The Effect of Inhaler Treatment with a Therapeutic Nebulizer Designed with 3D Printing Technology on Children’s Psychosocial Symptoms

Yıl 2023, Cilt: 7 Sayı: 3, 74 - 94, 19.01.2024

Nurten Arslan Meltem Kürtüncü

https://doi.org/10.33716/bmedj.1359832

Öz

Objective: This research was carried out with the aim of minimizing psychosocial symptoms such as fear, anxiety and crying by hospitalized children undergoing inhaler treatment with a nebulizer developed with three-dimensional printing technology, and to examine the effect of this method on parental satisfaction.
Methods: The study is of experimental design. 44 children between the ages 2-7 receiving inhaler therapy with a nebulizer and their parents were recruited into the experimental and control groups. The researchers collected the data with “Scale for Identifying Psychosocial Symptoms in Hospitalized Children” and the “PedsQL Healthcare Satisfaction Scale.”
Results: In the experimental group, 81.8 percent of the children being treated with a three-dimensional printing therapeutic device who had previously received treatment in the same way were not fearful, while 27.3 percent of those being treated with a standard type of nebulizer in the control group were unafraid (X2=24.246; p<0.001). While those who were not crying at the time of their therapy made up 71.9% in the experimental group (X2=28,686; p<0.001). The t-test performed to compare the pre- and posttests in the experimental group revealed a significant difference of p=0.002.
Conclusions: It was concluded that inhaler therapy administered with a therapeutic nebulizer designed with three-dimensional printing technology reduced psychosocial symptoms and positively impacted parental satisfaction. This study highlights that was carried out with the aim of minimizing psychosocial symptoms by hospitalized children undergoing inhaler treatment with a nebulizer developed with three-dimensional printing technology.

Anahtar Kelimeler

Child, Inhalers, Hospitalization, Psychosocial Symptom, Three-Dimensional Printing, Therapeutics

Proje Numarası

Yoktur.

3D Baskı Teknolojisi İle Tasarlanan Terapötik Nebülizatör Cihazı İle Yapılan İnhaler Tedavinin Çocukların Psikososyal Semptomlarına Etkisi

Öz

Objective: This research was carried out with the aim of minimizing psychosocial symptoms such as fear, anxiety and crying by hospitalized children undergoing inhaler treatment with a nebulizer developed with three-dimensional printing technology, and to examine the effect of this method on parental satisfaction.
Methods: The study is of experimental design. 44 children between the ages 2-7 receiving inhaler therapy with a nebulizer and their parents were recruited into the experimental and control groups. The researchers collected the data with “Scale for Identifying Psychosocial Symptoms in Hospitalized Children” and the “PedsQL Healthcare Satisfaction Scale.”
Results: In the experimental group, 81.8 percent of the children being treated with a three-dimensional printing therapeutic device who had previously received treatment in the same way were not fearful, while 27.3 percent of those being treated with a standard type of nebulizer in the control group were unafraid (X2=24.246; p<0.001). While those who were not crying at the time of their therapy made up 71.9% in the experimental group (X2=28,686; p<0.001). The t-test performed to compare the pre- and posttests in the experimental group revealed a significant difference of p=0.002.
Conclusions: It was concluded that inhaler therapy administered with a therapeutic nebulizer designed with three-dimensional printing technology reduced psychosocial symptoms and positively impacted parental satisfaction. This study highlights that was carried out with the aim of minimizing psychosocial symptoms by hospitalized children undergoing inhaler treatment with a nebulizer developed with three-dimensional printing technology.

Anahtar Kelimeler

Çocuk, İnhaler, Hastaneye Yatış, Psikososyal Semptom, 3D Baskı Teknolojisi, Tedavi

Etik Beyan

HERHANGİ BİR ETİK ÇIKAR ÇATIŞMASI YOKTUR.

Destekleyen Kurum

Yoktur.

Proje Numarası

Yoktur.

Teşekkür

Yazarlar tüm katılımcılara teşekkür eder.

