This randomized controlled study aims to evaluate the effect of a drama-based coloring storybook on children's fear, anxiety, and pain management during the perioperative process. The study will be conducted with children aged 6-9 years who are scheduled for elective surgery. Participants will be randomly assigned to either an intervention group receiving the drama-based coloring storybook or a control group receiving routine preoperative care. Levels of fear, anxiety, and pain will be assessed using validated measurement tools at predefined perioperative time points. The findings are expected to contribute to evidence-based, child-centered perioperative care practices.
This study is a randomized controlled trial designed to examine the effectiveness of a drama-based coloring storybook intervention in reducing fear and anxiety and improving pain management in children during the perioperative process. The study population consists of children aged 6-9 years undergoing elective surgical procedures. Participants will be randomly allocated to either an intervention group or a control group. Children in the intervention group will receive a drama-based coloring storybook titled "Alican's Brave Journey", which introduces the perioperative process through age-appropriate language, illustrations, and interactive coloring activities. The storybook will be administered in the preoperative period by the researcher. The control group will receive routine preoperative care provided by the hospital. Children's fear, anxiety, and pain levels will be measured using validated assessment tools at preoperative and postoperative stages. The study aims to provide evidence on the effectiveness of drama-based educational materials in pediatric perioperative care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
72
Children aged 6-9 years in the experimental group receive a drama-based coloring storybook before surgery. The storybook, titled "Alican's Brave Journey," is designed to prepare children for the perioperative process through age-appropriate storytelling, coloring activities, and dramatic elements. The intervention is administered once during the preoperative period under the supervision of the researcher and aims to reduce preoperative fear, anxiety, and perceived pain.
Preoperative Anxiety Level in Children
Preoperative anxiety will be assessed using the Modified Yale Preoperative Anxiety Scale - Short Form (mYPAS-SF), a validated observational scale consisting of 22 items across five domains: activity, speech, emotional expressivity, state of arousal, and interaction with family members. Total scores range from 23.33 to 100, with higher scores indicating greater anxiety.
Time frame: One hour before surgery and 10 minutes before surgery (prior to anesthesia induction)
Fear Level in Children
Fear levels will be assessed using the Children's Fear Scale (CFS), a validated self-report scale for children. The scale consists of five facial expressions scored from 0 to 4, with higher scores indicating greater fear.
Time frame: One hour before surgery, 10 minutes before surgery (prior to anesthesia induction), and one hour after surgery
Postoperative Pain Level in Children
Postoperative pain will be assessed using the Wong-Baker FACES Pain Rating Scale, a validated self-report pain scale for children. The scale ranges from 0 to 5, where 0 indicates no pain and 5 indicates the worst pain. Higher scores indicate greater pain intensity
Time frame: One hour after surgery
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