Measurement tool for preoperative anxiety in young. Full text impact of parental presence during induction of. Reliability and validity of korean version of modified. Anxiety, one of the most distressing feelings in the preoperative setting, may interfere with medical practice, with patients refusing to communicate, take medication, undergo intravenous cannulation, enter the operating theatre or accept a mask, particularly in children. On the day of the procedure, the patients cooperation levels were assessed by using the modified yale preoperative anxiety scale. This study evaluates the use of the modified yale preoperative anxiety scale mypas in effectively identifying patients who may benefit from simulationbased training. Abstract to develop a preoperative anxiety scale ypas for children undergoing surgery, 21 specific behaviors indicating anxiety were defined within five. Comparing active and passive distractionbased music.
The staic is a selfreporting questionnaire used as an indicator of anxiety in children, but it is not a practical method due to the age. The purpose of this study was to develop a korean version of the mypas kmypas and to establish its validity and reliability based on. Clown doctors as a treatment for preoperative anxiety in. To aid in measuring child anxiety before surgery, the modified yale preoperative anxiety scale mypas was developed in 19952 and modified in 19973 appendix 1. Statetrait anxiety inventory for children staic, the yale preoperative anxiety scale ypas, and the modified yale preoperative anxiety scale mypas. Thus, preschool children who are particularly vulnerable to preoperative anxiety cannot benefit from this instrument. Full text impact of parental presence during induction. The utility of the modified yale preoperative anxiety scale for predicting success in pediatric patients undergoing mri without the use of anesthesia. It is a set of behavioral checklist developed by kain et al. Some evidence on the validity of the sarason test anxiety scale. Reliable screening tools to select who could benefit from practice mri sessions are lacking. Do you know where i can download or buy the modified yale. The mypas has been used in 100 studies spanning diverse health fields, such as anesthesia, surgery, pediatrics, and dentistry.
It is an observational behavioral checklist developed by kain et al 9 to measure the state anxiety of young children. The utility of the selfreport childrens anxiety and pain scale anxiety subscale capsa in comparison to the widely used, observerrated modified yale preoperative anxiety scale mypas in assessing anxiety in children undergoing day surgery procedures was examined. The modified yale preoperative anxiety scale mypas was developed for evaluating the level of preoperative anxiety in children. High anxiety, young age and long waits increase the need. Validation and reliability of full and short thaiversion modified. What is the abbreviation for modified yale preoperative anxiety scale. The spanish version of the modified yale preoperative anxiety scale evaluated in this study has shown good psychometric properties of reliability and validity. However, the effectiveness of any intervention needs to be evaluated with a standardised, valid and sensitive tool for specific assessment of preoperative anxiety across various age groups. The modified yale preoperative anxiety scale ypasm was developed to evaluate anxiety in preschool children at the time of the anesthetic induction. Comparing active and passive distractionbased music therapy. A search service for abbreviation long form abbreviation long form. The anxiety score of children was lower in the mv group before the procedure modified yale preoperative anxiety scale score 3512 vs 289, p0. Request pdf reliability and validity of the spanish version of the modified yale preoperative anxiety scale introduction and objective.
Pdf reliability and validity of korean version of modified. Yale preoperative anxiety scale ypas, and the modified yale preoperative anxiety scale mypas. Pediatric preoperative anxiety was measured pre and postintervention using the modified yale pediatric anxiety scale, while caregiver anxiety was measured through selfreport using the shortform straittrait anxiety inventoryy6. The first group received the relaxationguided imagery, before the induction of general anesthesia. Childrens preoperative anxiety was evaluated using the modified yale preoperative anxiety scale mypas. Later, was revised to create the modified yale preoperative anxiety scale 11 and enhanced for over a decade until the modified yale preoperative anxiety scale short form mypassf appeared in 2014 12.
Oct 24, 2007 abstract to develop a preoperative anxiety scale ypas for children undergoing surgery, 21 specific behaviors indicating anxiety were defined within five domains activity, emotional expressivity, state of arousal, vocalization, and use of adults. This scale determines a childs level of anxiety by. A new mobile application to reduce anxiety in pediatric. The most popular abbreviation for modified yale preoperative anxiety scale is. Before surgical operation, the spielberger statetrait anxiety inventory stai questionnaire and a questionnaire for the socialdemographic characteristics were completed by the parents. Baseline modified yale preoperative anxiety scal e mypas was performed by a blinded single evaluator at the time of admission. Development of a short version of the modified yale preoperative. Over the last decade, the modifiedyale preoperative anxiety scale mypas has become the measurement tool of choice for assessing preoperative anxiety25,26. Measurement of preoperative anxiety in young children. Preoperative anxiety in preschool children observational study.
