Acil Serviste Okul Öncesi Dönem Çocuklarında Periferik Damaryolu Açma Girişimi Sırasında Uygulanan Parmak Oyununun Ağrı ve Anksiyete etkisi: Randomize Kontrollü Çalışma

Yıl 2024, Cilt: 13 Sayı: 3, 1047 - 1055, 26.09.2024

Fatma Kurudirek , Zeynep Demir İmamoğlu , Zülbiye Demir Barbak

https://doi.org/10.37989/gumussagbil.1271308

Öz

Amaç: Bu çalışmanın amacı, acil servise başvuran okul öncesi dönem çocuklarında periferik damar yolu açılırken parmak kukla oyununun ağrı ve anksiyete üzerine etkisini incelemektir.
Tasarım ve Yöntemler: Çalışma randomize kontrollü olarak yürütüldü. Araştırma evrenini, Türkiye'de bir hastanenin çocuk acil servisine 25 Mayıs-25 Haziran 2022 tarihleri arasında başvuran 4-6 yaş arası çocuklar oluşturdu. Örneklemini ise bu tarihler arasında araştırma kriterlerini karşılayan 97 çocuk (49 kontrol grubu, parmak kuklası grubunda 48). Deney ve kontrol gruplarının belirlenmesinde tabakalama ve blok randomizasyon yöntemleri kullanılmıştır. Veriler araştırmacı tarafından geliştirilen Anket Formu, Çocuk Korku ve Kaygı Envanteri (ÇKAÖ) ve Wong-Baker Yüz İfadesi Derecelendirme Ölçeği (WB-YİDÖ) ile toplanmıştır. Uygulama sırasında deney grubuna parmak kukla oyunu gösterildi.
Bulgular: Deney ve kontrol gruplarında işlem öncesi çocuğun ağrı ve anksiyetesi çocuk, ebeveyn ve araştırmacı tarafından değerlendirildi ve her kaynaktan benzer ağrı ve anksiyete değerleri bulundu (p>0,05). İşlem sırasında çocuğun ağrı ve anksiyetesi çocuk, ebeveyn ve araştırmacı tarafından değerlendirildi ve parmak kukla oyunu grubundaki çocukların kontrol grubundaki çocuklara göre anlamlı derecede daha az ağrı ve anksiyete yaşadıkları saptanmıştır (p < 0,05).
Sonuç: Bu sonuçlara göre periferik damar yolu açılan 4-6 yaş arası çocuklara parmak kuklası uygulamasının ağrı ve anksiyeteyi azaltmada etkili olduğu görüldü.

Anahtar Kelimeler

ağrı, çocuk, anksiyete, parmak kukla oyunu, damaryolu açma

The Effect of Finger Puppet Play on Pain and Anxiety during Peripheral Vascular Opening Attempts in Preschool-age Children during Emergency Room Visits: Randomized Controlled Study

Öz

Objective: The pupose of this study is to examine the effect of finger puppet play on pain and anxiety during peripheral vascular access in preschool-age children in the emergency room.
Design and methods: The study was conducted in a randomised controlled manner. The study population consisted of children aged 4–6 years who came to the paediatric emergency room of a hospital in Turkey between 25 May and 25 June 2022. The sample consisted of 97 children who met the research criteria between these dates (49 in the control group, 48 in the finger puppet play group). Stratification and block randomisation methods were used to determine the experimental and control groups.The data were collected with the Survey Form, Child Fear and Anxiety Inventory (CFAI) and Wong-Baker Facial Expression Rating Scale (WB-FAS) through interviews conducted by the researchers. Finger puppet play was shown to the experimental group during the procedure.
Results: In the experimental and control groups, the child's pain and anxiety were evaluated by the child, parent, and researcher before the procedure, and similar pain and anxiety values were found from each source (p>0.05). During the procedure, the child's pain and anxiety were evaluated by the child, the parent, and the researcher, and it was found that the children in the finger puppet game group experienced significantly less pain and anxiety than the children in the control group (p < 0.05).
Results: According to these results, the application of finger puppetry to children aged 4–6 years undergoing peripheral vascular access was effective in reducing pain and anxiety.

Anahtar Kelimeler

pain, child, anxiety, finger puppet play, vasculer access

Kaynakça

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