Kaynakça

• Ibfelt T, Engelund EH, Schultz AC, Andersen LP. Effect of cleaning and disinfection of toys on infectious diseases and micro-organisms in daycare nurseries. J Hosp Infect 2015; 89(2): 109-115.
• Kurtuncu M, Arslan M, Yaylacı B, Eyupoğlu N. Sağlıkta gelişen teknoloji: üç boyutlu yazıcılar. Int J 3D Printing Technol Digital Indust 2018; 2(2): 99-110.
• Svendsen EJ, Bjork IT. Experienced nurses' use of non-pharmacological approaches comprise more than relief from pain. J Pediatr Nurs 2014; 29(4): 19-28.
• Chen HJ, Hsu Y, Hu YF, Chung YY. Therapeutic play promoting children health management-preschool children aerosol therapy completion rates. IJRMBS 2014; 1(1): 88-92.
• Potasz C, Varela MJVD, Carvalho LCD, Prado LFD, Prado GFD. Effect of play activities on hospitalized children's stress: a randomized clinical trial. Scand J Occup Ther 2013; 20(1): 71-79.
• Alhaider SA, Alshehri HA, Al-Eid K. Replacing nebulizers by MDI-spacers for bronchodilator and inhaled corticosteroid administration: Impact on the utilization of hospital resourcesInt J Pediatr Adolesc Med 2014; 1(1): 26-30.
• Capurso M, Pazzagli C. Play as a coping strategy?: A review of the relevant literature. Child Health Care 2016; 45(1): 39-66.
• Lulgjuraj D, Maneval RE. Unaccompanied Hospitalized Children: An Integrative Review. J Pediatr Nurs 2020; 56: 38-46.
• Deneault AA, Bureau JF, Yurkowski K, Moss E. Validation of the Preschool Attachment Rating Scales with child-mother and child-father dyads. Attach Hum Dev 2020; 22(5): 491-513.
• Paladino CM, Carvalho RD, Almeida, FDA. Therapeutic play in preparing for surgery: behavior of preschool children during the perioperative period. Rev Esc Enferm USP 2014; 48(3): 423-429.
• Buclkey T, Gordon C. The effectiveness of high fidelity simulation on medical surgical registered nurses' ability to recognise and respond to clinical emergencies. Educ Today 2011; 31(7): 716-721.
• Olivieri LJ, et al. “Just-İn-Time” simulation training using 3-D printed cardiac models after congenital cardiac surgery. World J Pediatr Congenit Heart Surg 2016; 7(2): 164-168.
• Kalaycıoğlu O, Akhanlı SE. Sağlık araştırmalarında güç analizinin önemi ve temel prensipleri: Tıbbi çalışmalar üzerinde uygulamalı örnekler. Turk J Public Health 2020; 18(1): 103-112.
• Üstün G, Erşan E, Kelleci M, Turgut H. Hastanede yatan çocuklarda psikososyal semptomların bazı değişkenler açısından incelenmesi. Cumhuriyet Med J 2014; 36(1): 25-33.
• Varni JW, Burwinkle TM, Seid M. The PedsQL™ as a pediatric patient-reported outcome: Reliability and validity of the PedsQL™ Measurement Model in 25,000 children. Expert Rev Pharmacoecon Outcomes Res 2005; 5(6): 705-719.
• Ulus B, Kublay G. Pedsql Sağlık Bakımı Ebeveyn Memnuniyet Ölçeğinin Türkçe'ye uyarlanması. Acıbadem Üniv Sağlık Bilim Derg 2012; 20(1): 44-50.
• Astin F, Carroll DL, Ruppar T, Uchmanowicz I, Hinterbuchner L, Kletsiou E, ... & Ketchell A. A core curriculum for the continuing professional development of nurses: developed by the education committee on behalf of the council on cardiovascular nursing and allied professions of the ESC. Eur J Cardiovasc Nurs 2005; 14(3): 190-197.
• Nijhof SL, Vinkers CH, van Geelen SM, Duijff SN, Achterberg EM, Van Der Net J, ... & van der Brug AW. Healthy play, better coping: The importance of play for the development of children in health and disease. Neurosci Biobehav Rev 2018; 95: 421-429.
• Yanık M, Ayyıldız TK. Nebülizatör Tedavisi Alan Üç-Altı Yaş Grubu Çocuklarda Oyuncak Tipi Nebülizatör ile Verilen Eğitimin Etkinliğinin Değerlendirilmesi. Turkiye Klinikleri Journal of Pediatrics 2019; 28(1): 7-18.
