scale at 1, 10, 20, and 30 minutes postoperatively, and pain with the Wong-Baker FACES Pain Rating Scale.
FINDINGS: EA occurred in 25% of children, without sex-based differences. Parental State-Trait Anxiety Inventory scores were not correlated with EA (P ≥ .05). Child preoperative anxiety correlated weakly but significantly with EA at 10 to 30 minutes (r = 0.288 to 0.335, P < .01). Parental trait anxiety correlated weakly with child anxiety (r = 0.198, P = .049) and moderately with postoperative pain at 20 minutes and 24 hours (r = 0.585 and 0.502, P < .001).
CONCLUSIONS: Preoperative parental anxiety was not directly associated with EA; however, higher parental trait anxiety was linked to greater child preoperative anxiety and increased postoperative pain. Managing parental anxiety before pediatric adenoid and tonsillar surgery may improve perioperative emotional stability and recovery outcomes.
DESIGN: A single-center, prospective observational study conducted at Ondokuz Mayıs University between March and October 2024.
METHODS: Ninety-nine children aged 3 to 7 years who underwent adenoidectomy, tonsillectomy, or adenotonsillectomy and their parents were included. Parental anxiety was measured with the State-Trait Anxiety Inventory, and children's anxiety with the modified Yale Preoperative Anxiety Scale. EA was evaluated using the Watcha Behavior Scale at 1, 10, 20, and 30 minutes postoperatively, and pain with the Wong-Baker FACES Pain Rating Scale.
FINDINGS: EA occurred in 25% of children, without sex-based differences. Parental State-Trait Anxiety Inventory scores were not correlated with EA (P ≥ .05). Child preoperative anxiety correlated weakly but significantly with EA at 10 to 30 minutes (r = 0.288 to 0.335, P < .01). Parental trait anxiety correlated weakly with child anxiety (r = 0.198, P = .049) and moderately with postoperative pain at 20 minutes and 24 hours (r = 0.585 and 0.502, P < .001).
CONCLUSIONS: Preoperative parental anxiety was not directly associated with EA; however, higher parental trait anxiety was linked to greater child preoperative anxiety and increased postoperative pain. Managing parental anxiety before pediatric adenoid and tonsillar surgery may improve perioperative emotional stability and recovery outcomes.