Araştırma Makalesi
BibTex RIS Kaynak Göster

'Süper Çocuk' Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi

Yıl 2024, Cilt: 7 Sayı: 1, 148 - 158, 05.04.2024

Abdullah Sarman Suat Tuncay

https://doi.org/10.5281/zenodo.10929533

Öz

Amaç: Bu çalışmada ayaktan tedavi hizmetleri için başvuran, damar yolu açılan ve kan alınan çocukların kaygısını azaltmak için illüstre edilmiş ve bilişsel davranışsal teknikle hazırlanmış "Süper Çocuk" girişiminin etkinliğinin belirlenmesi amaçlandı.
Yöntemler: Çalışma bir çocuk hastanesinin ayaktan tedavi hizmetlerine başvuran ve intravenöz kanül uygulanan 5-10 yaş grubu çocuklarla yürütüldü. Kontrol gruplu, ön-test, ara-test ve son-test şekilde tasarlandı. Çalışmaya 72 çocuk dahil edildi (deney grubu = 36, kontrol grubu = 36). Çalışmada çocukların kaygısı Çocuk Anksiyete Skalası-Durumluluk ile değerlendirildi. Girişim olarak bilişsel davranış tekniklerle hazırlanmış, süper kahraman analojisini içeren "Süper Çocuk" kartları ve posterleri kullanıldı.
Bulgular: Deney ve kontrol grubundaki çocukların yaş (t = 0,571; p = 0,570) ve cinsiyetleri (X2 = 0,225; p = 0,635) benzerdi. Çocukların %50'sinden fazlasının ağrılı işlemlerle ilgili bilgi almadığı tespit edildi. İntravenöz kateter işlemi sırasında girişim grubundaki çocukların kontrol grubundaki çocuklara kıyasla daha az kaygı yaşadıkları belirlendi (p < 0,05).
Sonuç: Bilişsel davranışsal teknikle hazırlanan, çocuğa işlemlerle ilgili bilgiler veren illüstüre "Süper Çocuk" posterlerinin çocuğun prosedürel kaygısını azaltmada etkili olduğu bulundu.

