Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2024; 12(22): 4947-4955
Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.4947
Influence of static cartoons combined with dynamic virtual environments on preoperative anxiety of preschool-aged children undergoing surgery
Ya-Lin Zhang, Qi-Ying Zhou, Peng Zhang, Lin-Feng Huang, Li Jin, Zhi-Guo Zhou
Ya-Lin Zhang, Li Jin, Department of Pediatrics, Hangzhou Ninth People’s Hospital, Hangzhou 311225, Zhejiang Province, China
Qi-Ying Zhou, Peng Zhang, Pediatric Intensive Care Unit, Hangzhou Children’s Hospital, Hangzhou 310014, Zhejiang Province, China
Lin-Feng Huang, Intensive Care Unit, Hangzhou Ninth People’s Hospital, Hangzhou 311225, Zhejiang Province, China
Zhi-Guo Zhou, Department of Surgical Anesthesia, Hangzhou Children’s Hospital, Hangzhou 310014, Zhejiang Province, China
Author contributions: Zhang YL designed the research and wrote the first draft of the manuscript; Zhang YL, Zhou QY and Zhang P contributed to conceiving the research and analyzing data; Zhang YL, Huang LF, Jin L and Zhou ZG conducted the analysis; Zhang YL and Zhou ZG provided guidance for the research; All authors reviewed and approved the final manuscript.
Supported by Hangzhou Medical and Health Technology Project, No. OO20191141.
Institutional review board statement: This study was approved by the Ethic Committee of Hangzhou Children’s Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest.
Data sharing statement: All data and materials are available from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Guo Zhou, MM, Doctor, Department of Surgical Anesthesia, Hangzhou Children’s Hospital, No. 195 Wenhui Road, Gongshu District, Hangzhou 310014, Zhejiang Province, China. 620zzg@163.com
Received: March 25, 2024
Revised: May 22, 2024
Accepted: June 5, 2024
Published online: August 6, 2024
Processing time: 98 Days and 19.8 Hours
Core Tip

Core Tip: Preschoolers are particularly prone to anxiety when they are about to undergo anesthesia and surgery. As pharmacological and non-pharmacological interventions have disadvantages, this study explored a more suitable intervention to address preoperative anxiety and anesthesia induction cooperation in preschool-aged children undergoing surgery. This study examined and validated factors such as anxiety level, degree of cooperation during anesthesia induction, and vital signs. Static cartoons combined with dynamic virtual environments were as effective as midazolam in reducing preoperative anxiety and fear in preschool-aged children, improving cooperation with anesthesia induction, and maintaining stable vital signs.