Reducing Anxiety in Children Undergoing Day Surgery

Bilecik Seyh Edebali Universitesi

Status: Completed

Conditions: Child, Only; Surgery; Anxiety

Treatments: Other: distraction cards, kaleidoscope and finger puppet

Study type: Interventional

Funder types: Other

Identifiers

NCT06361069

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Details and patient eligibility

About

Aim: This study was conducted to determine the efficacy of finger puppets, distraction cards and kaleidoscope for reducing anxiety in children undergoing day surgery.

Methods: The study was conducted using the "pre-post test unmatched group model", one of the quasi-experimental methods. The study was conducted between April 2023 and January 2024 with children aged 6-12 years who were admitted to the pediatric clinic of a hospital for day surgery. A total of 85 children (including 20 children in the control group, 22 children in the finger puppet intervention group, 21 children in the distraction cards intervention group, and 22 children in the kaleidoscope intervention group) who were hospitalized in the pediatric clinic between April 2023 and January 2024 and who met the inclusion criteria were included in the study. Descriptive statistics, Mann Whitney U test, Kruskal Wallis and regression analysis were used in the evaluation of the data.

Full description

This study was conducted to determine the efficacy of finger puppets, distraction cards and kaleidoscope for reducing anxiety in children undergoing day surgery. The study was conducted using the "pre-post test unpaired group model", one of the quasi-experimental methods.

The study was carried out from April 2023 to January 2024, involving children aged 6-12 years admitted to the pediatric clinic of a teaching and research hospital for day surgery (tonsillectomy, circumcisio, adenotonsillectomy etc.). Notably, the nursing care provided at the hospital does not incorporate distraction techniques aimed at alleviating anxiety in children.

Sample The sample required for the study was calculated using the G*Power (3.1.9.4) computer program. Based on the Type I error of 5%, Type II error of 99%, SD = 6.20, and Type I error of 5% in the study by Dehghan et al. (2017), the desired effect size for this study was 0.55 and the total required sample size was 64 children (approximately 21 children for each group) (Dehghan et al., 2017). A total of 85 children, comprising 20 children in the control group, 22 in the finger puppet intervention group, 21 in the distraction cards intervention group, and 22 in the kaleidoscope intervention group, was recruited from the pediatric clinic between April 2023 and January 2024, meeting the study's inclusion criteria. Notably, no randomization method was employed in the selection process.

Enrollment: 85 patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children aged 6-12 years
• scheduled for day surgery
• devoid of prior surgical experiences
• willingly consented to participation.

Exclusion criteria

• children undergoing major surgeries (e.g., cardiac procedures)
• emergency surgical interventions
• individuals with mental retardation
• as well as those with visual or auditory impairments.

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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85 participants in 2 patient groups

Control group

No Intervention group

Description:

20 children in the control group

Experimental group

Experimental group

Description:

22 in the finger puppet, 21 in the distraction cards intervention group, and 22 in the kaleidoscope intervention group

Treatment:

Other: distraction cards, kaleidoscope and finger puppet