Fear, Pain, Acute
Conditions
Brief summary
This study aim to evaluate the effect of puppet show applied during subcutaneous injection to children aged 3-7 years with leukemia on the level of pain and fear experienced by children due to the intervention.
Detailed description
Before and during subcutaneous injection administration to the children in the study group There will be a puppet show. No distraction method will be applied to the children in the control group and the clinical A subcutaneous injection will be administered in accordance with the routine. Pain and fear assessment of children in both groups will be evaluated by the clinical nurse during the intervention.
Interventions
puppet show to the child before and during subcutaneous application
Sponsors
Study design
Intervention model description
Randomised
Eligibility
Inclusion criteria
* Child \<3 and \>7 years old * Medically unstable (dehydration, septic shock, sedation) * Children who are being treated for leukemia in the Pediatric Hematology Service will be included in the study.
Exclusion criteria
* Not exposed to any other interventional procedure before (same day) subcutaneous intervention * Not expressing any pain before subcutaneous intervention * Heart rate to be within age-appropriate limits * Wong-Baker Pain Rating Scale score of 0 in the evaluation performed before the subcutaneous intervention (5 minutes ago) * Having a disability that cannot perceive the attempt and communicate (down syndrome, speech disorder, visual impairment) * The child and family do not know Turkish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| procedure-related pain with Wong Baker Pain Rating Scale | change from Wong Baker Pain Rating Scale (5 minutes before the subcutaneous injection, 5 minutes after subcutaneous injection) | pain assessment with Wong Baker Pain Rating Scale by child |
| procedure-related fear with Child Fear Scale | change from Child Fear Scale (5 minutes before the subcutaneous injection, 5 minutes after subcutaneous injection) | fear assessment with Child Fear Scale by child and parent |
| procedure-related pain with The FLACC scale or Face, Legs, Activity, Cry, Consolability scale | change from The FLACC scale or Face, Legs, Activity, Cry, Consolability scale (5 minutes before the subcutaneous injection, 5 minutes after subcutaneous injection) | pain assessment with The FLACC scale or Face, Legs, Activity, Cry, Consolability scale by nurse |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | change from the heart rate at 10 minutes | Heart rate measurement |
Countries
Turkey (Türkiye)