Clinical trial NCT05320614: Education for Children Who Will Have Planned Surgery With Web-based and Therapeutic Game Method
Official title: 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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Day Surgery
Keywords: Web-based education,
therapeutic play
anxiety
pain
fear
Lead sponsor: Muğla Sıtkı Koçman University
Sponsor class: OTHER
Collaborators: name: Aydin Adnan Menderes University
First posted: 2022-04-11
Enrollment: 78
Sex: ALL
Minimum age (years): 7
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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,

Primary outcomes:
measure: Child Fear Scale:
timeFrame: 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 outcomes:
measure: Yale Modified Preoperative Anxiety Scale Child Form
timeFrame: An evaluation is made by the researcher 30 minutes before the operation and when the anesthesia mask is shown in the operating room.
Other outcomes:
measure: Wong-Baker Facial Pain Scale
timeFrame: An evaluation is made by asking the child to rate his/her pain according to this scale, two hours after he/she comes to the service room after the surgery and before being discharged.
measure: Sleep Disturbance Scale For Children
timeFrame: It is filled ten days after the operation. When the child comes to the check-up ten days after discharge from the hospital, the evaluation is completed by the parent in the polyclinic.
Locations:
city: Muğla
country: Turkey
facility: MSKU
state: Menteşe
city: Muğla
country: Turkey
facility: Derya DEMİR UYSAL
Study officials:
affiliation: Aydin Adnan Menderes University
name: Hüsniye ÇALIŞIR, Prof.Dr
role: STUDY_DIRECTOR
References: