Pediatrik Onkoloji Hastalarında Santral Venöz Kateter Pansuman Değişikliği Sırasında Çizgi Film İzlemenin Ağrı ve Kaygı Üzerine Etkisi: Randomize Kontrollü Bir Çalışma

Year 2026, Volume: 19 Issue: 2 , 257 - 268 , 14.04.2026

Pınar Bekar , Münevver Erkul , Emine Efe

https://doi.org/10.46483/jnef.1597512

https://izlik.org/JA55AU92RC

Abstract

Amaç: Bu çalışmanın amacı pediatrik onkoloji hastalarında santral venöz kateter (SVK) pansuman değişiklikleri sırasında çizgi film izlemenin ağrı ve kaygıyı gidermeye etkisini incelemektir.
Veri Kaynakları: Yaşları 5 ile 12 arasında değişen 80 pediatrik onkoloji hastasıyla paralel, randomize kontrollü bir çalışma yürütüldü. Çocuklar rastgele iki gruba ayrıldı: çizgi film (n = 40) ve kontrol (n = 40). Çocuklar, Wong-Baker FACES Ağrı Derecelendirme Ölçeği'ni kullanarak ağrılarını ve Çocuk Korku Ölçeği'ni kullanarak kaygılarını kendileri bildirdiler. Çocukların oksijen saturasyonu ve kalp atım hızı nabız oksimetresi cihazı kullanılarak değerlendirildi. Araştırmanın klinik araştırma kayıt numarası NCT05301374'tür.
Sonuç: İşlem sırasında ve sonrasında çizgi film grubunda çocukların ağrı, anksiyete puanları ve kalp atım hızları kontrol grubuna göre anlamlı derecede düşüktü. Ancak iki grup arasında oksijen satürasyonu değerlerinde anlamlı bir fark görülmedi.
Hemşirelik Uygulamalarına Yönelik Öneriler: Bu çalışma, pediatrik onkoloji hastalarında SVK pansuman değişimi sırasında çizgi film izlemenin ağrı ve anksiyeteyi gidermede etkili olduğunu göstermiştir. Hemşireler, CVC pansuman değişiklikleri sırasında çocuklarda işleme bağlı ağrı ve kaygıyı hafifletmeye yardımcı olmak için çizgi film dikkat dağıtma yöntemini kullanabilir.

Keywords

anksiyete , santral venöz kateter , onkoloji , ağrı , pediatri

The Effect of Watching Cartoons on Pain and Anxiety During Central Venous Catheter Dressing Changes in Pediatric Oncology Patients: A Randomized Controlled Trial

https://izlik.org/JA55AU92RC

Abstract

Objectives: The purpose of this study was to examine the effect of watching cartoons on relieving pain and anxiety during central venous catheter (CVC) dressing changes in pediatric oncology patients.
Data Sources: A parallel randomized controlled trial was conducted with 80 pediatric oncology patients between 5 and 12 years old. Children were randomly allocated to two groups: cartoon (n = 40) and control (n = 40). Children self-reported their pain using the Wong-Baker FACES Pain Rating Scale and their anxiety using the Children’s Fear Scale. Children’s oxygen saturation and heart rate were evaluated using a pulse oximeter device. The clinical trial registration number of the study is NCT05301374.
Conclusion: Children’s pain and anxiety scores, and heart rates were significantly lower in the cartoon group compared to the control group during and after the procedure. However, no significant difference was seen in oxygen saturation values between the two groups.
Implications for Nursing Practice: This study demonstrated that watching cartoons during CVC dressing changes in pediatric oncology patients is effective on relieving pain and anxiety. Nurses can use the cartoon distraction method to help relieve procedure-related pain an anxiety in children during CVC dressing changes.

Keywords

anxiety , central venous catheter , oncology , pain , pediatric

Ethical Statement

Ethics committee approval was obtained from the Akdeniz university clinical research ethics committee (Date: 18.08.2021, Decision No: KAEK-610), before commencing the study. Written permission was obtained from the hospital where the study was performed. The children and their parent were informed about the study. Children and their parent were also informed that they could withdraw from the study at any time without explanation and their verbal and written consents were obtained. This study was registered in the Clinical Trial Registry (NCT05301374). All procedures performed in studies involving human participants were in accordance with the ethical standards and with the Helsinki Declaration

Supporting Institution

None

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