Anxiety, Pain
Conditions
Keywords
Anxiety, Cancer, Cartoon, Central Venous Catheter, Child, Pain
Brief summary
Many medical interventions, including dressing change of central venous catheters, can cause anxiety and pain in children with cancer. The aim of this study is to determine the effect of cartoon watching technique on anxiety and pain during central venous catheter dressing changes in children with cancer.
Detailed description
This was a parallel randomized controlled trial with 80 children with cancer. They were randomly assigned to one of two groups, including 40 children in the control group and 40 children in the cartoon group. Each child's anxiety was evaluated by the child using the Children's Fear Scale before, during and after central venous catheter dressing changes, and each child's pain during and after the procedure was evaluated by the child using the Wong-Baker Faces Pain Rating Scale. Each child's heart rate and oxygen saturation were measured with a pulse oximeter device before, during and after the procedure. The children in the cartoon group started watching a cartoon of their choice 2 minutes before the procedure and they kept watching until the procedure was ended. No intervention was performed to reduce anxiety and pain for children in the control group. Parent was with their children during the procedure in both groups.
Interventions
BEHAVIORALWatching Cartoon
Children in the cartoon group before the procedure, they chose one of the cartoons predetermined by the researchers. The children in the cartoon group started watching a cartoon of their choice 2 minutes before the procedure and they kept watching until the procedure was ended.
Sponsors
Mehmet Akif Ersoy University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* 5-12 years old * a cancer diagnosis * having a central venous catheter * not having taken any analgesics in the 6 hours before the procedure * not having any visual or auditory problems that prevent watching cartoons * being suitable motor development and cognitive level for watching cartoons * being a child and parent volunteering to participate in the study * the absence of any health problems that prevent communication in the parent and the child
Exclusion criteria
* the reporting of pain for another reason at the time of the central venous catheter dressing changes * being of neutropenia * being in a terminal phase of the disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wong-Baker FACES Pain Rating Scale | 4 MONTHS | Each child's pain during and after the procedure was evaluated with the Wong Baker Faces Pain Rating Scale by the child. The scale consists of faces ranging from no hurt (0) to hurts worst (10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Children's Fear Scale | 4 MONTHS | Each child's anxiety was evaluated with the Children's Fear Scale before, during and after the procedure by the child. It consists of five facial expressions representing a range from no anxiety (0) to severe anxiety (4). |
| Heart Rate | 4 MONTHS | The heart rate and oxygen saturation values of the children in both groups were measured and recorded by the researcher before the procedure, during the procedure and after the procedure using a pulse oximeter device. |
| Oxygen Saturation | 4 MONTHS | The heart rate and oxygen saturation values of the children in both groups were measured and recorded by the researcher before the procedure, during the procedure and after the procedure using a pulse oximeter device. |
Countries
Turkey (Türkiye)
Outcome results
None listed