Anahtar Kelimeler

çocuk hastane intravenöz kanül kaygı

Kaynakça

  • Albersnagel, F. A. (1988). Velten and musical mood induction procedures: A comparison with accessibility of thought associations. Behaviour Research and Therapy, 26(1), 79–96. https://doi.org/10.1016/0005-7967(88)90035-6
  • Ali, S., Manaloor, R., Ma, K., Sivakumar, M., Beran, T., Scott, S. D., … Hartling, L. (2021). A randomized trial of robot-based distraction to reduce children's distress and pain during intravenous insertion in the emergency department. Canadian Journal of Emergency Medical Care, 23(1), 85–93. https://doi.org/10.1007/s43678-020-00023-5
  • Ali, S., McGrath, T., & Drendel, A. L. (2016). An evidence-based approach to minimizing acute procedural pain in the emergency department and beyond. Pediatric Emergency Care, 32(1), 34–36. https://doi.org/10.1097/PEC.0000000000000669
  • Arlı, M., & Nazik, H. (2004). Bilimsel Araştırmaya Giriş (4th ed.). Ankara: Gazi Kitabevi.
  • Aydın, A., Araz, A., & Asan, A. (2011). Görsel Analog Ölçeği ve Duygu Kafesi: Kültürümüze uyarlama çalışması. Türk Psikoloji Yazıları, 14(27), 1–13.
  • Ben Ari, A., Margalit, D., Roth, Y., Udassin, R., & Benarroch, F. (2019). Should parents share medical information with their young children? A prospective study. Comprehensive Psychiatry, 88, 52–56. https://doi.org/10.1016/j.comppsych.2018.11.012
  • Braun, C., Stangler, T., Narveson, J., & Pettingell, S. (2009). Animal-assisted therapy as a pain relief intervention for children. Complementary Therapies in Clinical Practice, 15(2), 105–109. https://doi.org/10.1016/j.ctcp.2009.02.008
  • Cho, M.-K., & Choi, M.-Y. (2021). Effect of distraction ıntervention for needle-related pain and distress in children: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(17), 9159. https://doi.org/10.3390/ijerph18179159
  • Düzkaya, D. S., Bozkurt, G., Ulupınar, S., Uysal, G., Uçar, S., & Uysalol, M. (2021). The effect of a cartoon and an ınformation video about ıntravenous ınsertion on pain and fear in children aged 6 to 12 years in the pediatric emergency unit: A randomized controlled trial. Journal of Emergency Nursing, 47(1), 76–87. https://doi.org/10.1016/j.jen.2020.04.011
  • 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
  • Ferraz-Torres, M., Soto-Ruiz, N., Escalada-Hernández, P., García-Vivar, C., & San Martín-Rodríguez, L. (2023). Can virtual reality reduce pain and anxiety in pediatric emergency care and promote positive response of parents of children? A quasi-experimental study. International Emergency Nursing, 68, 101268. https://doi.org/10.1016/j.ienj.2023.101268
  • Özalp Gerçeker, G., Ayar, D., Özdemir, Z., & Bektaş, M. (2018). Çocuk Anksiyete Skalası-Durumluluk ve Çocuk Korku Ölçeğinin Türk diline kazandırılması. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(1), 9–13.
  • Grahn, M., Olsson, E., & Mansson, M. E. (2016). Interactions between children and pediatric nurses at the emergency department: A Swedish interview study. Journal of Pediatric Nursing, 31(3), 284–292. https://doi.org/10.1016/j.pedn.2015.11.016
  • Harris, K. I. (2016). Heroes of resiliency and reciprocity: Teachers' supporting role for reconceptualizing superhero play in early childhood settings. Pastoral Care in Education, 34(4), 202–217. https://doi.org/10.1080/02643944.2016.1154093
  • Hoffman, E. (2018). Magic Capes, Amazing Powers: Transforming Superhero Play in the Classroom. Yorkton Court St. Paul, MN: Redleaf Press.
  • Hsieh, Y.-C., Cheng, S.-F., Tsay, P.-K., Su, W.-J., Cho, Y.-H., & Chen, C.-W. (2017). Effectiveness of cognitive-behavioral program on pain and fear in school-aged children undergoing intravenous placement. Asian Nursing Research, 11(4), 261–267. https://doi.org/10.1016/j.anr.2017.10.002
  • Koç Özkan, T., & 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
  • Koller, D., & Goldman, R. D. (2012). Distraction techniques for children undergoing procedures: A critical review of pediatric research. Journal of Pediatric Nursing, 27(6), 652–681. https://doi.org/10.1016/j.pedn.2011.08.001
  • Loeffen, E. A. H., Mulder, R. L., Font-Gonzalez, A., Leroy, P. L. J. M., Dick, B. D., Taddio, A., … Tissing, W. J. E. (2020). Reducing pain and distress related to needle procedures in children with cancer: A clinical practice guideline. European Journal of Cancer, 131, 53–67. https://doi.org/10.1016/j.ejca.2020.02.039
  • National Electronic Health Records Survey. (2022). National Electronic Health Records Survey (NEHRS) Public Use File Documentation. USA. Retrieved from (05.05.2023): https://www.cdc.gov/nchs/data/nehrs/NEHRS2021Doc-508.pdf
  • Salmela, M., Salanterä, S., & Aronen, E. (2009). Child-reported hospital fears in 4 to 6-year-old children. Pediatric Nursing, 35(5), 269-276,303.
  • Sarman, A., & Günay, U. (2023). The effects of goldfish on anxiety, fear, psychological and emotional well-being of hospitalized children: A randomized controlled study. Journal of Pediatric Nursing, 68, e69–e78. https://doi.org/10.1016/j.pedn.2022.11.012
  • Sattler, J. M. (2001). Assessment of Children: Behavioral and Clinical Applications (4th ed.). San Diego, CA: Jerome M. Sattler, Publisher.
  • Stoltz, P., & Manworren, R. C. B. (2017). Comparison of children's venipuncture fear and pain: Randomized controlled trial of EMLA® and J-Tip needleless injection system®. Journal of Pediatric Nursing, 37, 91–96. https://doi.org/10.1016/j.pedn.2017.08.025
  • Tork, H. M. M. (2017). Comparison of the effectiveness of buzzy, distracting cards and balloon inflating on mitigating pain and anxiety during venipuncture in a pediatric emergency department. American Journal of Nursing Science, 6(1), 26–32.
  • Tsao, Y., Kuo, H.-C., Lee, H.-C., & Yiin, S.-J. (2017). Developing a medical picture book for reducing venipuncture distress in preschool-aged children. International Journal of Nursing Practice, 23(5), e12569. https://doi.org/10.1111/ijn.12569
  • Tunç-Tuna, P., & Açikgoz, A. (2015). The effect of preintervention preparation on pain and anxiety related to peripheral cannulation procedures in children. Pain Management Nursing, 16(6), 846–854. https://doi.org/10.1016/j.pmn.2015.06.006
  • UNICEF. (2009). Convention on the Rights of the Child. Retrieved from (05.05.2023): https://www.unicef.org/child-rights-convention/convention-text
  • Yıldırım, B. G., & Özalp Gerçeker, G. (2023). The effect of virtual reality and buzzy on first insertion success, procedure-related fear, anxiety, and pain in children during intravenous insertion in the pediatric emergency unit: A randomized controlled trial. Journal of Emergency Nursing, 49(1), 62–74. https://doi.org/10.1016/j.jen.2022.09.0