• Kırkan Ç, Kahraman A. Effect of therapeutic play using a toy nebulizer and toy mask on a child's fear and anxiety levels. J Pediatr Nurs 2023; 73: e556-e562.
• Silva MPC, Belisario MS. Rocha NHG, Ruiz MT, do Amaral Rocha JB, Contim D. Using therapeutic toy for administering by inhalation in pre-schools/O uso do brinquedo terapeutico na administracao por inalacao em pre-escolares/El uso de juguete terapeutico para administracion por inhalacion en preescolares. Rev enferm UERJ, Rio de Janeiro, 2020; 28: e48443.
• Sağlık DS, Çağlar S. The effect of parental presence on pain and anxiety levels during invasive procedures in the pediatric emergency department. J Emerg Nurs 2019; 45(3): 278-285.
• Silva SGTD, Santos MA, Floriano CMDF, Damião EBC, Campos FVD, Rossato LM. Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial. Rev Paul Enferm 2017; 70(6): 1244-1249.
• Reijneveld SA, Vogels AG, Hoekstra F, Crone MR. Use of the Pediatric Symptom Checklist for the detection of psychosocial problems in preventive child healthcare. BMC Public Health 2006; 6(1): 197-205.
• Jones J, Nowacki AS, Greene A, Traul C, Goldfarb J. Investigating parent needs, participation, and psychological distress in the children’s hospital. Hosp Pediatr 2017; 7(7): 1-12.
• Depianti JRB, Melo LDL, Ribeiro CA. Playing to continue being a child and freeing itself from the confinement of the hospitalization under precaution. Escola Anna Nery 2018; 22(2): 1-9.
• Suryawanshi NR, Naregal P, Mohite VR, Karale RB, Hiremath P. Effectiveness of play therapy in reducing stress among the hospitalized children (6-12 years) undergoing surgery in selected hospitals maharashtra. Med Sci 2016; 5(8): 221-224.
• Coşkuntürk AE, Gözen D. The effect of interactive therapeutic play education program on anxiety levels of children undergoing cardiac surgery and their mothers. J Perianesth Nurs 2018; 33(6): 781–789.
• Durak H, Uysal G. The effect of cartoon watching and distraction card on physiologic parameters and fear levels during ınhalation therapy in children: A randomized controlled study. J Trop Pediatr 2021; 67(1): fmab018.
• George C, Solomon J. The attachment doll play assessment: Predictive validity with concurrent mother-child interaction and maternal caregiving representations. Front Psychol 2016; 7(1594): 1-12.
• Teksoz E, Bilgin I, Madzwamuse SE, Oscakci AF. The impact of a creative play intervention on satisfaction with nursing care: A mixed‐methods study. J Spec Pediatr Nurs 2017; 22(1): e12169.
• Kapkin G, Manav G, Muslu GK. Effect of Therapeutic play methods on hospitalized children in Turkey: A Systematic Review. Erciyes Med J 2020; 42(2): 127-142.
• Drayton NA, Waddups S, Walker T. Exploring distraction and the impact of a child life specialist: Perceptions from nurses in a pediatric setting. J Spec Pediatr Nurs 2019; 24(2): e12242.
• Klinnert MD, Kaugars AS, Strand M, Silveira L. Family psychological factors in relation to children's asthma status and behavioral adjustment at age 4. Family process, 2008; 47(1): 41-61.
• Volerman A, Balachandran U, Zhu M, Akel M, Hull A, Siros M, ... & Press VG. Evaluating inhaler education interventions for hospitalized children with asthma: A randomized controlled trial. Ann Allergy Asthma Immunol 2023; 27(5): e12910.
• Fisher MJ, Broome ME. Parent–provider communication during hospitalization. J Pediatr Nurs 2011; 26(1): 58-69.
• Cimke S. Mothers' participation in the hospitalized children's care and their satisfaction. Int J Caring Sci 2017; 10(3): 1643-1651.