The Effect of Therapeutic Play Before Dressing on Anxiety and Fear in Children

NCT05790005 | Completed

• 1 other identifier: AMU-SBF-YÖ-01
• Study Type: interventional
• Target: 92
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this experimental study is to determine the effect of therapeutic play method applied to hospitalized children aged 7-12 before the first surgical dressing attempt, on anxiety and fear. Researcher will compare the study and control groups to see if therapeutic play has an effect on anxiety and fear.

Conditions

Anxiety; Fear

Keywords

Anxiety; Fear; Hospitalized Child; Dressings; Play; Operation

Outcome Measures

Primary Outcomes (6)

• Child Anxiety Scale-State Scale

  The scale is shaped like a thermometer with 10 horizontal lines and has a score of 0-10, ranging from calm to very nervous. The child will be asked to mark the anxiety he feels at that moment.

  two hours before the surgical dressing

• Child Anxiety Scale-State Scale

  The scale is shaped like a thermometer with 10 horizontal lines and has a score of 0-10, ranging from calm to very nervous. The child will be asked to mark the anxiety he feels at that moment.

  fifteen minutes before the surgical dressing

• Child Anxiety Scale-State Scale

  The scale is shaped like a thermometer with 10 horizontal lines and has a score of 0-10, ranging from calm to very nervous. The child will be asked to mark the anxiety he feels at that moment.

  immediately after the surgical dressing

• Child fear scale

  The scale consists of five facial expressions that differ from neutral to frightened expressions and scores between 0-4. The child will be asked to choose the facial expression that shows how much the dressing to be applied frightens him.

  two hours before the surgical dressing

• Child fear scale

  The scale consists of five facial expressions that differ from neutral to frightened expressions and scores between 0-4. The child will be asked to choose the facial expression that shows how much the dressing to be applied frightens him.

  fifteen minutes before the surgical dressing

• Child fear scale

  The scale consists of five facial expressions that differ from neutral to frightened expressions and scores between 0-4. The child will be asked to choose the facial expression that shows how much the dressing to be applied frightens him.

  immediately after the surgical dressing

Study Arms (2)

Intervention group

EXPERIMENTAL

A therapeutic play will be played for 20 minutes after the warm-up play for 10 minutes before the first surgical dressing to be applied after the surgery with children in the 7-12 age groups. There will be 46 children in the intervention group.

Other: therapeutic play

Control group

NO INTERVENTION

Therapeutic play will be not played for 20 minutes after the 10-minute warm-up game before the first surgical dressing to be applied after the surgery with children in the 7-12 age group. The routine procedure applied in the service before the dressing process will be applied. There will be 46 children in the control group.

Interventions

therapeutic play OTHER

2 days after the operation, 1 hour before the dressing, a warm-up game will be played with the child in the playroom of the pediatric surgery service, aiming to put the organs prepared by the researcher in their correct places on the picture for the first 10 minutes. Then, the teddy bear, which is given the appearance of an operation area by sewing a zipper on his stomach, will be given to the child and he will be asked to make the first dressing of the teddy bear. therapeutic game, in which the dramatization method is used, will last 20 minutes. During the 30-minute play practice, the child's questions will be answered.

Intervention group

Eligibility Criteria

• Age: 7 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children in the 7-12 age group
• Children who speak and understand Turkish
• Children whose first dressing will be done in the service on the second day after the operation

You may not qualify if:

• Children with hearing, vision and speech problems in themselves or their parents
• Children with a mental disorder in themselves or in their parents
• Children who had circumcision surgery (because the primary dressing was removed and crystallin spray was sprayed on the surgical area and the area was left open)
• Children who should not move before dressing (having hypospadias surgery)
• Children still in the intensive care unit at the time of the first surgical dressing
• Children whose dressing had to be changed before the second postoperative day (wetting, bleeding, opening, etc.)
• Children with previous play therapy experience

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Celal Bayar University Hafsa Sultan Hospital

Manisa, Uncubozköy, 45010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Play Therapy

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Hüsniye Çalışır, Prof. Dr.

  Aydin Adnan Menderes University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: two groups, the Intervention group and the control group.

Study Record Dates

• First Submitted: February 23, 2023
• First Posted: March 29, 2023
• Study Start: April 7, 2023
• Primary Completion: September 15, 2023
• Study Completion: December 27, 2023
• Last Updated: February 13, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)