title: 3-D Storybook: Effects on Surgical Knowledge and Anxiety Among Four- to Six-Year-Old Surgical Patients.
abstract: Inadequate surgical knowledge potentiates anxiety; however, no methodology simultaneously addresses anxiety and surgical knowledge. Our quasi-experimental study determined the effectiveness of a three-dimensional (3-D) storybook in increasing surgical knowledge and decreasing anxiety among young children scheduled for planned or required major surgeries. We studied 20 randomly assigned participants who received either the 3-D storybook or traditional health teaching. A presurgical knowledge questionnaire and modified Yale Preoperative Anxiety Scale assessed surgical knowledge and anxiety. Data were analyzed with one-way and repeated-measures multivariate analysis of variance. Results showed that both groups had higher knowledge scores (F = 8.94; P = .008) and lower anxiety scores (F = 5.13; P = .036) after the intervention. The children who received information from the 3-D storybook exhibited a significantly higher posttest knowledge score (F = 11.71; P = .003) and lower anxiety score (F = 10.05; P = .005) than the traditionally educated group of children. The 3-D storybook effectively increased surgical knowledge and decreased anxiety and could be used as an alternative method to prepare pediatric surgical patients.
authors.forename: John Rey B
authors.initials: JR
authors.lastname: Macindo
authors.forename: Katherine R
authors.initials: KR
authors.lastname: Macabuag
authors.forename: Carlo Miguel P
authors.initials: CM
authors.lastname: Macadangdang
authors.forename: Margaux Valerie S
authors.initials: MV
authors.lastname: Macaranas
authors.forename: Marianne Jezelle Jem T
authors.initials: MJ
authors.lastname: Macarilay
authors.forename: Natasha Nikki M
authors.initials: NN
authors.lastname: Madriñan
authors.forename: Rouena S
authors.initials: RS
authors.lastname: Villarama
mesh_terms: D001007:Anxiety; D002648:Child; D002675:Child, Preschool; D006801:Humans; D013514:Surgical Procedures, Operative / Q000523:psychology*
keywords: 3-D storybook; pediatric anxiety; preoperative preparation; surgical knowledge