The Effect of Therapeutic Play Applied by Using Toy Nebulizer and Toy Mask on Child's Fear and Anxiety Level

Study Overview
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Brief Summary
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In this study, it was aimed to examine the effect of therapeutic play applied with a toy nebulizer and toy mask before inhaler treatment on children's fear and anxiety. It is the hypothesis of the study that the therapeutic play applied by using a toy mask and a toy nebulizer before inhaler treatment in children will reduce the child's fear and anxiety.

Detailed Description
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Acute diseases constitute the majority of applications made to pediatric emergency services. Inhaled drugs are frequently used in the treatment of childhood acute respiratory system diseases. Nebulizers are the preferred method of administering inhaled drugs. Medical procedures are one of the biggest fears of children, making it difficult to use nebulizers correctly and effectively. The negative reaction of the child to the mask and nebulizer during inhaler treatment causes incorrect inhalation patterns, reducing the safety and effectiveness of the treatment. This causes difficulties in relieving symptoms, increased hospital admission and hospitalization time, more treatment costs, and even negative consequences such as increased morbidity. Reducing the fear and anxiety seen in children due to the hospital environment and illness is important in terms of children's acceptance of the treatment process. One of the methods used for this purpose is therapeutic play. Pediatric nurses should fulfill their nursing roles and responsibilities by including therapeutic play in their care processes.

Official Title
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The Effect of Therapeutic Play Applied by Using Toy Nebulizer and Toy Mask on Child's Fear and Anxiety Level

Conditions
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Therapeutic Play, Anxiety, Fear

Intervention / Treatment
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* Combination Product: toy nebulizer and toy mask


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent and child volunteering to participate in the study, The child is between the ages of 3-8, Being admitted due to respiratory system disease, Inhaler treatment with a nebulizer will be applied. Exclusion Criteria: Parent and child not voluntarily participating in the study, Intravenous, intramuscular or any other treatment request, The child has any genetic, congenital, chronic or metabolic disease, The child has vision, hearing and speech problems, The child's vital signs are unstable (no fever, tachypnea, etc.) and the need for any emergency intervention.

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 8 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
Interventional Model Description: The population of the randomized controlled experimental study was composed of children aged 3-8 years who applied to the pediatric emergency department due to respiratory system disease.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Routine Treatment Group<br>Inhaler treatment was applied according to the routine procedure in the emergency department. | |
| Experimental: Therapeutic Play Group<br>Inhaler treatment was applied according to the Therapeutic Play Guide prepared by the researcher. | Combination Product: toy nebulizer and toy mask<br>* The treatment was administered using therapeutic play.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reducing the child's fear | Reducing the child's fear during inhaler treatment | during inhaler treatment | 
| Reducing the child's anxiety | Reducing the child's anxiety during inhaler treatment | during inhaler treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reducing the Child Fear Scale score | The Child Fear Scale (CFS) used. This one-item scale consists of five sex-neutral faces. It ranges from a no fear (neutral) face on the far left to a face showing extreme fear on the far right. The rater responds indicates the level of fear. Scores range from 0 to 4. | shortly after inhaler treatment | 
| Reducing the Child Anxiety Scale-Stateness score | The Children's Anxiety Meter (CAM) used. It assesses children's anxiety in clinical settings and uses before medical procedures. The CAM is drawn like a thermometer with a bulb at the bottom, also includes horizontal lines at intervals going up to the top. Children are asked to mark how he/she feel right now to measure state anxiety. Scores range from 0 to 10. | shortly after inhaler treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Toy Mask, Toy Nebulizer, Child, Nurse