The Effect of 'Super Kid' Character and Story on the Anxiety of Cannulated Children

Yıl 2024, Cilt: 7 Sayı: 1, 148 - 158, 05.04.2024

Abdullah Sarman Suat Tuncay

https://doi.org/10.5281/zenodo.10929533

Öz

Objective: The aim of this study was to determine the effectiveness of the "Super Kid" intervention, which was prepared with an illustrated cognitive behavioral technique to reduce the anxiety of children who were admitted for outpatient services, had intravenous access, and had blood drawn.
Methods: The study was conducted with children aged 5-10 years who were admitted to the outpatient services of a children's hospital and underwent intravenous cannula. It was designed as a control group, pre-test, mid-test, and post-test. The study included 72 children (experimental group = 36, control group = 36). Children's anxiety was assessed with the Child Anxiety Scale-State. "Super Kid" cards and posters with superhero analogy prepared with cognitive behavioral techniques were used as intervention.
Results: Children in the experimental and control groups were similar in age (t =.571; p=.570) and gender (X2 =.225; p=.635). It was found that more than 50% of the children did not receive information about painful procedures. During intravenous catheterization, children in the intervention group experienced less anxiety than children in the control group (p<.05).
Conclusion: Super Kid" illustration cards and posters prepared with cognitive behavioral technique, giving information to the child about the procedures, were found to be effective in reducing procedural anxiety in children.

