The goal of this clinical trial is to evaluate whether using a popit toy and a stress ball as distraction methods during inhaled medication administration can reduce anxiety, fear, and negative emotional responses and improve satisfaction in children aged 4-6 years receiving treatment in a pediatric emergency unit. The main questions it aims to answer are: * Does using a popit toy or a stress ball during inhaled medication administration reduce children's anxiety, fear, and negative emotional responses? * Does using a popit toy or a stress ball improve children's satisfaction with the procedure? * Do these distraction methods affect physiological parameters? To determine the effects of these non-pharmacological methods, researchers will compare the Popit toy group, the stress ball group, and the standard control group, which receives no intervention. Researchers compared a pop-it toy group, a stress ball group, and a control group to determine the effects of these non-pharmacological methods. Participants: * Participants were randomly assigned to one of three groups: the pop-it toy group, the stress ball group, or the control group. * They received inhalation therapy according to the standard treatment protocol. * Assessments of anxiety, fear, emotional state, and satisfaction were conducted before and/or after the procedure. * Physiological parameters (heart rate, respiratory rate, oxygen saturation, and body temperature) were measured before and after the administration of the inhalation medication.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
105
Children use a Popit toy as a distraction method beginning approximately 2 minutes before inhaled medication administration and continuing throughout the inhalation procedure.
Children use a stress ball as a distraction method beginning approximately 2 minutes before inhaled medication administration and continuing throughout the inhalation procedure.
Tarsus State Hospital
Mersin, Turkey (Türkiye)
Anxiety levels
State anxiety measured using the Children's Anxiety Scale-State (CAS-S). Higher scores indicate higher anxiety levels.
Time frame: 1 day
Fear levels
Fear assessed using the Children's Fear Scale (CFS). Higher scores indicate greater fear.
Time frame: 1 day
Emotional State levels
Emotional responses assessed using the Children's Emotional Manifestation Scale (CEMS). Higher scores indicate more negative emotional responses
Time frame: 1 day
Satisfaction levels
Children's satisfaction with the inhaled medication procedure measured using the Children's Satisfaction Scale. Higher scores indicate greater satisfaction.
Time frame: 1 day
The child's heart rate
Heart rate measured using a pulse oximeter.
Time frame: 1 day
The child's respiratory rate
Respiratory rate measured before and after the procedure.
Time frame: 1 day
The child's Oxygen Saturation (SpO₂)
Peripheral oxygen saturation measured using a pulse oximeter.
Time frame: 1 day
The child's body temperature
Body temperature measured before and after the procedure.
Time frame: 1 day
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