NCT05588687 - The Effect of Two Distraction Methods on the Level of Pain, Fear and Anxiety in Children | Crick

Overview

The aim of this study is to determine the effect of watching cartoons with virtual reality glasses and tablets applied during the blood collection process on the level of pain, fear and anxiety experienced by children.

Needle procedures applied to children for diagnosis and treatment cause fear, anxiety, and pain. In cases where children's pain and fear cannot be controlled, health professionals and parents may experience feelings of stress, helplessness, and guilt. Many approaches reduce pain and anxiety in children during painful procedures. The most commonly used of these approaches is the distraction technique, also known as the distraction technique, which is constructed with cognitive and behavioral processes. There are many methods used to divert attention. Some of those; watching cartoons, inflating balloons, creating balloons by blowing foam, directing techniques, parent coaching, using virtual reality (VR) glasses, listening to music, kaleidoscope, and using distraction cards. The research is a randomized controlled experimental study designed to determine the effects of two different methods (watching 360-degree cartoons with virtual reality glasses and watching cartoons with a tablet) during the blood collection procedure in children, on the level of pain, fear, and anxiety experienced by children.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

159

Conditions

Pain Anxiety Fear Venipuncture Site Reaction Nursing Caries

Interventions

Virtual realityBEHAVIORAL

Children will watch Ice Age in virtual reality during blood draw and the researcher will monitor their pain, anxiety and fear.

TabletDEVICE

Children will watch Ice Age with a tablet during blood draw and the researcher will monitor their pain, anxiety and fear.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * The child and family agree to participate in the research, * The child is between the ages of 5-12 * The child does not have a chronic and mental health problem. * Not having a visual and hearing disability * No history of sedative, analgesic or narcotic substance use within 24 hours before admission * Not having a febrile illness at the time of application * Absence of a disease causing chronic pain * Being treated in the green area according to the 3-level (red-yellow-green) triage system. * Performing the operation at once Exclusion Criteria: * • The child and family's refusal to participate in the research * Having a visual and auditory problem * The child is less than 5 years old or older than 12 years old * The child has a chronic and mental health problem * Being treated in the red or yellow area according to the 3-level (red-yellow-green) triage system.

Locations (1)

Remziye Semerci

Edirne, Center, Turkey (Türkiye)

Outcomes

Primary Outcomes

Pain assesed by Wong-Baker FACES

Wong-Baker FACES (WB-FACES) Pain Rating Scale used. This scale uses in children aged 3 and older to rate pain severity. This numeric rating scale ranges from 0 to 10. Faces show emotions from smiling (0 = very happy/ no pain) to crying (10 = hurts worst). This scale was assessed using self-report and reports from the parents, the researcher and the nurse who attempted the blood draw after the blood draw procedure in this study.

Time frame: 1 minute before the blood draw procedure

Pain assesed by Wong-Baker FACES

Wong-Baker FACES (WB-FACES) Pain Rating Scale used. This scale uses in children aged 3 and older to rate pain severity. This numeric rating scale ranges from 0 to 10. Faces show emotions from smiling (0 = very happy/ no pain) to crying (10 = hurts worst). This scale was assessed using self-report and reports from the parents, the researcher and the nurse who attempted the blood draw after the blood draw procedure in this study.

Time frame: 1 minute after the blood draw procedure

Procedure Related Fear

The Child Fear Scale (CFS) used. This scale is a one-item self-report measure for measuring pain-related fear in children. This one-item scale consists of five sex-neutral faces. It ranges from a no fear (neutral) face on the far left to a face showing extreme fear on the far right. The rater responds indicates the level of fear. It can be used by the parents and researchers before and during the procedure for children aged 5-10 years.CFS were administered by the researcher to the children to assess their fear levels about blood draw before and after blood draw procedure.

Time frame: 1 minute before the blood draw procedure

Procedure Related Fear

The Child Fear Scale (CFS) used. This scale is a one-item self-report measure for measuring pain-related fear in children. This one-item scale consists of five sex-neutral faces. It ranges from a no fear (neutral) face on the far left to a face showing extreme fear on the far right. The rater responds indicates the level of fear. It can be used by the parents and researchers before and during the procedure for children aged 5-10 years.CFS were administered by the researcher to the children to assess their fear levels about blood draw before and after blood draw procedure.