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Preoperative anxiety arises as a physiological response of the body to stressors and is pathophysiologically associated with stimulation of the autonomic nervous system and increased catecholamine release (Durgut, 2021). As a result, elevated levels of cortisol and epinephrine in the body can cause cytotoxic effects at the cellular level. This physiological mechanism may lead to hypertension, arrhythmia, tachycardia, and tachypnea in children (Dehghan et al., 2019; Durgut, 2021).
Due to these effects, recent evidence-based studies have focused on the use of non-pharmacological approaches with fewer side effects to manage anxiety in children (Kavak et al., 2019). According to the literature, various techniques have been identified as effective interventions for reducing preoperative anxiety in children, including:
Listening to music,
Playing games,
Using dramatic puppets,
Interactive play,
Virtual reality applications,
Watching cartoons,
Playing favorite video games,
Video presentations,
Hospital clowns,
Storybooks,
Visual and auditory stimuli
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Inclusion and exclusion criteria
Inclusion Criteria
Participants were included in the study if they met all of the following conditions:
The child was hospitalized in the pediatric surgical clinic for a planned (elective) surgery,
The child was aged between 4 and 6 years,
The child was scheduled to receive general anesthesia,
Neither the child nor the primary caregiver had any visual, hearing, or cognitive impairments,
The child had no anatomical abnormalities or tissue integrity issues in the feet,
Verbal assent was obtained from the child,
Both parents provided written and verbal informed consent for participation,
Both the child and parents were willing and voluntarily agreed to participate in the study.
Exclusion Criteria
Participants were excluded from the study if any of the following conditions occurred:
Postoperative bleeding tendency developed in the child,
The child required postoperative intensive care,
A high-risk complication developed after surgery,
The child failed to initiate spontaneous respiration postoperatively,
Intraoperative death (exitus) occurred,
The child experienced prolonged unconsciousness due to anesthesia,
The child underwent surgical procedures involving the feet.
Primary purpose
Allocation
Interventional model
Masking
105 participants in 2 patient groups
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Central trial contact
Öznur Tiryaki, Asoss.Prof.
Data sourced from clinicaltrials.gov
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