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- MakaleAçık Erişim2025Scopus SJRQ1The Effect of Audio-Visual Methods on Preoperative Anxiety in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Kulakaç, Nurşen; Ustuner Top, Fadime
Background: Children presenting to hospitals during the preoperative period are often exposed to procedures that cause significant stress. Through preoperative interventions, nurses play an important role in relieving the anxiety of children and their parents. Objective: This study was conducted to determine the effect of audio-visual methods on preoperative anxiety levels in children. Methods: PubMed (including MEDLINE), Cochrane, EBSCOHost, Web of Science, YÖK National Thesis Center, and Google Scholar databases of randomized controlled studies published in the last 10 years were searched for this meta-analysis. 32 studies were included in the meta-analysis, and the total sample size was 2795. Results: Q According to the results of the meta-analysis using the random-effects model, audio-visual methods had a positive effect on reducing anxiety (SMD: -1.312, %95 CI -1,666-(0,958), Z=-7,260, p < 0,001, Q-value = 556,572 I2 = 94.519). The moderator analysis demonstrated that cartoons (SMD:-1.645, p < 0.001), games (SMD:-1.931, p = 0.001), music (SMD:-0.534, p < 0.001), video showings (SMD:-1.363, p = 0.001), and virtual reality (SMD:-1.782, p < 0.001) reduced preoperative anxiety in children. Conclusions: Audio-visual methods are effective in reducing preoperative anxiety in children. The results of this study may provide pediatric perioperative nurses with additional information to help them decrease anxiety for patients and their families.
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İncele - MakaleYalnız künye2024Scopus SJRQ1Effect of Lavender Oil on Preoperative Anxiety: Systematic Review and Meta-analysis
Kulakaç, Nurşen; Sayılan, Aylin Aydın
Purpose: Surgical interventions are known to induce anxiety in patients due to the associated risks and potential complications. Various methods are employed to alleviate preoperative anxiety. This study aimed to investigate the impact of lavender oil application on the anxiety levels of patients scheduled for surgical procedures. Design: Systematic review and meta-analysis. Methods: Studies were accessed using the keywords “preoperative and lavender oil and stress” in Turkish and English between July 1 and 30, 2022, through PubMed (including MEDLINE), Cochrane, EBSCOhost, Web of Science, YÖK National Thesis Center, and Google Scholar. The standardized mean difference was calculated using random-effects models, and the Cochrane Collaboration tool was used to assess the risk of bias in each study. The study was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis checklist. Findings: Twenty studies were included in the analysis. The anxiety level of the experimental group to which lavender oil was applied before the surgical intervention was significantly lower than that of the control group (standardized mean difference:−5.40; 95% CI: −8.76 to −2.04). Conclusion: Preoperative lavender oil application was found to be an effective method for relieving patients’ anxiety. Lavender oil is thought to be a potential standalone treatment for preoperative anxiety.
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