Effect of Short Film Video and Video-Based Education on Fear, Pain, and Satisfaction of Children Undergoing Day Surgery
Condition: Day Surgery; Fear; Pain; Satisfaction; CHİLDREN
Study type: Interventional

Summary: 
      It is aimed to investigate the effect of introducing the operating room environment with an
      informative video to pediatric patients aged 7-12 in the preoperative period in day surgery
      on pain, fear, and patient and parent satisfaction. In line with this purpose, an answer was
      sought to the question "How did the different education programs given to children who will
      undergo day surgery have an effect on fear, pain and satisfaction?" It will be conducted in a
      single center, parallel group, randomized controlled experimental design. The research will
      be carried out between December 2022 and October 2023 and it is planned to continue for 12
      months. The population of the research will be children between the ages of 7-12 who will
      undergo a day surgery at Tarsus State Hospital, and the sample will be 90 children who meet
      the criteria for inclusion in the research. Considering that there may be case losses, a
      total of 90 children (1st experimental group [watched video training]:30 children, 2nd
      experimental group [provided planned training]: 30 children, control group: 30 children) will
      be included in the sample group. In the collection of research data; Introductory Information
      Form, Numerical Pain Scale, Child Fear Scale, Vital Signs Follow-up Form (Appendix 4) will be
      used. The application will be started after the approval of the ethics committee and the
      written permission of the institution for the research. Statistical package program (SPSS 20)
      will be used in the analysis of the research data.
    

Detailed description: 
      In this study, it is aimed to investigate the effect of introducing the operating room
      environment with an informative video to pediatric patients aged 7-12 in the preoperative
      period in day surgery on pain, fear, and patient and parent satisfaction. It will be
      conducted in a single center, parallel group, randomized controlled experimental design.
      Randomization will be provided by randomly and evenly distributing the patients who meet the
      sample selection criteria into 3 groups (1st experimental group, 2nd experimental group and
      3rd group control group) through a program in the computer environment.
      (http://www1.assumption.edu/users/avadum/applets/RandAssign/GroupGen.html). The application
      will be started after the approval of the ethics committee and the written permission of the
      institution for the research.

      Stage 1: The information content to be included in the video will be determined by the
      researchers, taking the opinions of the experts on the subject, appropriate for the level of
      the child in the 7-12 age group, for daily surgical intervention (about preparation for
      surgery, the operating room environment and the post-operative process), and video content
      will be created. .

      Stage 2: In line with the suggestions from researchers and experts, an informative video will
      be prepared for day surgery (preparation for surgery, operating room environment and the
      post-operative process) appropriate for the level of the child in the 7-12 age group.

      Stage 3: A pilot study will be conducted with 10 children in order to evaluate the data
      collection forms to be used before the research and the suitability of video education for
      children.

      Stage 4: The children in the sample group and their parents will be informed about the method
      followed in practice and the research, and verbal and written consent will be obtained.

      Stage 5: The introductory information form in the research will be applied to the children in
      the sample group.

      Stage 6: Patients who meet the sample selection criteria will be randomly and equally
      distributed into 2 groups (1st experimental group, 2nd experimental control group and 3rd
      group control group) through a program in the computer environment, and randomization will be
      achieved.

      (http://www1.assumption.edu/users/avadum/applets/RandAssign/GroupGen.html). Stage 7: The
      children in the experimental group will be shown an informative video prepared.

      Stage 8: Before the operation, the fear and vital signs of the children in the sample will be
      evaluated.

      Stage 9: In the postoperative period, pain, fear, vital signs of the children in the
      experimental and control groups will be recorded and a questionnaire examining the
      satisfaction status will be applied.

      Written approval from Mersin University Clinical Research Ethics Committee, written
      institutional permission from Tarsus State Hospital, and informed written consent from
      parents and children will be obtained before the research data begins to be collected. The
      population of the research will be children between the ages of 7-12 who will undergo
      outpatient surgery in Tarsus State Hospital, and the sample will be 90 children who meet the
      criteria for inclusion in the research. Randomization was made between the control and
      treatment groups by stratification in terms of children, gender and age variables. According
      to this randomization method, homogeneity is achieved between the groups (Kanik, Taşdelen,
      &amp; Erdoǧan, 2011). The sample of the research was determined by G power power analysis by
      consulting a statistician. In the study, power analysis was performed to determine the number
      of people to work in two groups. The power of the test was calculated with the G*Power 3.1
      program. For the power of the work to exceed 80%; 5% significance level and 0.80 effect
      level; It is necessary to reach a total of 78 people, with a minimum of 26 people in the
      groups (t=2009; Effect size d=0.80). Considering that there may be case losses, a total of 90
      children (1st experimental group [watched video training]:30 children, 2nd experimental group
      [provided planned training]: 30 children, control group: 30 children) will be included in the
      sample group.
    

Intervention name(s): Group watching video; Scheduled training group
Intervention type(s): Other; Other
Intervention description(s): The video will include preparation for the surgery, the operating room environment and the post-operative process.; The scheduled training will include preparation for the surgery, the operating room environment and the post-operative process.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care