Peripheral Intravenous Catheterization, Procedure-Related Fear, Procedure-Related Pain, Venipuncture
Conditions
Keywords
Pediatric, Children, Magic Show, Distraction, Nonpharmacological Intervention, Pain, Fear, Venipuncture, Peripheral Intravenous Catheterization, Wong-Baker FACES Pain Rating Scale, Children's Fear Scale, Puppet, Kuco
Brief summary
Children frequently experience pain and fear during invasive procedures such as venipuncture and peripheral intravenous catheter insertion. These experiences may negatively affect children's cooperation during procedures and increase anxiety related to future healthcare encounters. Non-pharmacological distraction techniques are recommended to reduce procedure-related pain and fear in pediatric patients. This randomized controlled trial aims to evaluate the effect of a standardized magic show featuring "Kuco" on pain and fear experienced by children during invasive procedures. Eighty children aged 5-8 years who require venipuncture or peripheral intravenous catheter insertion will be randomly assigned to either an intervention group or a control group. Children in the intervention group will receive a standardized magic show performed with the "Kuco" puppet before and throughout the invasive procedure, whereas children in the control group will receive routine clinical care only. Pain and fear will be assessed immediately before and after the procedure using the Wong-Baker FACES Pain Rating Scale and the Children's Fear Scale. The findings are expected to provide evidence regarding the effectiveness of a magic show-based distraction intervention for reducing procedure-related pain and fear in children.
Interventions
BEHAVIORALKuco Magic Show
Participants assigned to the intervention group will receive a standardized magic show featuring the "Kuco" puppet as a behavioral distraction technique before and throughout the invasive procedure (venipuncture or peripheral intravenous catheter insertion). The intervention will be delivered by a trained researcher using a standardized protocol that includes interactive magic tricks and verbal engagement to maintain the child's attention during the procedure. The magic show will begin approximately 2 minutes before the procedure and continue until the procedure is completed, in addition to routine clinical care.
Sponsors
Inonu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* Children aged 5 to 8 years. * Requiring venipuncture or peripheral intravenous catheter insertion in the pediatric emergency department, pediatric blood collection unit, or pediatric day-care unit. * Able to communicate in Turkish. * Conscious and able to respond to the study scales. * No visual or hearing impairment that would interfere with participation in the intervention or outcome assessment. * Parent or legal guardian provides written informed consent, and the child provides assent when appropriate.
Exclusion criteria
* Presence of a chronic psychiatric or neurological disorder. * Presence of a severe chronic medical condition that may affect pain or fear perception. * Administration of analgesic, sedative, or anxiolytic medication before the procedure. * Previous participation in this study. * Child or parent refuses to participate or withdraws consent at any stage of the study. * Failure to complete the invasive procedure or the study assessments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedure-Related Pain | Immediately before and within 1 minute after the invasive procedure. | Pain intensity will be assessed using the Wong-Baker FACES Pain Rating Scale immediately before and within 1 minute after the invasive procedure. The scale ranges from 0 to 10, with higher scores indicating greater pain intensity. |
| Procedure-Related Fear | Immediately before and within 1 minute after the invasive procedure. | Fear will be assessed using the Children's Fear Scale immediately before and within 1 minute after the invasive procedure. The scale ranges from 0 to 4, with higher scores indicating greater fear. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORAbdullah Sarman, Associate Professor
Bingöl University, Faculty of Health Sciences, Department of Pediatric Nursing
Outcome results
None listed