Application of Nurse-Patient Interaction Model Based on Animated Cartoons in Postoperative Analgesia for Preschool Children With Congenital Heart Disease.

NCT07319260 | Completed DMC

• 2 other identifiers: BeijingChildrens xinwai［2024］-Y-199-D
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

I. Research Objective To verify the efficacy of an animated nurse-patient interaction model in alleviating postoperative pain in children with congenital heart disease, optimize non-pharmacological analgesic nursing processes for children post-surgery, and improve family nursing satisfaction. II. Research Subjects Thirty-five children aged 3-7 years who underwent curative surgery for congenital heart disease were selected and randomly divided into an observation group and a control group, each consisting of 35 cases.

• Inclusion criteria: Normal cognitive function, admitted to the intensive care unit post-surgery, and family informed consent obtained.
• Exclusion criteria: Concurrent severe organ or neurological diseases, occurrence of severe postoperative complications, or resistance to animated intervention. III. Research Methods
• Intervention Measures
• Control group: Implemented routine postoperative pain management for congenital heart disease (pharmacological analgesia + basic nursing).
• Observation group: On the basis of routine nursing, preoperative assessment of children's animated preferences was conducted. Appropriate-age animations were played 15-30 minutes per session, 3-4 times per day when the child's vital signs were stable post-surgery. Nurses synchronized interactive activities, and pain was assessed every 2 hours, with intervention strategies adjusted based on scoring.
• Observation Index
• Statistical Analysis: SPSS 26.0 software was used. t-test was performed for measurement data, and χ² test was performed for counting data. P \< 0.05 was considered as statistically significant difference.

Conditions

A Study on the Effect of Animation-based Nurse-Patient Interaction Model on Postoperative Pain in Children With Congenital Heart Disease

Outcome Measures

Primary Outcomes (2)

• Postoperative Pain Assessment in Children with Congenital Heart Disease

  Pain scores at 1 hour, 6 hours, 24 hours, and 48 hours after extubation

  1 hours after tube removal to 48 hours after surgery

• Pain Assessment

  This study used the Wong-Baker FACES Pain Rating Scale for pain assessment in children. The Wong-Baker FACES Pain Rating Scale was originally developed by Donna Wong and Dr. Connie Baker for measuring children's pain. It was later revised to form the FPS-R scale. This method began to be used in clinical assessment in 1990. It uses six facial expressions ranging from smiling to crying to represent different degrees of pain. During assessment, the child only needs to select one expression that represents their pain level (see Figure 1 for details). The total score is 10 points, where 0-3 indicates no pain or mild pain; 4-7 indicates moderate pain; and 8-10 indicates severe pain. This scale has a wide range of applications, suitable for children of all ages, does not require the child to have a specific cultural background, and is easy to master. Studies by Garra et al.have validated the effectiveness of the Wong-Baker FACES Pain Rating Scale. Studies by Newman et al.

  The responsible nurse used the Wong-Baker Facial Expression Scale to assess pain at 1 hour, 6 hours after tube removal, 24 hours, and 48 hours post-operation, and recorded the scores on the corresponding assessment forms. The researchers reviewed these a

Study Arms (1)

Based on the nurse-patient interaction model in animated cartoons

EXPERIMENTAL

Establish an animation database: Since children of different ages prefer different cartoons, and considering that each child has different individual psychological characteristics, each child likes different cartoons. When using cartoons, to ensure that the cartoons have a certain level of appeal to the children and capture each child's attention, the research team established an animation database before the intervention group was implemented. This allows nursing staff to watch and select the 3 favorite cartoons with the child before the procedure.They were cared for by the same group of nursing staff as the control group, but before the intervention, during the interval period, the researchers completed training on the implementation plan of the patient-nurse interaction model based on animated films and the data collection methods for the intervention group.

Other: Routine care

Interventions

Routine care OTHER

Routine care

Also known as: Control group Routine postoperative care

Based on the nurse-patient interaction model in animated cartoons

Eligibility Criteria

• Age: 3 Weeks - 7 Weeks
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children diagnosed with CHD and treated with surgical intervention according to the 'Pediatric Congenital Heart Disease Diagnosis and Treatment Guidelines' and echocardiographic images \[100\];
• Age between 3 to 7 years, including 3 years and 7 years;
• Surgical procedure is thoracotomy;
• Diagnosed with ventricular septal defect, atrial septal defect, or atrial septal defect combined with ventricular septal defect, patent ductus arteriosus, or tetralogy of Fallot;

You may not qualify if:

• Children diagnosed with CHD and treated with surgical intervention according to the 'Pediatric Congenital Heart Disease Diagnosis and Treatment Guidelines' and echocardiographic images \[100\];
• Age between 3 to 7 years, including 3 years and 7 years;
• Surgical procedure is thoracotomy;
• ④ Diagnosed with ventricular septal defect, atrial septal defect, or atrial septal defect combined with ventricular septal defect, patent ductus arteriosus, or tetralogy of Fallot;

Sponsors & Collaborators

• Beijing Children's Hospital: lead

Study Sites (1)

Study on the effect of cartoon nurse-patient interaction mode on postoperative pain in children with congenital heart disease

Beijing, China

Location

Related Publications (1)

• Chen Y, Guo Y, Zhu YB, Kang X, Liu JH. Animation-Based Caregiver-Patient Interaction Model for Postoperative Pain Management in Preschool Children with Congenital Heart Disease. J Vis Exp. 2026 Mar 13;(229). doi: 10.3791/69592.

  PMID: 41911211 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 9, 2025
• First Posted: January 6, 2026
• Study Start: August 22, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: January 6, 2026

Record last verified: 2025-12

Locations

CN (1)