Indian Pediatrics

, Volume 55, Issue 1, pp 41–44 | Cite as

Effect of Face-to-Face Education on Anxiety and Pain in Children with Minor Extremity Injuries Undergoing Outpatient Suturing in Emergency Department

  • Marzieh Beigom Bigdeli Shamloo
  • Sahar Zonoori
  • Abbas Naboureh
  • Morteza Nasiri
  • Hadi Bahrami
  • Mohammad Maneiey
  • Fatemeh Allahyari Bayatiani
Open Access
Research Paper



To assess the effect of face-to-face education on anxiety and pain in children with minor extremity injuries undergoing outpatient suturing.


Children in intervention and control groups received face-to-face education (10 minutes) and no specific education, respectively. The anxiety and pain was measured using Modified-Yale Preoperative Anxiety Scale, and pain by Faces Pain Scale–Revised, respectively in 3 stages viz, pre-procedure and pre-intervention, post-procedure.


Children in the intervention group were less anxious than the control at pre-procedure and post-intervention stage (41.1 (13.8) vs. 46.3 (19.1), respectively, P=0.03) and post-procedure and post-intervention stage (32.3 (17.2) vs. 40.2 (12.9), respectively, P=0.01). Children in the intervention group experienced less pain than the control at pre-procedure and post-intervention stage (3.9 (3.8) vs. 4.9 (3.1), respectively, P<0.001) and post-procedure and post-intervention stage (3.1 (1.2) vs. 4.0 (2.1), respectively, P=0.001).


Face-to-face education could reduce anxiety and pain in children undergoing suturing in the emergency department.


Intervention Management Perioperative Stress 


  1. 1.
    Fortier MA, Kain ZN. Treating perioperative anxiety and pain in children: A tailored and innovative approach. Paediatr Anaesth. 2015;25:27–35.CrossRefPubMedGoogle Scholar
  2. 2.
    Heilbrunn BR, Wittern RE, Lee JB, Pham PK, Hamilton AH, Nager AL. Reducing anxiety in the pediatric emergency department: A comparative trial. J Emerg Med. 2014;47:623–31.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Fein JA, Zempsky WT, Cravero JP. Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine; American Academy of Pediatrics: Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems. Pediatrics. 2012;130:e1391–1405.CrossRefPubMedGoogle Scholar
  4. 4.
    Nkhoma K, Seymour J, Arthur A. An educational intervention to reduce pain and improve pain management for Malawian people living with HIV/AIDS and their family carers: A randomized controlled trial. J Pain Symptom Manage. 2015;50:80–90.CrossRefPubMedGoogle Scholar
  5. 5.
    Constantino RE, Braxter B, Ren D, Burroughs JD, Doswell WM, Wu L, et al. Comparing online with faceto-face HELPP intervention in women experiencing intimate partner violence. Issues Ment Health Nurs. 2015;36:430–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Fortier MA, Bunzli E, Walthall J, Olshansky E, Saadat H, Santistevan R, et al. Web-based tailored intervention for preparation of parents and children for outpatient surgery (WebTIPS): Formative evaluation and randomized controlled trial. Anesth Analg. 2015;120:915–22.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol. 2004;4:26.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Hicks CL, Von Baeyer CL, Spafford PA, Van Korlaar I, Goodenough B. The faces pain scale-revised: Toward a common metric in pediatric pain measurement. Pain. 2001;93:173–83.CrossRefPubMedGoogle Scholar
  9. 9.
    Fortier MA, Chorney JM, Rony RY, Perret-Karimi D, Rinehart JB, Camilon FS, et al. Children’s desire for perioperative information. Anesth Analg. 2009;109:1085–90.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Margolis JO, Ginsberg B, Dear GL, Ross AK, Goral JE, Bailey AG. Paediatric preoperative teaching: Effects at induction and postoperatively. Paediatr Anaesth. 1998;8:17–23.CrossRefPubMedGoogle Scholar
  11. 11.
    Copanitsanou P, Valkeapää K. Effects of education of paediatric patients undergoing elective surgical procedures on their anxiety: A systematic review. J Clin Nurs. 2014;23:940–54.CrossRefPubMedGoogle Scholar
  12. 12.
    Fincher W, Shaw J, Ramelet AS. The effectiveness of a standardized preoperative preparation in reducing child and parent anxiety: A single-blind randomised controlled trial. J Clin Nurs. 2012;21:946–55.CrossRefPubMedGoogle Scholar
  13. 13.
    Wennström B, Törnhage CJ, Nasic S, Hedelin H, Bergh I. The perioperative dialogue reduces postoperative stress in children undergoing day surgery as confirmed by salivary cortisol. Paediatr Anaesth. 2011;21:1058–65.CrossRefPubMedGoogle Scholar

Copyright information

© Indian Academy of Pediatrics 2017

Authors and Affiliations

  • Marzieh Beigom Bigdeli Shamloo
    • 1
  • Sahar Zonoori
    • 2
  • Abbas Naboureh
    • 3
  • Morteza Nasiri
    • 4
  • Hadi Bahrami
    • 1
  • Mohammad Maneiey
    • 1
  • Fatemeh Allahyari Bayatiani
    • 1
  1. 1.Department of Nursing, Nursing and Midwifery facultyDezful University of Medical SciencesDezfulIran
  2. 2.Shahid Khoromi HospitalKhorramabadIran
  3. 3.Department of Critical Care Nursing, Nursing and Midwifery facultyTehran University of Medical SciencesTehranIran
  4. 4.Department of Operating Room Technology, Paramedical SchoolQom University of Medical SciencesQomIran

Personalised recommendations