This study investigated the effect of showing cartoons or playing music during the procedure on the physiological parameters of pain and fear experienced by children aged 6-12 undergoing tooth extraction treatment.
Pediatric patients are frequently exposed to medical procedures that can cause pain and anxiety. While pharmacological interventions may be used, distraction is a simple and effective technique that diverts children's attention away from distressing stimuli. Distraction is a non-pharmacological pain management technique widely used by healthcare professionals during procedures to reduce pain and distress. It is based on the assumption that by shifting the child's attention to something interesting, their ability to pay attention to painful stimuli is inhibited, thereby reducing pain, distress, and anxiety. However, there are no published studies examining the effect of watching cartoons, listening to music, and the tell-show-do approach during tooth extraction on the physiological parameters, pain, and anxiety of children aged 6-12 years.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
60
Before starting the study, a compilation of children's favorite cartoons specific to their age group was prepared. Based on randomization, children in this group were asked before the procedure which cartoon they would like to watch. During the procedure, a tablet was placed in a position where the child could easily see it. The cartoon started being shown one minute before the procedure. Uninterrupted viewing was ensured throughout the procedure.
Before starting the study, a list of children's favorite music specific to their age group was compiled. Children in this group were randomly assigned to listen to which music from this list before the procedure. Wireless headphones were placed on the child before the procedure. Music began playing one minute prior to the procedure. The child was allowed to listen to music continuously throughout the procedure.
Selcuk University
Konya, Turkey (Türkiye)
Child Identification Information Form
This form was created by researchers based on the literature to determine the identifying characteristics (age, gender, type and duration of treatment, etc.) of a child undergoing dental treatment.
Time frame: Five minutes before the procedure
Physiological Parameter Follow-up Form (Heart rate-min)
This is a form developed by researchers to assess the pulse and oxygen saturation of a child undergoing treatment.
Time frame: Tooth extraction 1 minute ago
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
This is a form developed by researchers to assess the pulse and oxygen saturation of a child undergoing treatment.
Time frame: Tooth extraction 1 minute ago
Wong Baker Facial Pain Rating Scale
The Wong Baker Facial Rating Scale is one of the scales used to assess pain. This scale consists of six facial expressions, rated from 0 to 10 according to the severity of the pain.
Time frame: Tooth extraction 1 minute ago
Child Fear Assessment Scale-Dental Subscale (CFSS-DS)
The CFSS-DS scale consists of 15 questions covering different aspects of dental treatment. It can be used with children aged 4-14 years. It is used to determine children's fear of tooth extraction.
Time frame: Tooth extraction 1 minute ago
Physiological Parameter Follow-up Form (Heart rate-min
This is a form developed by researchers to assess the pulse and oxygen saturation of a child undergoing treatment.
Time frame: 5th minute of the process
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No interventions were performed on the children in this group outside of routine practice.
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
This is a form developed by researchers to assess the pulse and oxygen saturation of a child undergoing treatment.
Time frame: 5th minute of the process
Wong Baker Facial Pain Rating Scale
The Wong Baker Facial Rating Scale is one of the scales used to assess pain. This scale consists of six facial expressions, rated from 0 to 10 according to the severity of the pain.
Time frame: 5th minute of the process
Physiological Parameter Follow-up Form (Heart rate-min)
This is a form developed by researchers to assess the pulse and oxygen saturation of a child undergoing treatment.
Time frame: 1 minute after the procedure
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
This is a form developed by researchers to assess the pulse and oxygen saturation of a child undergoing treatment.
Time frame: 1 minute after the procedure
Wong Baker Facial Pain Rating Scale
The Wong Baker Facial Rating Scale is one of the scales used to assess pain. This scale consists of six facial expressions, rated from 0 to 10 according to the severity of the pain.
Time frame: 1 minute after the procedure
Child Fear Assessment Scale-Dental Subscale (CFSS-DS)
The CFSS-DS scale consists of 15 questions covering different aspects of dental treatment. It can be used with children aged 4-14 years. It is used to determine a child's fear of tooth extraction.
Time frame: 1 minute after the procedure