Abstract
Pediatricians and surgeons involved in the care of sick children have become increasingly a-ware that illness, hospitalization and most especially surgical operations have significant emotional and psychological impact on the growing child.
The 150 children, aged 2 to 8, with strabismus were studied and classified into 4 groups.
The assignment of these groups to treatment was randomly determined.
Group 1: children recieved no premedication and preanesthetic visit.
Group 2: children recieved a combination of hydroxyzine and atropine i.m. for premedication but no preanesthetic visit.
Group 3: children recieved no premedication but preanesthetic visit.
Group 4: children recieved a combination of same as group 2 for premedication as well as preanesthetic visit.
All of the 150 children had been psychologically prepared using photograph of the operation room and anesthetic equipment by ward nurse before operation.
All of the parent of the patient were asked to fill a questionaire containing 155 items just prior to operation and same questionaire as mailed to them 2 weeks after the operation.
Multivariate analysis was used to analyze variable of items between preoperation and postoperation.
The result of the analysis: frustration of the preoperation was significantly resolved postoperatively. (p<0.01)
The proportion of frustraion resolution of the preanesthetic visit by anesthesiologist was not significant at Osaka Children's Health Center.