Anahtar Kelimeler

Anxiety child hospital intavenous canula

Kaynakça

  • Albersnagel, F. A. (1988). Velten and musical mood induction procedures: A comparison with accessibility of thought associations. Behaviour Research and Therapy, 26(1), 79–96. https://doi.org/10.1016/0005-7967(88)90035-6
  • Ali, S., Manaloor, R., Ma, K., Sivakumar, M., Beran, T., Scott, S. D., … Hartling, L. (2021). A randomized trial of robot-based distraction to reduce children's distress and pain during intravenous insertion in the emergency department. Canadian Journal of Emergency Medical Care, 23(1), 85–93. https://doi.org/10.1007/s43678-020-00023-5
  • Ali, S., McGrath, T., & Drendel, A. L. (2016). An evidence-based approach to minimizing acute procedural pain in the emergency department and beyond. Pediatric Emergency Care, 32(1), 34–36. https://doi.org/10.1097/PEC.0000000000000669
  • Arlı, M., & Nazik, H. (2004). Bilimsel Araştırmaya Giriş (4th ed.). Ankara: Gazi Kitabevi.
  • Aydın, A., Araz, A., & Asan, A. (2011). Görsel Analog Ölçeği ve Duygu Kafesi: Kültürümüze uyarlama çalışması. Türk Psikoloji Yazıları, 14(27), 1–13.
  • Ben Ari, A., Margalit, D., Roth, Y., Udassin, R., & Benarroch, F. (2019). Should parents share medical information with their young children? A prospective study. Comprehensive Psychiatry, 88, 52–56. https://doi.org/10.1016/j.comppsych.2018.11.012
  • Braun, C., Stangler, T., Narveson, J., & Pettingell, S. (2009). Animal-assisted therapy as a pain relief intervention for children. Complementary Therapies in Clinical Practice, 15(2), 105–109. https://doi.org/10.1016/j.ctcp.2009.02.008
  • Cho, M.-K., & Choi, M.-Y. (2021). Effect of distraction ıntervention for needle-related pain and distress in children: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(17), 9159. https://doi.org/10.3390/ijerph18179159
  • Düzkaya, D. S., Bozkurt, G., Ulupınar, S., Uysal, G., Uçar, S., & Uysalol, M. (2021). The effect of a cartoon and an ınformation video about ıntravenous ınsertion on pain and fear in children aged 6 to 12 years in the pediatric emergency unit: A randomized controlled trial. Journal of Emergency Nursing, 47(1), 76–87. https://doi.org/10.1016/j.jen.2020.04.011
  • 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
  • Ferraz-Torres, M., Soto-Ruiz, N., Escalada-Hernández, P., García-Vivar, C., & San Martín-Rodríguez, L. (2023). Can virtual reality reduce pain and anxiety in pediatric emergency care and promote positive response of parents of children? A quasi-experimental study. International Emergency Nursing, 68, 101268. https://doi.org/10.1016/j.ienj.2023.101268
  • Özalp Gerçeker, G., Ayar, D., Özdemir, Z., & Bektaş, M. (2018). Çocuk Anksiyete Skalası-Durumluluk ve Çocuk Korku Ölçeğinin Türk diline kazandırılması. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(1), 9–13.
  • Grahn, M., Olsson, E., & Mansson, M. E. (2016). Interactions between children and pediatric nurses at the emergency department: A Swedish interview study. Journal of Pediatric Nursing, 31(3), 284–292. https://doi.org/10.1016/j.pedn.2015.11.016
  • Harris, K. I. (2016). Heroes of resiliency and reciprocity: Teachers' supporting role for reconceptualizing superhero play in early childhood settings. Pastoral Care in Education, 34(4), 202–217. https://doi.org/10.1080/02643944.2016.1154093
  • Hoffman, E. (2018). Magic Capes, Amazing Powers: Transforming Superhero Play in the Classroom. Yorkton Court St. Paul, MN: Redleaf Press.
  • Hsieh, Y.-C., Cheng, S.-F., Tsay, P.-K., Su, W.-J., Cho, Y.-H., & Chen, C.-W. (2017). Effectiveness of cognitive-behavioral program on pain and fear in school-aged children undergoing intravenous placement. Asian Nursing Research, 11(4), 261–267. https://doi.org/10.1016/j.anr.2017.10.002
  • Koç Özkan, T., & 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
  • Koller, D., & Goldman, R. D. (2012). Distraction techniques for children undergoing procedures: A critical review of pediatric research. Journal of Pediatric Nursing, 27(6), 652–681. https://doi.org/10.1016/j.pedn.2011.08.001
  • Loeffen, E. A. H., Mulder, R. L., Font-Gonzalez, A., Leroy, P. L. J. M., Dick, B. D., Taddio, A., … Tissing, W. J. E. (2020). Reducing pain and distress related to needle procedures in children with cancer: A clinical practice guideline. European Journal of Cancer, 131, 53–67. https://doi.org/10.1016/j.ejca.2020.02.039
  • National Electronic Health Records Survey. (2022). National Electronic Health Records Survey (NEHRS) Public Use File Documentation. USA. Retrieved from (05.05.2023): https://www.cdc.gov/nchs/data/nehrs/NEHRS2021Doc-508.pdf
  • Salmela, M., Salanterä, S., & Aronen, E. (2009). Child-reported hospital fears in 4 to 6-year-old children. Pediatric Nursing, 35(5), 269-276,303.
  • Sarman, A., & Günay, U. (2023). The effects of goldfish on anxiety, fear, psychological and emotional well-being of hospitalized children: A randomized controlled study. Journal of Pediatric Nursing, 68, e69–e78. https://doi.org/10.1016/j.pedn.2022.11.012
  • Sattler, J. M. (2001). Assessment of Children: Behavioral and Clinical Applications (4th ed.). San Diego, CA: Jerome M. Sattler, Publisher.
  • Stoltz, P., & Manworren, R. C. B. (2017). Comparison of children's venipuncture fear and pain: Randomized controlled trial of EMLA® and J-Tip needleless injection system®. Journal of Pediatric Nursing, 37, 91–96. https://doi.org/10.1016/j.pedn.2017.08.025
  • Tork, H. M. M. (2017). Comparison of the effectiveness of buzzy, distracting cards and balloon inflating on mitigating pain and anxiety during venipuncture in a pediatric emergency department. American Journal of Nursing Science, 6(1), 26–32.
  • Tsao, Y., Kuo, H.-C., Lee, H.-C., & Yiin, S.-J. (2017). Developing a medical picture book for reducing venipuncture distress in preschool-aged children. International Journal of Nursing Practice, 23(5), e12569. https://doi.org/10.1111/ijn.12569
  • Tunç-Tuna, P., & Açikgoz, A. (2015). The effect of preintervention preparation on pain and anxiety related to peripheral cannulation procedures in children. Pain Management Nursing, 16(6), 846–854. https://doi.org/10.1016/j.pmn.2015.06.006
  • UNICEF. (2009). Convention on the Rights of the Child. Retrieved from (05.05.2023): https://www.unicef.org/child-rights-convention/convention-text
  • Yıldırım, B. G., & Özalp Gerçeker, G. (2023). The effect of virtual reality and buzzy on first insertion success, procedure-related fear, anxiety, and pain in children during intravenous insertion in the pediatric emergency unit: A randomized controlled trial. Journal of Emergency Nursing, 49(1), 62–74. https://doi.org/10.1016/j.jen.2022.09.0
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Makaleler
Yazarlar

