Discussion
anxiety, seven-year-old, four-year-old, failure
In this study, we investigated an approach that integrated several previous relatively independent approaches to provide children with an active participatory [The strengths of this study include the randomized controlled design, utility, and use of existing and validated behavioral-based scales to reduce observer bias. A similar study [Children older than four years old usually have already had a more developed sense of self and potential harm [The results of our questionnaire investigation demonstrated that the intervention failed in a four-year-old boy who could fully understand the comic booklet because his parent interfered too much while watching the video, so he refused to engage with the coloring book. The other failure occurred in a seven-year-old boy because he did not like the coloring game, although he did well in reading the comic booklet and watching the animated video, and behaved cooperatively throughout the operation period. This interactive multidimensional early intervention provided additional help to pediatric patients, and effectively reduced their preoperative anxiety, which is consistent with our previous expectations.Although there have been numerous clinical studies on how to reduce preoperative anxiety in children and a series of measures have also been proposed [It was also found in our study that the anxiety level was the lowest at T1 in the preoperative waiting area in children of both groups, which was lower than the level at T0 in the same group. For this reason, we transformed the preoperative waiting area into a children’s play area where parents can accompany their children to play with toys, read picture books, watch cartoons, and play games with other children awaiting surgery. As a result, both children and their parents feel more relaxed and less anxious. In contrast, children in the control group all became vigilant when they were about to enter the operating room and separate from their parents and their anxiety level peaked at the time of anesthesia induction. This phenomenon shows that simple distraction does not solve the source of anxiety in children, while interactive and multidimensional preoperative education is the key to relieving children’s anxiety.