EFFECTIVENESS OF NON-PHARMACOLOGICAL INTERVENTIONS TO MANAGE ANXIETY IN ADOLESCENTS IN THE PERIOPERATIVE PERIOD: A SYSTEMATIC REVIEW AND META ANALYSIS/ EFFICACITE DES INTERVENTIONS NON PHARMACOLOGIQUES POUR GERER L'ANXIETE CHEZ LES ADOLESCENTS PENDANT LA PERIODE PERIOPERATOIRE: REVUE SYSTEMATIQUE ET META ANALYSE.

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From: ORNAC Journal(Vol. 40, Issue 1)
Publisher: Operating Room Nurses Association of Canada
Document Type: Article
Length: 11,934 words
Lexile Measure: 2040L

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Abstract :

Aims: To evaluate the effectiveness of non-pharmacological interventions to manage anxiety in adolescents in the perioperative period. Design: Systematic review of effectiveness and meta-analysis. Data sources: MEDLINE, CINAHL, PsycInfo, Cochrane Central Register of Controlled Trials, SciELO, sources of unpublished studies and grey literature, including Open Grey and RCAAP Portugal, were systematically searched without time limits (up to December 2020). Review methods: This review followed the Joanna Briggs Institute (JBI) methodology for systematic reviews of evidence effectiveness. The selection process, critical analysis and extraction of data were performed by two independent reviewers. Studies were critically appraised using JBI Critical Appraisal Checklist for Randomised Controlled Trials. Data was synthesised through meta-analysis (using a fixed-effect model in the RevMan 5.2.8) and narrative synthesis. Results: This analysis included five studies with a total of 420 adolescents. The effectiveness of nonpharmacological interventions, including cognitive- behavioural techniques, hypnosis, guided imagery and relaxation, were examined in the perioperative context. A meta-analysis (n=136 adolescents) of three studies suggests no differences in adolescents' anxiety when non-pharmacological interventions are applied compared to standard care (SMD -0.14, 95% CI 0.48 to 0.20, p=0.42). Individually, all the studies showed that nonpharmacological interventions were beneficial on the reduction of the adolescents' anxiety, although no statistical significance was found. Conclusion: Despite insufficient evidence on the effectiveness of non-pharmacological interventions, they should be considered as a resource in the management of adolescent anxiety in the perioperative period. Keywords: Adolescent, anxiety, perioperative care, nursing, systematic review, non-pharmacological, guided imagery, education. Objectif : Evaluer l'efficacite des interventions non pharmacologiques pour gerer l'anxiete chez les adolescents pendant la periode perioperatoire. Modele : Revue systematique de l'efficacite et meta-analyse. Sources des donnees : MEDLINE, CINAHL, PsycInfo, Cochrane Central Register of Controlled Trials, SciELO, les sources d'etudes non publiees et de litterature grise, y compris Open Gray et RCAAP--Portugal, ont fait systematiquement l'objet de recherches sans limites de temps (jusqu'en decembre 2020). Methodes de revue : Cette revue a suivi la methodologie de Joanna Briggs Institute (JBI) relative aux examens systematiques d'efficacite. Le processus de selection, l'analyse critique et l'extraction des donnees ont ete effectues par deux examinateurs independants. Les etudes ont ete evaluees de facon critique a l'aide de la liste de verification des evaluations critiques de JBI pour les essais controles randomises. Les donnees ont ete synthetisees par meta-analyse (a l'aide d'un modele a effet fixe dans le RevMan 5.2.8) et par synthese narrative. Resultats : Cette analyse comprenait cinq etudes auxquelles a participe un total de 420 adolescents. L'efficacite des interventions non pharmacologiques, y compris les techniques cognitives et comportementales, l'hypnose, l'imagerie guidee et la relaxation, a ete examinee dans le contexte perioperatoire. Une meta-analyse (n=136 adolescents) de trois etudes suggere qu'il n'y a aucune difference dans le niveau d'anxiete des adolescents lorsque des interventions non pharmacologiques sont appliquees par rapport aux soins reguliers (SMD 0,14, IC 95 % -0,48 a 0,20, p=0,42). Individuellement, toutes les etudes ont demontre que les interventions non pharmacologiques etaient benefiques pour la reduction de l'anxiete des adolescents, bien qu'aucune difference statistiquement significative n'ait ete enregistree. Conclusion : Malgre l'insuffisance de donnees probantes sur l'efficacite des interventions non pharmacologiques, ces dernieres devraient etre considerees comme une ressource dans la gestion de l'anxiete chez les adolescents pendant la periode perioperatoire. Mots-cles : Adolescent, anxiete, soins perioperatoires, soins infirmiers, examen systematique, non pharmacologique, imagerie guidee, education.

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Gale Document Number: GALE|A695506867