Stress Ball and Video Distraction During Pediatric Enema

Manisa Celal Bayar University72 enrolled

Overview

This randomized controlled trial aims to evaluate the effects of stress ball use and video distraction during enema administration on fear, anxiety, and pain levels in children treated in the pediatric emergency department. Children aged 6-12 years will be randomly assigned to either the stress ball group or the video distraction group. Fear, anxiety, and pain will be assessed using validated measurement tools before, during, and after the procedure. The findings are expected to provide evidence for effective non-pharmacological interventions to improve children's comfort during enema administration.

This randomized controlled trial aims to determine the effects of stress ball use and video distraction during enema administration on fear, anxiety, and pain levels in children aged 6-12 years treated in the pediatric emergency department. A total of 72 children will be randomly assigned to either the stress ball group or the video distraction group using block randomization. Fear, anxiety, and pain will be assessed using the Child Fear Scale (CFS), the Children's Anxiety Scale-State (CAS-S), and the Wong-Baker FACES Pain Rating Scale. The findings of this study are expected to provide evidence for effective non-pharmacological interventions to improve children's comfort during enema administration. The study will be conducted at the Pediatric Emergency Department of Manisa Merkez Efendi State Hospital.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Constipation - Functional

Eligibility

Sex: ALLMin age: 6 YearsMax age: 12 Years

Medical Language ↔ Plain English

Children aged 6-12 years Admitted to the pediatric emergency department Scheduled for enema administration due to functional constipation or abdominal distension Able to communicate in Turkish No cognitive or neurological impairment No diagnosis of attention-deficit/hyperactivity disorder No analgesic medication use within the previous 6 hours Written informed consent provided by the parent or legal guardian and assent provided by the child Exclusion Criteria: Acute abdominal conditions requiring emergency surgery Diagnosis of Hirschsprung disease or inflammatory bowel disease Severe visual or hearing impairment that prevents participation Refusal of the child or parent to participate Inability to complete the study procedures

Outcomes

Primary Outcomes

Fear Level

Fear level measured using the Child Fear Scale (CFS). Fear will be assessed using the Child Fear Scale (CFS). The scale ranges from 0 to 4, with higher scores indicating greater fear and a worse outcome.

Time frame: Before and immediately after enema administration.

Anxiety Level

Anxiety level measured using the Children's Anxiety Scale-State (CAS-S). Anxiety will be assessed using the Children's Anxiety Scale-State (CAS-S). The scale ranges from 0 to 10, with higher scores indicating greater anxiety and a worse outcome.

Time frame: Before and immediately after enema administration.

Pain Level

Pain level measured using the Wong-Baker FACES Pain Rating Scale. Pain will be assessed using the Wong-Baker FACES Pain Rating Scale. The scale ranges from 0 to 10, with higher scores indicating greater pain intensity and a worse outcome.

Time frame: Immediately after enema administration