The Effect of Quantum-Touch on Pain, Fear, and Anxiety of the Children

Study Overview
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Brief Summary
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This research is a randomized controlled experimental study designed to determine the effect of the Quantum-Touch method applied during the vascular access procedure in children aged 7-12 years, on the level of pain, fear and anxiety in children.

Detailed Description
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Quantum-Touch was first described by Richard Gordon and Bob Rasmusson in 1978; it activates life force energy by combining various hand positions, various breathing techniques and body awareness exercises. It is applied by directing the formed high energy field to an area of pain, stress or illness through therapeutic touch. Tully found that Quantum Touch in reducing acute and chronic pain; Walton reported that Quantum-Touch application is effective in chronic musculoskeletal pain. It is important to conduct studies with a high level of evidence investigating the effect of Quantum Touch, which is a non-pharmacological method, on pain, fear and anxiety for children of different age groups, which is easily applied during invasive procedures. Based on this information, in this study, which was planned in a randomized controlled and experimental design, it was aimed to determine the effect of the Quantum-Touch method applied during the vascular access procedure in children between the ages of 7-12 on the level of pain, fear and anxiety in children.

Official Title
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The Effect of Quantum-Touch on Venipuncture Pain, Fear, and Anxiety in Children Aged 7-12 Years Old; Randomized Controlled Study

Conditions
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Pain, Acute, Child Behavior, Anxiety and Fear, Venipuncture Site Reaction, Quantum

Intervention / Treatment
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* Behavioral: Quantum touch


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The child and family agree to participate in the research, The child's being literate, The child is between the ages of 7-12 The child does not have a chronic and mental health problem. No history of sedative, analgesic or narcotic substance use within 24 hours before admission Not having a febrile illness at the time of application Previous vascular access Exclusion Criteria: The child and family do not agree to participate in the research, The child's illiteracy, Having a visual and auditory problem, The child is less than 7 years old or older than 12 years old The child has a chronic and mental health problem Failure to open vascular access in a single attempt Having a phobia of pain

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
Interventional Model Description: this study is an experimental, parallel-group (intervention-control), randomized controlled design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control group<br>children in the control group will be received standard care. Control group children will not receive any distraction techniques. | |
| Experimental: Quantum Touch<br>The children in the quantum touch groups will received quantum touch application during the venipuncture procedure by the expert nurse | Behavioral: Quantum touch<br>* this group by the nurse who is included in the study and who has a practice certificate before vascular access is established. In this process, the treatment process of the patient will continue and will not create an obstacle. While the child is in a comfortable position (lying or sitting position) during the application, the child's back/shoulder/head will be touched by the practitioner and guantum touch energy will be applied. Then, vascular access will be performed by the nurse included in the study. The child will be asked to rate the level of pain during the procedure with 'FPS-R', the level of fear with 'CDS', and the level of anxiety with 'ÇAS-D'.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Faces Pain Scale-Revize (FPS-R | This scale consists of 6 facial expressions graded from 0 to 10 according to the presence and severity of pain, and its use is common in children aged 4-16. FPS-R is a valid and reliable individual expression sensitive scale in painful situations in children. | One minute after the venipuncture procedure | 
| Child Fear Scale | In this scale, the child is shown a picture containing five facial expressions evaluated between 0 and 4. 0 indicates no fear or anxiety; 4 indicates the highest fear and anxiety. These; 0 neutral expression (no anxiety) 1 little fear (very little anxiety) 2 some fear (some anxiety) 3 more fear (more anxiety) 4 highest possible fear (severe anxiety) . | One minute after the venipuncture procedure | 
| Child Anxiety Scale-State | ÇAS-D is similar to a thermometer with a light bulb at the bottom and horizontal lines at intervals that go up. The scale is aimed at children aged 4-10 years. To measure state anxiety (CAS-D), the child is asked to mark what he feels right now. | One minute after the venipuncture procedure |