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Analyse des liens entre niveau de flow et niveau d’anxiété préopératoire chez des enfants soumis à une application ludique - étudier les bénéfices des jeux numériques dans un service de soins ambulatoires

Abstract : The literature indicates that distraction strategy (e.g., toys, audiovisual distractions) is effective in the regulation of preoperative anxiety in children. However, it seems necessary to study the processes involved in the effectiveness of this technique, in particular with the study of the flow (state of intense concentration and absorption). The problematic of this research work was to evaluate if the child's involvement in the distracting activity can influence its beneficial effect. In this thesis, study 1, carried out with 50 adults, aims to develop and validate a flow observational grid in order to compensate for the lack of a flow measurement tool adapted to the perioperative context and to children. Then, three studies were conducted in a pediatric anesthesia department with 100 children in order to study more precisely the effect of flow, generated by a technological distraction (video game or cartoon), on the regulation of preoperative anxiety. Overall, our results support the idea that children with high flow levels benefited more from this intervention than children with low flow. Also, the flow shows a dynamic character during the waiting period. Furthermore, in an exploratory approach, the postoperative repercussions of anxiety were examined as well as other variables that seem to modulate the relationship between flow and anxiety (role of the accompanying parent and caregivers). This opens up promising perspectives for the clinical improvement of this anxiety regulation strategy.
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Submitted on : Friday, May 13, 2022 - 10:15:10 AM
Last modification on : Sunday, May 15, 2022 - 3:17:34 AM

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  • HAL Id : tel-03667150, version 1

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Camille Tordet. Analyse des liens entre niveau de flow et niveau d’anxiété préopératoire chez des enfants soumis à une application ludique - étudier les bénéfices des jeux numériques dans un service de soins ambulatoires. Psychologie. Université Rennes 2, 2021. Français. ⟨NNT : 2021REN20050⟩. ⟨tel-03667150⟩

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