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The Effect of Play Dough Activities Before the Venipuncture Procedure on Pain and Anxiety Level in Children: A Randomized Controlled Study

Yıl 2025, Cilt: 14 Sayı: 1, 164 - 171, 28.03.2025

Öz

Objective: The aim of this study was to determine the effect of play dough activities applied before the venipuncture procedure on pain and anxiety levels in children. Materials and Methods: The study was a randomized controlled trial. The sample of the study is consisted of 68 children (experimental group=34; control group=34) who agreed to participate in the study and met the sample selection criteria, according to the result of the power analysis. Before the venipuncture process, the children in the experimental group played with play dough, while the children in the control group were only given routine venipuncture. Personal Information Form, Wong-Baker Facial Pain Rating Scale and Child Anxiety Scale-State were used to collect the data. Results: When the results of the research were evaluated, it was found that the Wong-Baker Facial Pain Rating Scale and Child Anxiety Scale-State scores of the children in the experimental group were found to be significantly lower than the ones of the children in the control group (p<0.05). Conclusion: Play dough activities are effective in reducing pain and anxiety before the venipuncture in children. In line with these results, it is recommended to use play dough activities to reduce the pain and anxiety level of children during venipuncture procedure. Play dough activities are simple, effective, feasible, rapid, easy-to-access, non-risk and cost-effective methods that nurses can safely implement.

Kaynakça

  • Andersson, V., Bergman, S., Henoch, I., Simonsson, H., & Ahlberg, K. (2022). Pain and pain management in children and adolescents receiving hospital care: a cross-sectional study from Sweden. BMC Pediatrics, 22(1), 252. https://doi.org/10.1186/s 12887-022-03319-w
  • Aydın, G. B., Yüksel, S., Ergil, J., Polat, R., Akelma, F. K., Ekici, M., ... & Odabaş, Ö. (2017). The effect of play distraction on anxiety before premedication administration: a randomized trial. Journal of Clinical Anesthesia, 36, 27-31. http://dx.doi.org/10. 1016/j.jclinane.2016.04.044
  • Birnie, K. A., Noel, M., Chambers, C. T., Uman, L. S., & Parker, J. A. (2018). Psychological interventions for needle‐related procedural pain and distress in children and adolescents. Cochrane Database of Systematic Reviews, 10. https://doi.org/10.1002/ 14651858.CD005179.pub4
  • Büyükgönenç, L., & Törüner, E. K. (2018). Pain and Nursing Management in Childhood. In: Pediatric Nursing. Ed. Conk, Z., Başbakkal, Z., Yılmaz, H.B, Bolışık, B. (pp. 893-911). Ankara: Akademisyen Publishing
  • Çalı Ö. (2020). Determining the effect of atraumatic care package applied before, during and after the peripheral intravenous catheter intervention in preschool children on the child's pain level, emotional and physiological indicator. [master’s thesis]. Yeditepe University; Istanbul.
  • Çetin, S. P., & Çevik, K. (2019). Effects of vibration and cold application on pain and anxiety during intravenous catheterization. Journal of Perianesthesia Nursing, 34(4), 701-709. https://doi.org/10.1016/j.jopan. 2018.12.005
  • Erdogan, B., & Ozdemir, A. A. (2021). The effect of three different methods on venipuncture pain and anxiety in children: Distraction cards, virtual reality, and Buzzy® (randomized controlled trial). Journal of Pediatric Nursing, 58, e54-e62. https://doi.org/10. 1016/j.pedn.2021.01.001
  • Ersig, A. L., Kleiber, C., McCarthy, A. M., & Hanrahan, K. (2013). Validation of a clinically useful measure of children's state anxiety before medical procedures. Journal for Specialists in Pediatric Nursing, 18(4), 311-319. https://doi.org/10.1111/jspn.12042
  • Güngör, T., & Öztürk Şahin, Ö. (2021). Analysis of two non-pharmacological pain management methods for vaccine injection pain in infants: A randomized controlled trial. Agri/Journal of the Turkish Society of Algology, 33(1): 15-22. https://doi.org/10. 14744/agri.2020.54289
  • IASP [Internet]. Announces Revised Definition of Pain. [Updated: 2020; Cited: 2024 Dec 04]. Available from: https://www.iasppain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain/
  • İnal, S., & Canbulat, N. (2015). Using of distraction methods on procedural pain management of pediatric patients. Journal of Health Science and Profession 2(3), 372-378. https://doi.org/10.17681/hsp.47420.
  • İnci, R., & Günay, U. (2019). Knowledge, opinions and practices of pediatric nurses about therapeutic play. Acıbadem University Health Sciences Journal, 10(3):547-551.https://doi.org/10.31067/0.2019. 187
  • Karaca, T. N., & Guner, U. C. (2022). The effect of music-moving toys to reduce fear and anxiety in preschool children undergoing intravenous insertion in a pediatric emergency department: a randomized clinical trial. Journal of Emergency Nursing, 48(1), 32-44. https://doi.org/10.1016/j. jen.2021.10.004
  • Karakaş, N., Ayyildiz, T., & Bodrumlu, E. H. (2023). Effect of playdoh activity on elimination of dental anxiety in children. Medical Journal of Western Black Sea, 7(2), 188-195. https://doi.org/10.29058/mjwbs. 1242614
  • Karakaya, A., & Gözen, D. (2016). The effect of distraction on pain level felt by school-age children during venipuncture procedure—Randomized controlled trial. Pain Management Nursing, 17(1), 47-53. https://doi.org/10.1016/j.pmn.2015.08.005
  • Kudubeş A,A., Bektaş İ, Bektaş M. (2021). Nursing role in children pain management. Journal of Education and Research in Nursing, 18(1):107-113. http://dx.doi.org/10.5152/jern. 2021.91489
  • Kurban, B. & Konuk Şener, D. (2024). 6-12 yaş arası çocuklarda aşı enjeksiyonu sırasında uygulanan sanal gerçeklik gözlüğünün ağrı ve korku düzeyine etkisi: Randomize kontrollü çalışma Sağlık Akademisyenleri Dergisi, 11(1), 108-117. https://doi.org/10.52880/sagakaderg.1377204
  • Maghsoudi, S., Sajjadi, Z., Behnam Vashani, H., Asghari Nekah, S. M., & Manzari, Z. S. (2016). Comparison of the effects of play dough and bubble making distraction techniques on venepuncture pain intensity in children. Evidence Based Care, 5(4), 25-32.
  • Martin, H. A. (2018). The power of topical anesthetics and distraction for peripheral intravenous catheter placement in the pediatric perianesthesia area. Journal of PeriAnesthesia Nursing, 33(6), 880-886. https://doi.org/10.1016/j.jopan.2017.08.005.
  • Özalp Gerçeker, G., Ayar, D., Özdemir, Z., & Bektaş, M. (2018). Gaining of children’s state anxiety and children’s fear scale to Turkish language. E-Journal of Dokuz Eylul University Nursing Faculty, 11(1), 9-13.
  • Özdemir, A., & Kürtüncü, M. (2017). Use of Distraction Techniques on During the Invasive Processes of Pediatric Patients. International Refereed Academic Journal of Sports, Health and Medical Sciences, 23, 48-60. https://doi.org/10.17363/SSTB.2017.3.5
  • Özkan, T. K., & Polat, F. (2020). The effect of virtual reality and kaleidoscope on pain and anxiety levels during venipuncture in children. Journal of PeriAnesthesia Nursing, 35(2), 206-211. https://doi.org/10.1016/j. jopan.2019.08.010
  • Rivi, V., Rigillo, G., Toscano, Y., Benatti, C., & Blom, J. M. C. (2023). Narrative review of the complex interaction between pain and trauma in children: a focus on biological memory, preclinical data, and epigenetic processes. Children, 10(7), 1217. https://doi.org/10.3390/children10071217
  • Schulz, K. F., Altman, D. G., Moher, D., & the CONSORT Group (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. British Medical Journal, 340, c332. https://doi.org/1 0.1136/bmj.c332.
  • Sezici, E., Ocakci, A. F., & Kadioglu, H. (2017). Use of play therapy in nursing process: A prospective randomized controlled study. Journal of Nursing Scholarship, 49(2), 162-169.
  • Shen, Q., Huang, Z., Leng, H., Luo, X., & Zheng, X. (2022). Efficacy and safety of non-pharmacological interventions for neonatal pain: An overview of systematic reviews. BMJ Open, 12(9), e062296. https://doi.org/10.1136/ bmjopen -2022-062296
  • Taddio, A., Appleton, M., Bortolussi, R., Chambers, C., Dubey, V., Halperin, S., ... & Shah, V. (2010). Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline. CMAJ, 182(18), E843-E855. https://doi.org/10.1503/cmaj. 092048
  • Turgut, M. A., & Türkmen, A. S. (2023). The effect of lighted toy on reducing pain and fear during blood collection in children between 3 and 6 years: A randomized control trial. Journal of Pediatric Nursing, 70, 111-116. https://doi.org/10.1016/j. pedn.2023.02.009
  • Ugucu, G., Uysal, D. A., Polat, O. G., Artuvan, Z., Kulcu, D. P., Aksu, D., ... & Temel, G. O. (2022). Effects of cartoon watching and bubble-blowing during venipuncture on pain, fear, and anxiety in children aged 6–8 years: a randomized experimental study. Journal of Pediatric Nursing, 65, e107-e114. https://doi.org/10.1016/j.pedn.2022.03.016
  • Wong, D. L., & Baker, C. M. (1988). Pain in children: comparison of assessment scales. Pediatric Nursing, 14(1), 9-17.
  • Yazıcı, G., Aktaş, D., Koçaşlı, S., Bulut, H. & Yılmaz, K. (2022). Use of distraction by nursing students to care patients’ pain: A focus-group study. Journal of Helath Academics, 9(3), 272-279 https://doi.org/ 10.52880/sagakaderg.1125897

Çocuklara Kan Alma İşlemi Öncesi Uygulanan Oyun Hamuru Aktivitelerinin Ağrı ve Anksiyete Düzeyine Etkisi: Randomize Kontrollü Çalışma

Yıl 2025, Cilt: 14 Sayı: 1, 164 - 171, 28.03.2025

Öz

Amaç: Araştırma çocuklarda kan alma işlemi öncesi uygulanan oyun hamuru aktivitelerinin ağrı ve anksiyete üzerindeki etkisini belirlemek amacı ile yapılmıştır. Gereç ve Yöntem: Araştırma randomize kontrollü deneysel çalışmadır. Araştırmanın örneklemini yapılan güç analizi sonucuna göre, çalışmaya katılmayı kabul eden ve örneklem seçim kriterlerini karşılayan 68 çocuk (deney grubu=34; kontrol grubu=34) oluşturmuştur. Deney grubundaki çocuklara kan alma işlemi öncesi oyun hamuru oynatılmış, kontrol grubundaki çocuklara ise sadece rutin kan alma işlemi gerçekleştirilmiştir. Verilerin toplanmasında Kişisel Bilgi Formu, Wong-Baker Yüz İfadelerini Derecelendirme Ölçeği ve Çocuk Anksiyete Skalası-Durumluluk kullanılmıştır. Bulgular: Araştırma sonuçları değerlendirildiğinde, deney grubundaki çocukların Wong-Baker Yüz İfadelerini Derecelendirme Ölçeği ve Çocuk Anksiyete Skalası-Durumluluk puanlarının kontrol grubundaki çocukların puanlarından anlamlı düzeyde düşük olduğu belirlenmiştir (p<0.05). Sonuç: Çocuklara kan alma işlemi öncesi uygulanan oyun hamuru aktiviteleri ağrı ve anksiyeteyi azaltmada etkilidir. Bu sonuçlar doğrultusunda kan alma işlemi uygulanan çocukların ağrı ve anksiyete düzeyini azaltmak için oyun hamuru etkinliklerinin kullanılması önerilmektedir. Oyun hamuru aktiviteleri, hemşirelerin güvenle uygulayabileceği basit, etkili, uygulanabilir, hızlı, erişimi kolay, risksiz ve uygun maliyetli yöntemlerdir.

