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Prevalence and factors associated with anxiety during echocardiography procedure



Abstract

Purpose: Echocardiography is the main modality for definitive diagnosis and evaluation of children with congenital heart disease. Anxiety is the most common feeling experienced by children when they visit healthcare facilities. The first aim of this study was to give an overview of the prevalence of anxiety symptoms, and the second aim was to investigate the factors associated with anxiety during the echocardiography procedure.

Patients and methods: The cross-sectional study was conducted in the pediatric cardiology outpatient clinic at Prof. Dr. I G.N.G. Ngoerah General Hospital, Denpasar-Bali period February 2022 to August 2022. Children aged 18 months-6 years who underwent echocardiography evaluation were included. The visual analog scale of anxiety (VAS-A) was used to measure the severity of anxiety. The analysis is using chi-square test and logistic regression. The significance of risk factors is reported as a prevalence ratio with 95% confidence intervals and p<0.05.

Results: In a total of 156 subjects, the prevalence of anxiety during the procedure was 64,1% with a similar gender proportion. Multivariate analysis found that age ≤3 years old and did not attend school were associated with anxiety (PR 60.53; 95% CI 13.07-280; p<0.001 and PR 5.59; 95% CI 1.31-23.77; p < 0.001).

Conclusion: Anxiety during the echocardiography procedure is common. Age ≤3 years old and did not attend school were associated with anxiety during echocardiography.

Keywords: anxiety echocardiography congenital heart disease

References

  1. Liu Y, Chen S, Zühlke L, Black GC, Choy M-K, Li N, et al. Global birth prevalence of congenital heart defects 1970-2017: updated systematic review and meta-analysis of 260 studies. Int J Epidemiol. 2019;48(2):455–63. Available from: https://pubmed.ncbi.nlm.nih.gov/30783674
  2. Noverita N, Mulyadi M, Mudatsir M. Terapi bermain terhadap tingkat kecemasan pada anak usia 3–5 tahun yang berobat di Puskesmas. J Ilmu Keperawatan. 2017;5(2):67–78.
  3. Heistein LC, Ramaciotti C, Scott WA, Coursey M, Sheeran PW, Lemler MS. Chloral Hydrate Sedation for Pediatric Echocardiography: Physiologic Responses, Adverse Events, and Risk Factors. Pediatrics. 2006;117(3):e434–41. Available from: http://dx.doi.org/10.1542/peds.2005-1445
  4. Sánchez Ferrer F, Grima Murcia MD, Lopez-Pineda A, Juste Ruiz M, Orozco Beltran D, Carratala-Munuera C, et al. Effects of Watching Cartoons During an Echocardiography on Infants and Preschool Children. A Prospective Randomized Study. Front Pediatr. 2019;7:184. Available from: https://pubmed.ncbi.nlm.nih.gov/31179249
  5. Liang Y, Huang W, Hu X, Jiang M, Liu T, Yue H, et al. Preoperative anxiety in children aged 2-7 years old: a cross-sectional analysis of the associated risk factors. Transl Pediatr. 2021;10(8):2024–34. Available from: https://pubmed.ncbi.nlm.nih.gov/34584872
  6. Facco E, Stellini E, Bacci C, Manani G, Pavan C, Cavallin F, et al. Validation of visual analogue scale for anxiety (VAS-A) in preanesthesia evaluation. Minerva Anestesiol. 2013;79(12):1389–95.
  7. Berghmans JM, Poley MJ, van der Ende J, Weber F, Van de Velde M, Adriaenssens P, et al. A Visual Analog Scale to assess anxiety in children during anesthesia induction (VAS-I): Results supporting its validity in a sample of day care surgery patients. Pediatr Anesth. 2017;27(9):955–61. Available from: http://dx.doi.org/10.1111/pan.13206
  8. Lerwick JL. Minimizing pediatric healthcare-induced anxiety and trauma. World J Clin Pediatr. 2016;5(2):143–50. Available from: https://pubmed.ncbi.nlm.nih.gov/27170924
  9. Kaban NB, Suherni S. Terapi Bermain Puzzlem Terhadap Tingkat Kecemasan Anak Yang Dihospitalisasi. J Abdimas Flora. 2022;1(1):7–12.
  10. Rahmadani E, Damayanti M, Mardhiyah W. PENGARUH INTERVENSI BERMAIN TERAPEUTIK TERHADAP PENURUNAN NILAI KECEMASAN HOSPITALISASI ANAK PRASEKOLAH DI RSUP dr. HASAN SADIKIN BANDUNG. J Nurs Public Heal. 2018;5(2):25–34. Available from: http://dx.doi.org/10.37676/jnph.v5i2.560
  11. Ekasaputri S, Arniyanti A. Efektivitas Terapi Audio Visual (Film Kartun) Terhadap Kecemasan Pada Anak Usia Prasekolah. J Ilm Kesehat Sandi Husada. 2022;11(1):57–63. Available from: http://dx.doi.org/10.35816/jiskh.v11i1.699
  12. Liu W, Xu R, Jia J, Shen Y, Li W, Bo L. Research Progress on Risk Factors of Preoperative Anxiety in Children: A Scoping Review. Int J Environ Res Public Health. 2022;19(16):9828. Available from: https://pubmed.ncbi.nlm.nih.gov/36011459
  13. Alfarizi AB, Suarni E. Hubungan Status Gizi dengan Perkembangan Anak Usia 3-4 Tahun pada 21 Posyandu di Kota Palembang. Syifa’ Med J Kedokt dan Kesehat. 2015;6(1):13. Available from: http://dx.doi.org/10.32502/sm.v6i1.1375
  14. Sumedi T. Analisis Faktor Lingkungan Yang Mempengaruhi Tingkat Kecemasan Pelayanan Kesehatan Anak Di Puskesmas Pubalingga. J KEPERAWATAN MERSI. 2020;9(2):58–62.
  15. Zeuny F. Mengapa PAUD penting bagi perkembangan anak? [Internet]. 2019. Available from: https://pauddikmasdiy.kemdikbud.go.id/artikel/mengapa-paud-penting-bagi-perkembangan-anak/
  16. Fatmawati L, Syaiful Y, Ratnawati D. PENGARUH AUDIOVISUAL MENONTON FILM KARTUN TERHADAP TINGKAT KECEMASAN SAAT PROSEDUR INJEKSI PADA ANAK PRASEKOLAH. J Heal Sci. 2019;12(02):15–29. Available from: http://dx.doi.org/10.33086/jhs.v12i02.996

How to Cite

Maharini, K. ., Gunawijaya, E. ., Yantie, N. P. V. K. ., Windiani, I. G. A. T. ., Adnyana, I. G. A. N. S. ., & Murti, N. L. S. P. . (2023). Prevalence and factors associated with anxiety during echocardiography procedure. Intisari Sains Medis, 14(1), 529–532. https://doi.org/10.15562/ism.v14i1.1674
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Kadek Maharini
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Eka Gunawijaya
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Ni Putu Veny Kartika Yantie
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I Gusti Ayu Trisna Windiani
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I Gusti Agung Ngurah Sugitha Adnyana
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Ni Luh Sukma Pratiwi Murti
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