Effect of Cartoon and Storytelling on the Children's Fear and Anxiety Levels During Inhalation Therapy With Nebulizer in Emergency Department

NCT07029633 | Completed

• 1 other identifier: PamU
• Study Type: interventional
• Target: 99
• Locations: 1 country
• Sites: 1

Brief Summary

Inhalation therapy with a nebulizer is a non-invasive and easy-to-use technology. However, the use of masks and the loud, unpleasant sound of the nebulizer can cause fear and anxiety in children. For nebulizer inhalation therapy to be effective, it is important to reduce children's fear and anxiety and to increase their compliance with treatment. Simple and inexpensive distraction methods can be used to achieve this. The results show that cartoon and storytelling methods reduce fear and anxiety in children undergoing inhalation therapy with the nebulizer.

Conditions

Distraction Methods; Child

Keywords

anxiety; child; fear; cartoon; storytelling

Outcome Measures

Primary Outcomes (4)

• fear level

  The Child Fear Scale (CFS) was used children's fear level

  15-30 minute

• anxiety level

  To determite anxiety level of children The Children's Anxiety Meter-State (CAM-S) was used.

  15-30 minute

• crying duration

  The crying duration of the children during the procedure was measured and recorded by the researchers with a stopwatch.

  15-30 minute

• Cardiorespiratory rates:

  Children's respiration rate was measured by observation, pulse rate and SPO2 levels were measured by finger pulse oximeter.

  15-30 minute

Study Arms (3)

Group 1

EXPERIMENTAL

To reduce fear and anxiety in the children in this group, the storytelling method was used by the parents during the nebulizer treatments.

Other: storytelling

Group 2

EXPERIMENTAL

During nebulizer treatments, children in this group collaboratively chose cartoons on YouTube with their parents and watched them on phones using the hospital's internet.

Other: cartoon

Group 3

NO INTERVENTION

No intervention was performed on the children in the control group to reduce fear and anxiety related to inhalation therapy with a nebulizer.

Interventions

storytelling OTHER

to distract telling a story

Group 1

cartoon OTHER

to distract watching a cartoon

Group 2

Eligibility Criteria

• Age: 5 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children between 5 and 8 years old, who received inhalation therapy with a nebulizer for the first time, had no communication problems, and gave consent were included in the study.

You may not qualify if:

• Children who had vision, hearing, and comprehension problems, mental and neurological diseases, life-threatening diseases, those who used any medication with sedative effects, or those who refused interventions during nebule treatment were not included in the study.

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Sibel Serap Ceylan

Denizli, Pamukkale, 20000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

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: Associate professor, PhD, RN

Model Details: randomized controlled

Study Record Dates

• First Submitted: June 11, 2025
• First Posted: June 19, 2025
• Study Start: January 2, 2023
• Primary Completion: October 15, 2023
• Study Completion: October 30, 2023
• Last Updated: June 19, 2025

Record last verified: 2025-06

Locations

TU (1)