Kaynakça

  • Andersson, V., Bergman, S., Henoch, I., Simonsson, H., & Ahlberg, K. (2022). Pain and pain management in children and adolescents receiving hospital care: a cross-sectional study from Sweden. BMC Pediatrics, 22(1), 252. https://doi.org/10.1186/s 12887-022-03319-w
  • Aydın, G. B., Yüksel, S., Ergil, J., Polat, R., Akelma, F. K., Ekici, M., ... & Odabaş, Ö. (2017). The effect of play distraction on anxiety before premedication administration: a randomized trial. Journal of Clinical Anesthesia, 36, 27-31. http://dx.doi.org/10. 1016/j.jclinane.2016.04.044
  • Birnie, K. A., Noel, M., Chambers, C. T., Uman, L. S., & Parker, J. A. (2018). Psychological interventions for needle‐related procedural pain and distress in children and adolescents. Cochrane Database of Systematic Reviews, 10. https://doi.org/10.1002/ 14651858.CD005179.pub4
  • Büyükgönenç, L., & Törüner, E. K. (2018). Pain and Nursing Management in Childhood. In: Pediatric Nursing. Ed. Conk, Z., Başbakkal, Z., Yılmaz, H.B, Bolışık, B. (pp. 893-911). Ankara: Akademisyen Publishing
  • Çalı Ö. (2020). Determining the effect of atraumatic care package applied before, during and after the peripheral intravenous catheter intervention in preschool children on the child's pain level, emotional and physiological indicator. [master’s thesis]. Yeditepe University; Istanbul.
  • Çetin, S. P., & Çevik, K. (2019). Effects of vibration and cold application on pain and anxiety during intravenous catheterization. Journal of Perianesthesia Nursing, 34(4), 701-709. https://doi.org/10.1016/j.jopan. 2018.12.005
  • Erdogan, B., & Ozdemir, A. A. (2021). The effect of three different methods on venipuncture pain and anxiety in children: Distraction cards, virtual reality, and Buzzy® (randomized controlled trial). Journal of Pediatric Nursing, 58, e54-e62. https://doi.org/10. 1016/j.pedn.2021.01.001
  • Ersig, A. L., Kleiber, C., McCarthy, A. M., & Hanrahan, K. (2013). Validation of a clinically useful measure of children's state anxiety before medical procedures. Journal for Specialists in Pediatric Nursing, 18(4), 311-319. https://doi.org/10.1111/jspn.12042
  • Güngör, T., & Öztürk Şahin, Ö. (2021). Analysis of two non-pharmacological pain management methods for vaccine injection pain in infants: A randomized controlled trial. Agri/Journal of the Turkish Society of Algology, 33(1): 15-22. https://doi.org/10. 14744/agri.2020.54289
  • IASP [Internet]. Announces Revised Definition of Pain. [Updated: 2020; Cited: 2024 Dec 04]. Available from: https://www.iasppain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain/
  • İnal, S., & Canbulat, N. (2015). Using of distraction methods on procedural pain management of pediatric patients. Journal of Health Science and Profession 2(3), 372-378. https://doi.org/10.17681/hsp.47420.
  • İnci, R., & Günay, U. (2019). Knowledge, opinions and practices of pediatric nurses about therapeutic play. Acıbadem University Health Sciences Journal, 10(3):547-551.https://doi.org/10.31067/0.2019. 187
  • Karaca, T. N., & Guner, U. C. (2022). The effect of music-moving toys to reduce fear and anxiety in preschool children undergoing intravenous insertion in a pediatric emergency department: a randomized clinical trial. Journal of Emergency Nursing, 48(1), 32-44. https://doi.org/10.1016/j. jen.2021.10.004
  • Karakaş, N., Ayyildiz, T., & Bodrumlu, E. H. (2023). Effect of playdoh activity on elimination of dental anxiety in children. Medical Journal of Western Black Sea, 7(2), 188-195. https://doi.org/10.29058/mjwbs. 1242614
  • Karakaya, A., & Gözen, D. (2016). The effect of distraction on pain level felt by school-age children during venipuncture procedure—Randomized controlled trial. Pain Management Nursing, 17(1), 47-53. https://doi.org/10.1016/j.pmn.2015.08.005
  • Kudubeş A,A., Bektaş İ, Bektaş M. (2021). Nursing role in children pain management. Journal of Education and Research in Nursing, 18(1):107-113. http://dx.doi.org/10.5152/jern. 2021.91489
  • Kurban, B. & Konuk Şener, D. (2024). 6-12 yaş arası çocuklarda aşı enjeksiyonu sırasında uygulanan sanal gerçeklik gözlüğünün ağrı ve korku düzeyine etkisi: Randomize kontrollü çalışma Sağlık Akademisyenleri Dergisi, 11(1), 108-117. https://doi.org/10.52880/sagakaderg.1377204
