title: drawMD APP-aided preoperative anesthesia education reduce parents anxiety and improve satisfaction.
abstract: OBJECTIVE
  There is no existing standard format for preoperative anesthesia education. The drawMD APP is an visible preoperative education tool. The aim of this study was to evaluate the effects of drawMD APP on pre-operative anesthesia education.
  
  
  METHODS
  The parents were randomized to receive drawMD APP-aided pre-operative anesthesia education or standard verbal education. Parental anxiety was measured before education (T0) and immediately after education (T1), and after operation (T4). Children's anxiety was assessed before education (T0) and at the operation room (T2). Children's emergence behavior and Parents' satisfaction were assessed after operation (T4).
  
  
  RESULTS
  The parents' anxiety levels at T1 and T4 were significantly lower than that of the control. The satisfaction scores in the drawMD group were significantly higher than that in the control group. There were no differences in children's anxiety and the incidence of emergence delirium between the two groups.
  
  
  CONCLUSIONS
  The drawMD APP-aided pre-operative education is effective in the reduction of parental pre-operative anxiety and in improvement of parents' satisfaction, but has no influence on children.
  
  
  CONCLUSIONS
  Anesthesiologists can consider using drawMD APP to conduct pre-operative education in parents whose children are scheduled for surgery.
authors.affiliation: Department of Anesthesiology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Liting
authors.initials: L
authors.lastname: Ji
authors.affiliation: Department of Anesthesiology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Xiaoping
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Oncology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Fan
authors.affiliation: Department of Anesthesiology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Mei
authors.initials: M
authors.lastname: Han
authors.affiliation: Department of Anesthesiology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Haitao
authors.initials: H
authors.lastname: Yang
authors.affiliation: Department of Anesthesiology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Lihua
authors.initials: L
authors.lastname: Tang
authors.affiliation: Department of Operating Room, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Shao
authors.affiliation: Department of Anesthesiology, City Center Hospital of Qu Zhou, Qu Zhou, Zhejiang, China.
authors.forename: Yunping
authors.initials: Y
authors.lastname: Lan
authors.affiliation: Department of Anesthesiology, Second Hospital of Dalian Medical University, Dalian, Liaoninng, China. Electronic address: dblee69@hotmail.com.
authors.forename: Dongbai
authors.initials: D
authors.lastname: Li
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000523:psychology*; D000768:Anesthesia, General / Q000379:methods / Q000523:psychology*; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control*; D002648:Child; D002675:Child, Preschool; D002681:China; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education* / Q000523:psychology*; D010549:Personal Satisfaction; D011300:Preoperative Care / Q000379:methods / Q000523:psychology*; D013285:Strabismus / Q000523:psychology / Q000601:surgery; D013315:Stress, Psychological / Q000209:etiology / Q000628:therapy; D014068:Tonsillectomy / Q000523:psychology
keywords: Emergence delirium; Preoperative anxiety; Preoperative interview; Satisfaction; iPad