The Effect of Therapeutic Play on Children's Pain and Fear and Parents and Students' Satisfaction Levels

Not Applicable

Completed

• Conditions: Child Behavior; Pain; Anxiety; Anxiety and Fear
• Interventions: Behavioral: Therapeutic play

• Registration Number: NCT06593002
• Lead Sponsor: Selcuk University

Brief Summary

This study aims to determine the effects of playing with therapeutic toys made by nursing students on children's fear and pain levels towards treatment and the satisfaction levels of student nurses and parents.

Detailed Description

There are a limited number of studies in the literature examining the effects of therapeutic play implemented by nursing students. Although there are many studies showing that therapeutic play intervention is an effective intervention for sick children, it is seen that these studies are mostly conducted by researchers or clinical staff, and nursing students who have been in pediatric wards for a long time due to their clinical practices are far from therapeutic play practices. Therapeutic play may be a way for nursing students to initiate communication with children more easily. Therefore, there is a need for large-scale studies including nursing students. Starting from their student years, nursing students using therapeutic play as a means of communication with sick children may make them more willing to use such activities in their professional lives. In addition, determining the satisfaction levels is important for the continuation of such studies in clinical practice.

Study Timeline

• Study Start: 2022-04-15
• Primary Completion: 2022-12-15
• Study Completion: 2022-12-15
• Status Verified: 2024-09
• Study First Submitted: 2024-09-06
• Study First Submitted QC: 2024-09-09
• Last Update Submitted: 2024-09-09
• Study First Posted: 2024-09-12
• Last Update Posted: 2024-09-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 64

Inclusion Criteria

• Having a child aged 3-6
• Having at least two days of inpatient treatment in the hospital (to gain experience with medication administration)
• Being accompanied by a parent
• Having one invasive drug treatment ordered by a doctor - Knowing and speaking Turkish
• Being willing to participate in the study

Exclusion Criteria

• Those who are in intensive care,
• Those who have undergone surgery,
• Those who do not have a companion with their mother,
• Children with neurological and psychological disorders and parents,
• Children who only receive oral medication (as the level of pain and fear related to treatment will be low)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental: Therapeutic play	Therapeutic play	Children in the experimental group received a therapeutic video game intervention in addition to the pre-treatment routine.

Primary Outcome Measures

Name	Time	Method
Child and Parent Information Form	First measurement: 30 minute before treatment	This form, developed by the researcher in line with the literature, was created to determine the descriptive characteristics of children and parents receiving inpatient treatment. This form was filled out by the parents of the children receiving inpatient treatment, using a face-to-face interview technique, half an hour before the treatment.
Wong-Baker Pain Scale	First measurement: Just before treatment	It was developed by Wong and Baker in 1988. Patients' pain levels are evaluated by numbering their facial expressions. The numbering is as follows; "0" No pain, "1" A little pain, "2" A little more, "3" A lot more, "4" Quite a lot, "5" The most severe pain level. An increase in the score indicates that the severity of the pain also increases. This form was filled just before treatment.
Child Fear Scale	First measurement: Just before treatment	It was developed by McMurtry and his colleagues to measure the fear levels of children aged 4-10. The scale is used to measure the child's fear level. The CQ is a scale that evaluates between 0-4, consisting of five drawn facial expressions ranging from a neutral expression (0=no fear) to a frightened face (4=severe fear). This form was filled just before treatment.

Secondary Outcome Measures

Name	Time	Method
Wong-Baker Pain Scale	Second measurement: within five minutes after the treatment is completedAfter treatment	It was developed by Wong and Baker in 1988. Patients' pain levels are evaluated by numbering their facial expressions. The numbering is as follows; "0" No pain, "1" A little pain, "2" A little more, "3" A lot more, "4" Quite a lot, "5" The most severe pain level. An increase in the score indicates that the severity of the pain also increases. This form was measured a second time immediately after treatment.
Child Fear Scale	Second measurement: within five minutes after the treatment is completed	It was developed by McMurtry and his colleagues to measure the fear levels of children aged 4-10. The scale is used to measure the child's fear level. The CQ is a scale that evaluates between 0-4, consisting of five drawn facial expressions ranging from a neutral expression (0=no fear) to a frightened face (4=severe fear). This form was measured a second time immediately after treatment.
Student Satisfaction Survey	Within five minutes after the treatment is completed	The form prepared by the researchers specifically asked about the student nurses' satisfaction with making toys and playing with the sick child. It was filled out by the student nurses after the treatment.
Parent Satisfaction Survey	Within five minutes after the treatment is completed	The form prepared by the researchers specifically asked about parents' satisfaction with student nurses making toys and playing games for their children. It was filled out by parents after the treatment.

Trial Locations

Locations (1)

Selcuk University; 🇹🇷 Konya, Selcuklu, Turkey