  • Maghsoudi, S., Sajjadi, Z., Behnam Vashani, H., Asghari Nekah, S. M., & Manzari, Z. S. (2016). Comparison of the effects of play dough and bubble making distraction techniques on venepuncture pain intensity in children. Evidence Based Care, 5(4), 25-32.
  • Martin, H. A. (2018). The power of topical anesthetics and distraction for peripheral intravenous catheter placement in the pediatric perianesthesia area. Journal of PeriAnesthesia Nursing, 33(6), 880-886. https://doi.org/10.1016/j.jopan.2017.08.005.
  • Özalp Gerçeker, G., Ayar, D., Özdemir, Z., & Bektaş, M. (2018). Gaining of children’s state anxiety and children’s fear scale to Turkish language. E-Journal of Dokuz Eylul University Nursing Faculty, 11(1), 9-13.
  • Özdemir, A., & Kürtüncü, M. (2017). Use of Distraction Techniques on During the Invasive Processes of Pediatric Patients. International Refereed Academic Journal of Sports, Health and Medical Sciences, 23, 48-60. https://doi.org/10.17363/SSTB.2017.3.5
  • Özkan, T. K., & Polat, F. (2020). The effect of virtual reality and kaleidoscope on pain and anxiety levels during venipuncture in children. Journal of PeriAnesthesia Nursing, 35(2), 206-211. https://doi.org/10.1016/j. jopan.2019.08.010
  • Rivi, V., Rigillo, G., Toscano, Y., Benatti, C., & Blom, J. M. C. (2023). Narrative review of the complex interaction between pain and trauma in children: a focus on biological memory, preclinical data, and epigenetic processes. Children, 10(7), 1217. https://doi.org/10.3390/children10071217
  • Schulz, K. F., Altman, D. G., Moher, D., & the CONSORT Group (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. British Medical Journal, 340, c332. https://doi.org/1 0.1136/bmj.c332.
  • Sezici, E., Ocakci, A. F., & Kadioglu, H. (2017). Use of play therapy in nursing process: A prospective randomized controlled study. Journal of Nursing Scholarship, 49(2), 162-169.
  • Shen, Q., Huang, Z., Leng, H., Luo, X., & Zheng, X. (2022). Efficacy and safety of non-pharmacological interventions for neonatal pain: An overview of systematic reviews. BMJ Open, 12(9), e062296. https://doi.org/10.1136/ bmjopen -2022-062296
  • Taddio, A., Appleton, M., Bortolussi, R., Chambers, C., Dubey, V., Halperin, S., ... & Shah, V. (2010). Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline. CMAJ, 182(18), E843-E855. https://doi.org/10.1503/cmaj. 092048
  • Turgut, M. A., & Türkmen, A. S. (2023). The effect of lighted toy on reducing pain and fear during blood collection in children between 3 and 6 years: A randomized control trial. Journal of Pediatric Nursing, 70, 111-116. https://doi.org/10.1016/j. pedn.2023.02.009
  • Ugucu, G., Uysal, D. A., Polat, O. G., Artuvan, Z., Kulcu, D. P., Aksu, D., ... & Temel, G. O. (2022). Effects of cartoon watching and bubble-blowing during venipuncture on pain, fear, and anxiety in children aged 6–8 years: a randomized experimental study. Journal of Pediatric Nursing, 65, e107-e114. https://doi.org/10.1016/j.pedn.2022.03.016
  • Wong, D. L., & Baker, C. M. (1988). Pain in children: comparison of assessment scales. Pediatric Nursing, 14(1), 9-17.
  • Yazıcı, G., Aktaş, D., Koçaşlı, S., Bulut, H. & Yılmaz, K. (2022). Use of distraction by nursing students to care patients’ pain: A focus-group study. Journal of Helath Academics, 9(3), 272-279 https://doi.org/ 10.52880/sagakaderg.1125897
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği
Bölüm Makaleler
Yazarlar

Ayşe Akar 0000-0002-9479-8695

Dilek Konuk Şener 0000-0002-7813-2789

Yayımlanma Tarihi 28 Mart 2025
Gönderilme Tarihi 9 Kasım 2024
Kabul Tarihi 1 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 14 Sayı: 1

Kaynak Göster

APA Akar, A., & Konuk Şener, D. (2025). The Effect of Play Dough Activities Before the Venipuncture Procedure on Pain and Anxiety Level in Children: A Randomized Controlled Study. Balıkesir Sağlık Bilimleri Dergisi, 14(1), 164-171. https://doi.org/10.53424/balikesirsbd.1582335

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