Impact of Multimodal Preoperative Preparation Program on Parental Anxiety

Document Type : Original Article


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

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

3 Department of Paediatrics, Yenepoya Medical College, Mangalore, Karnataka, India



Hospitalization and surgery are stressful experiences for children and their parents. Therefore, preoperative preparation of parents becomes essential.
The objectives of this study were to assess the impact of multimodal preoperative preparation program (MPPP) on parental anxiety, to find the association of parental anxiety with the selected demographic variables of parents, and to measure the satisfaction of parents regarding the preparation of children for surgery.
Materials and Methods: 
A quasiexperimental study was conducted in a selected multispecialty hospital. Using the purposive sampling technique, a total of 110 parents of children in the age group 8–12 years were assigned to control (n = 55) and intervention (n = 55) groups, respectively. The MPPP was administered to intervention group. The parents in the control group received the routine preoperative care. Parental anxiety was assessed on admission before shifting the child to operation theater 6 h, 12 h, and 48 h after surgery whereas the parental satisfaction was measured at 48 h after surgery.
The mean scores of parental anxiety were significantly lower in the intervention group than that of control group (P < 0.05). Parents in the intervention group had significantly higher satisfaction level than that of control group (P < 0.05). The study did not find any significant association between the parental anxiety and selected demographic variables of parents.
The MPPP is effective in reducing parental anxiety and can be effectively used in pediatric surgical units to prepare the parents for their child's surgery.