Abdullah Sarman

Suat Tuncay

Erken Görünüm Tarihi 29 Mart 2024
Yayımlanma Tarihi 5 Nisan 2024
Gönderilme Tarihi 9 Ağustos 2022
Kabul Tarihi 22 Ocak 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 1

Kaynak Göster

APA Sarman, A., & Tuncay, S. (2024). ’Süper Çocuk’ Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi. Ebelik Ve Sağlık Bilimleri Dergisi, 7(1), 148-158. https://doi.org/10.5281/zenodo.10929533
AMA Sarman A, Tuncay S. ’Süper Çocuk’ Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi. Ebelik ve Sağlık Bilimleri Dergisi. Nisan 2024;7(1):148-158. doi:10.5281/zenodo.10929533
Chicago Sarman, Abdullah, ve Suat Tuncay. “’Süper Çocuk’ Karakter Ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi”. Ebelik Ve Sağlık Bilimleri Dergisi 7, sy. 1 (Nisan 2024): 148-58. https://doi.org/10.5281/zenodo.10929533.
EndNote Sarman A, Tuncay S (01 Nisan 2024) ’Süper Çocuk’ Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi. Ebelik ve Sağlık Bilimleri Dergisi 7 1 148–158.
IEEE A. Sarman ve S. Tuncay, “’Süper Çocuk’ Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi”, Ebelik ve Sağlık Bilimleri Dergisi, c. 7, sy. 1, ss. 148–158, 2024, doi: 10.5281/zenodo.10929533.
ISNAD Sarman, Abdullah - Tuncay, Suat. “’Süper Çocuk’ Karakter Ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi”. Ebelik ve Sağlık Bilimleri Dergisi 7/1 (Nisan 2024), 148-158. https://doi.org/10.5281/zenodo.10929533.
JAMA Sarman A, Tuncay S. ’Süper Çocuk’ Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi. Ebelik ve Sağlık Bilimleri Dergisi. 2024;7:148–158.
MLA Sarman, Abdullah ve Suat Tuncay. “’Süper Çocuk’ Karakter Ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi”. Ebelik Ve Sağlık Bilimleri Dergisi, c. 7, sy. 1, 2024, ss. 148-5, doi:10.5281/zenodo.10929533.
Vancouver Sarman A, Tuncay S. ’Süper Çocuk’ Karakter ve Hikâyesinin Kanül Uygulanan Çocukların Kaygısı Üzerine Etkisi. Ebelik ve Sağlık Bilimleri Dergisi. 2024;7(1):148-5.
 Kapak Resmi İndir

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

29929