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The aim of this study was to determine the effect of stress ball application on procedure-related anxiety and fear during plaster cast procedure in children aged 6-12 years.
Children aged 6-12 years will be randomly divided into two groups: stress ball and control group. Interventions will be applied 1 time per day (2 sessions) for 2 days. Children in the experimental group will be given a stress ball during the plaster procedure and will be asked to squeeze it during the procedure. Children will be assessed before, during and after the intervention. Fear and anxiety related to the cast procedure will be assessed using the Children's Fear Scale, and the Children's Anxiety Scale - Statefulness Scale. In addition, children's heart rate, respiration, blood pressure and SPO2 will be measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | Routine Plaster intervention will be applied to the control group. No action will be taken. | |
| Experimental Group | Experimental | During the plaster intervention process, the experimental group will squeeze the stress ball. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Squeeze the stress ball. | Other | The child and parents will be taken to the procedure room for the casting procedure. The plastering process in children takes an average of 10-15 minutes. In the experimental group, the stress ball selected by the child will be started 1-2 minutes before the casting process and will be watched for an average of 10 minutes. If the procedure is prolonged, the time for squeezing and playing with the stress ball will be extended. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Identification Form | In this form, there are questions about the child's age, gender, weight, age of the mother and father, presence of long-term illness, previous hospitalization status and reason, previous surgery status, presence of medication on continuous use, analgesic intake in the last 6 hours. | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Children's Fear Scale (CFS) | The CFS, which was first used in 2003, is a scale with proven validity and reliability developed to assess the child's fear/anxiety and its level. The scale includes five different facial expressions, with no fear/anxiety at one end and very intense fear/anxiety at the other end, and is evaluated on a 0-4 point scale. 0: no fear/anxiety, 4: extreme fear and anxiety. | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Child Anxiety Scale-Dispositional (CAS-D) | The CAS-D is shaped like a thermometer with a bulb at the bottom and horizontal lines with intervals going upwards. It is intended for children aged 4-10 years. The scale instructs children to "Imagine that all your anxious or angry feelings are at the bulb or bottom of the thermometer". Following the data collection, two members of the research team review and score the child's CAS-D scores. The score can range from 0 to 10. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zülbiye DEMİR BARBAK, 1 | Contact | (442) 231 5821 | zulbiye.demir@atauni.edu.tr | |
| Sultan Esra TEDİK, 2 | Contact | (442) 231 2757 | esra.tedik@atauni.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Orhan DELİCE, 3 | ERZURUM CITY HOSPİTAL | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37414624 | Result | Yurdakul Z, Esenay FI. Effects of two different ball types on pain and anxiety during venous blood draw in children: A randomized controlled study. J Pediatr Nurs. 2023 Sep-Oct;72:e201-e209. doi: 10.1016/j.pedn.2023.06.029. Epub 2023 Jul 5. |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Baseline |