Education for Children Who Will Have Planned Surgery With Web-based and Therapeutic Game Method

Study Overview
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Brief Summary
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This research was planned to determine the effects of the web-based education given at home to children aged 7-12 in planned surgeries and the therapeutic game method applied in the hospital on pre-operative anxiety and fear, postoperative pain and sleep. This study is a randomized controlled experimental study.

Detailed Description
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Illness and especially hospitalization in the preoperative and postoperative period cause trauma with physiological, emotional and behavioral problems for children. With the help of web-based education and therapeutic game methods by pediatric nurses, anxiety, fear and pain seen in children and families can be reduced and skills to cope with negative emotions can be improved. This research was planned to determine the effects of the web-based education given at home to children aged 7-12 in planned surgeries and the therapeutic game method applied in the hospital on pre-operative anxiety and fear, postoperative pain and sleep. This study is a randomized controlled experimental study. The study is planned to be performed in the pediatric surgery clinic of the Training and Research Hospital. For sample selection, children will be stratified in terms of age variables and divided into two strata as 7-9 years old and 10-12 years old. In order to ensure homogeneity between the groups, children will be selected into the study and control groups using a simple randomization method and a random numbers table. To the children in the study group and their parents; information about the child's surgery, educational brochures including the conditions to be considered before, during and after the operation, during the discharge period, operating room tour, educational games, etc. Training will be given on the website using and a therapeutic game will be played in the game room at the hospital the day before the surgery. The children in the control group and their parents will be given routine care and information about the pre-operative preparation in the service. Descriptive statistics, Chi-square test will be used in the evaluation of the data. A value of p<0.05 will be considered statistically significant.

Official Title
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The Effect Of Web-Based Educatıon And Therapeutıc Game Method Gıven To Chıldren In Planned Surgery On Pre-Surgery Anxıety And Fear On Post-Operatıve Paın And Sleep

Conditions
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Day Surgery

Intervention / Treatment
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* Other: Web-Based Education
* Other: Routine maintenance Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Agreeing to participate in the research, Those who will have a planned surgery between the ages of 7-12, Having and able to use a computer/tablet and internet connection at home, Having the ability to use a computer / tablet, Pediatric patients given written consent by their parents Exclusion Criteria: At least one previous experience of surgery Having communication problems (sight, hearing, mental), Diagnosed with anxiety disorder, Genetic/congenital disease,

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: case 1<br>Case Group:Web-Based Education Information about the operation that the child will undergo; animation films about the hospital, the operating room and the medical equipment to be used; training with presentation including methods of coping with anxiety, fear and pain, postoperative wound care, possible complications in nutrition and nursing care; educational games Education with Therapeutic Play Method Training with the therapeutic game method for 30-45 minutes in the game room in the service one day before the surgery | Other: Web-Based Education<br>* Web-Based Education Information about the operation that the child will undergo; animation films about the hospital, the operating room and the medical equipment to be used; training with presentation including methods of coping with anxiety, fear and pain, postoperative wound care, possible complications in nutrition and nursing care; educational games Education with Therapeutic Play Method Training with the therapeutic game method for 30-45 minutes in the game room in the service one day before the surgery<br>|
| Experimental: control 1<br>Control Group: Explaining the routine care given in the service by the pediatric surgery nurse to the child and parent in the control group. | Other: Routine maintenance Training<br>* Explaining the routine care given to the child and parent in the control group by the pediatric surgery nurse in the service.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child Fear Scale: | This scale is scored between 0-4 based on five different facial expressions, a higher scale score indicates more fear. | On the day of the operation, one hour before the operation, the child is asked to rate his/her fear according to this scale. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Yale Modified Preoperative Anxiety Scale Child Form | This scale has four parameters, each parameter is scored between 0-4, the second parameter is scored between 0-6. A total of minimum 4 and maximum 18 points can be obtained from the scale. High scores indicate high anxiety. | An evaluation is made by the researcher 30 minutes before the operation and when the anesthesia mask is shown in the operating room. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Web-based education,, therapeutic play, anxiety, pain, fear