Abstract to develop a preoperative anxiety scale ypas for children undergoing surgery, 21 specific behaviors indicating anxiety were defined within five domains activity, emotional expressivity, state of arousal, vocalization, and use of adults. Preoperative anxiety in greek children and their parents. Anesth 21 2, 2011 155 155 biologically based vulnerabilities. Dec 14, 2017 a total of 40 pediatric patient and caregiver dyads undergoing ambulatory surgery were included in this study. Ypas into swedish and the testing of its reliability and validity when used with swedish children. Mypas abbreviation stands for modified yale preoperative anxiety scale. The modified yale preoperative anxiety scale mypas is the current criterion standard for assessing child anxiety during induction of.
The modified yale preoperative anxiety scale mypas is an observational behavioral checklist that has been widely used as an indicator of preoperative anxiety in children. The modified yale preoperative anxiety scale mypas was used to evaluate the behavior of the child in the waiting room and the induction room. Prospective study assessing the validity of ypas yale. The levels of preoperative anxiety and postoperative pain were assessed using, respectively, the modified yale preoperative anxiety scale and the face, legs, activity, cry, and consolability scale. Today, the modified yale preoperative anxiety scale mypas is the most widely used observational tool internationally for this purpose 5, 12. The modified yale preoperative anxiety scale is appropriate to assess preoperative anxiety in children aged 2 years and above. The utility of the modified yale preoperative anxiety scale for predicting success in pediatric patients undergoing. The yale preoperative anxiety scale semantic scholar. The mypas has good to excellent reliability and validity for measuring childrens anxiety in. Preoperative anxiolysis in children through a combined. The utility of the modified yale preoperative anxiety scale. A reliability kappa analysis revealed that interobserver agreement ranged from. Abstract evaluating the effectiveness of interventions directed toward the treatment of preoperative anxiety in children has been hindered by the absence of a statistically valid measurement tool.
This study supports validity and reliability of this scale to assess preoperative anxiety in infants as well. In a previous investigation, we developed an instrument yale preoperative anxiety scale ypas that can be used to assess anxiety in children undergoing induction of anesthesia. Scales can be useful to recognize anxiety states and to indicate ways to prevent complications due to elevated levels of anxiety. The modified yale preoperative anxiety scale mypas is widely used to measure childrens anxiety levels. Validity and reliability of the turkish version of the. What are the validity and reliability of the modified yale. The modified yale preoperative anxiety scale mypas is the current criterion standard for assessing child anxiety during induction of anesthesia and has been used in 100 studies. Compliance of children during induction of anaesthesia, time until anaesthesia recovery, presence of postoperative delirium and use of analgesia until discharge will be also asse ssed. Relaxationguided imagery reduces perioperative anxiety and. Reliability and validity of the spanish version of the. The aim of this study was to translate the mypas into turkish and test. A randomized controlled trial was performed to assess the impact of parental presence during induction of anesthesia ppia on preoperative anxiety of pediatric patients and their parents at three different times, cooperation of child with anesthesiologist at induction of anesthesia, and parental satisfaction. Validated assessment tools are needed to evaluate interventions to reduce child preoperative anxiety.
Implications the absence of a statistically valid measurement tool that can be applied easily in perioperative settings hinders the evaluation of interventions directed toward treatment of preoperative anxiety in children. Development of a short version of the modified yale. Simulation training can reduce the need for anesthesia in some children. Ypas is an observational behavioral checklist that has been widely used as an indicator of pre. The effect of recorded maternal voice on perioperative. Preoperative anxiety in greek children and their parents when. The modified yale preoperative anxiety scale mypas, an. Later, was revised to create the modified yale preoperative anxiety scale 11 and enhanced for over a decade until the modified yale preoperative anxiety scaleshort form mypassf appeared in 2014 12. Impact of parental presence during induction of anesthesia.
