The Effect Of Use Of Raınstick And Kaleydoscope On Paın Anxıety Durıng Blood Draw

NCT05288309 | Completed

• 1 other identifier: Erzi̇ncanBYÜ
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 2

Brief Summary

Medical procedures are negative experiences that cause pain, distress, and anxiety and are not only uncomfortable during medical procedures, especially in children; negative consequences such as poor recovery, sleep disturbances, and post-traumatic stress symptoms. There are many different approaches, including pharmacological and non-pharmacological methods, for the treatment of pain and anxiety in children during medical procedures. Non-pharmacological methods vary depending on the child's age, level of development and the type of procedure, and non-pharmacological methods generally used in children fall into three groups: supportive, physical and cognitive or behavioral methods. Supportive methods are practices that include psychosocial care of the child, such as reading a book or playing games. Physical methods include techniques such as cold application, massage, and transcutaneous electrical nerve stimulation. Cognitive or behavioral methods include practices such as listening to music, daydreaming, relaxation, and various methods of distraction. Cognitive and behavioral approaches typically use the activating or relaxing effects of music for arousal or calming and to enhance the learning of certain skills and behaviors. Music therapy practice reduces pain and anxiety levels by stimulating the pituitary gland. Another method used is the use of kaleidoscope. In the literature, they reported that the use of kaleidoscope is effective in reducing the pain that may occur during blood collection in studies conducted with preschool and school children, children and adolescents, and school-age children. The results show that the kaleidoscope can be used effectively to distract children from the painful procedure and reduce the perception of pain.

Conditions

Pain; Child, Only; Anxiety; Pain, Procedural

Keywords

Anxiety; Blood draw; children; Nursing; Pain; Rainstick; Kaleidoscope

Outcome Measures

Primary Outcomes (1)

• Comparison of Wong-Baker Faces Pain Scale Mean Scores by Groups

  This scale measuring the severity of pain was used in children aged between 3-18 years. In this scale, pain was scored for facial expressions according to numerical values, and the numerical rating of the scale varied between 0 and 10. Facial expressions ranging from smiling (0=very happy/no pain) to crying (10=most painful) indicated emotions.

  It will be evaluated within an average of 5 minutes during the blood collection process.

Secondary Outcomes (1)

• Comparison of Child Anxiety Scale Mean Scores before and during the procedure according to the groups

  It will be evaluated within an average of 3 minutes before the blood draw and an average of 3 minutes during the blood collection process.

Study Arms (2)

RAİNSTİCK

OTHER

In the 1st experimental group, the sound of the rain stick was played to distract attention. The rainstick, used by traditional societies, is a rhythm instrument that makes the sound of rain by moving it up and down. The length of the rain stick made of bamboo is 40 cm. There are spiral-shaped spines inside the tool, which is closed at both ends. It makes the sound of drizzling rain by moving it up and down.

Other: RAINSTİCK

KALEİDOSCOPE

OTHER

In the second experimental group, kaleidoscope was used to distract attention. A kaleidoscope, or kaleidoscope, is a device that sees colorful patterns when looked into. Inside, there are three mirrors adjacent to each other with an inclination of 60 degrees between them. There are pieces of colored glass between the mirrors. When viewed from one end of this binocular, shape-shifting polygons are seen, often with images that will never be the same again. These patterns are created by the reflection of light and change constantly as the binoculars are moved.

Other: KALEİDOSCOPE

Interventions

RAINSTİCK OTHER

When the child, who was taken to Experimental Group 1, sat on the patient's chair, the sound of the rain stick was started to be played 1 minute before the blood draw. At that time, the nurse began to prepare the child for the blood draw. The tourniquet insertion procedure and the determination of the vein from which blood will be drawn from the antecubital region were performed by the nurse. Blood collection was taken from the antecubital region in one go by the same nurse by means of a vacuum blood collection tube, and blood flowed to the vacuum within 5 seconds, showing that the procedure was successful. This process took about 2-3 minutes and the children listened to the sound of rain sticks throughout the process.

RAİNSTİCK

KALEİDOSCOPE OTHER

The child, who was taken into Experimental Group 2, was started to watch the kaleidoscope 1 minute before the blood draw, as he sat on the patient's chair. At that time, the nurse began to prepare the child for the blood draw. The tourniquet insertion procedure and the determination of the vein from which blood will be drawn from the antecubital region were performed by the nurse. Blood collection was taken from the antecubital region in one go by the same nurse by means of a vacuum blood collection tube, and blood flow to the vacuum within 5 seconds showed that the procedure was successful. This process took about 2-3 minutes and children were watched with kaleidoscope throughout the process.

KALEİDOSCOPE

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Must be between 5-12 years old
• There should be no pain before the blood draw procedure
• Should not have a chronic disease that will cause pain Blood should be taken from the antecubital region
• Must be willing to participate in the research

You may not qualify if:

• The transmission barrier
• Wearing glasses
• Involuntary

Sponsors & Collaborators

• Erzincan Binali Yildirim Universitesi: lead

Study Sites (2)

Erzincan Binali Yıldırım University

Merkez, Erzi̇ncan, 24000, Turkey (Türkiye)

Location

Erzincan Binali Yıldırım Üniversitesi

Merkez, Erzi̇ncan, 24000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain; Anxiety Disorders; Pain, Procedural

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Children in the 5-12 age group
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asistant Professor

Study Record Dates

• First Submitted: February 3, 2022
• First Posted: March 21, 2022
• Study Start: April 1, 2022
• Primary Completion: September 1, 2022
• Study Completion: October 10, 2022
• Last Updated: October 20, 2022

Record last verified: 2022-10

Locations

TU (2)