Perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures: a quantitative systematic review
Article first published online: 19 JUL 2013
© 2013 John Wiley & Sons Ltd
Journal of Advanced Nursing
Volume 70, Issue 2, pages 243–255, February 2014
How to Cite
2013) Perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures: a quantitative systematic review. Journal of Advanced Nursing 70(2), 243–255. doi: 10.1111/jan.12205, , & (
- Issue published online: 9 JAN 2014
- Article first published online: 19 JUL 2013
- Manuscript Accepted: 1 JUN 2013
- elective surgical procedure;
- systematic review
To examine the relationship between perioperative anxiety and postoperative pain in children and adolescents undergoing elective surgical procedures and the differences in children's perioperative anxiety and postoperative pain among subgroups of demographics.
While anxiety and pain are regarded as two common problems experienced by children and adolescents perioperatively and the relationship between them has been reported in previous studies, there has been no review paper examining this phenomenon.
A quantitative systematic review.
Nine electronic databases were searched for studies published in English from the inception date of the databases to December 2010, using various combinations of search terms of ‘adolescents', ‘anxiety’, ‘child’, ‘pain’, ‘surgery’ and ‘correlation/relationship’.
Using the Joanna Briggs Institute's comprehensive systematic review strategies, relevant studies were independently appraised and extracted by two reviewers using the standardized critical appraisal instruments and data extraction tool from Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument.
Ten studies were included in this review from 943 studies initially retrieved. Children and adolescents who had higher level of perioperative anxiety experienced a higher level of postoperative pain. Inconclusive evidence was found regarding differences of perioperative anxiety and postoperative pain between demographic subgroups of gender, age and past surgical experience.
Results of this review inform healthcare providers of the role perioperative anxiety plays on children's and adolescents' postoperative pain and indicate the need to use interventions to reduce perioperative anxiety and, therefore, optimize their postoperative pain management during the perioperative period.