Children with increased sensitivity to novelty and transition and developmental delay are more prone to anxiety in unfamiliar surroundings. The absence of a statistically valid measurement tool that can be applied easily in perioperative settings hinders the evaluation of interventions directed toward treatment of preoperative anxiety in children. The capsa testretest reliability, concurrent validity with the modified yale preoperative anxiety scale mypas, and. Preprocedural anxiety levels were evaluated by visual analog scales child anxiety visual analog scale. These dilemmas increase the difficulty in accurately observing and assessing child preoperative distress. Reliability and validity of the swedish version of the. It is an observational behavioral checklist developed by kain et al9 to measure the state anxiety of young children. The purpose of the present investigation was to modify and expand the applicability of the instrument to the preoperative holding area and to validate the modified.
Relaxationguided imagery reduces perioperative anxiety. Request pdf development of a short version of the modified yale preoperative anxiety scale background. The utility of the modified yale preoperative anxiety scale for. Preoperative anxiety in pediatric age group a brief. Application of this complex instrument in busy operating room or settings, however, presents. The utility of the modified yale preoperative anxiety. To minimise preoperative stress and increase child. The authors describe the development of such a tool, the modified yale preoperative anxiety scale.
Modified yale preoperative anxiety scale the modified yale preoperative anxiety scale mypas was used to evaluate the behavior of the child in the waiting room and the induction room. Reliability and validity of korean version of modifiedyale. Childrens anxiety was assessed preoperatively with the modified yale preoperative anxiety scale mypas, emergence delirium was assessed in the postanesthesia care unit, and behavioral changes were assessed with the post hospital behavior questionnaire phbq on. What are the validity and reliability of the modified yale preoperative. This observational instrument covers 5 items and is typically administered at 4 perioperative time points. Application of this complex instrument in busy operating room or settings, however. The staic is a selfreporting questionnaire used as an indicator of anxiety in children, but it is not a practical method due to the age limit as applicability is for those above 5 years and the. The present study describes the translation process of m. The purpose of this study was to develop a korean version of the mypas kmypas and to establish its validity and reliability based on the korean preoperative pediatric patients. Emergence agitation was attenuated in the mv group p0. A total of 40 pediatric patient and caregiver dyads undergoing ambulatory surgery were included in this study. We propose a randomised doubleblind, controlled clinical trial that will evaluate the effectiveness of both interventions hydroxyzine and clowns, alone or in combination, to reduce preoperative anxiety using the modified yale scale of preoperative anxiety in children aged 216 years undergoing outpatient surgery n 188. The modified yale preoperative anxiety scale ypasm was developed to evaluate anxiety in preschool children at the time of the anesthetic induct. Although some investigators suggest that mild to moderate preoperative anxiety is.
The yale preoperative anxiety scale, which was used in over 100 studies across diverse health fields, was first developed in 1995 10. We aimed to validate the dutch version of the modified yale preoperative anxiety scale. After measurement of the baseline mypas, randomization was performed by an independent anesthesiologist, not otherwise involved in the trial using a computer. It is an observational behavioral checklist developed by kain et al9 to. Measurement tool for preoperative anxiety in young children. Childrens anxiety was measured from baseline to the last available followup using validated anxiety scales such as the yale preoperative anxiety scale ypas. This observational scale comprises 4 domains the childrens activities, vocalizations, expression of. Visual analogue scale valid for assessing pediatric anxiety. Healthdaya visual analogue scale vas score is valid for assessing anxiety among children during induction of anesthesia, according to a study. This study evaluates the use of the modified yale preoperative anxiety scale mypas in effectively identifying patients who may benefit from. Special article clown doctors as a treatment for preoperative.
The modified yale preoperative anxiety scale mypas was developed. The effect of gamification through a virtual reality on. The mypas modified yale preoperative anxiety scale is a quick, easy, validated and gold standard assessment tool to measure pediatric anxiety in the perioperative period. This study aimed to test the validity and reliability of a modified yale preoperative anxiety scale mypas in the thai language, and to find out. How to abbreviate modified yale preoperative anxiety scale. To improve perioperative care and to monitor anxiety. This observational instrument of anxiety contains 27 items in five categories indicating anxiety in young children activity, emotional expressivity, state of arousal, vocalization and use of parents. Background the modified yale preoperative anxiety scale mypas is the current criterion standard for assessing child anxiety during induction of anesthesia and has been used in 100 studies.
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