Cognitive-Behavioral Care for Port Needle Insertion

Cognitive-Behavioral Intervention Package for Port Catheter Needle Insertion: Effects on Pain, Anxiety, and Fear in Children With Cancer

This study aims to determine the effect of the Cognitive-Behavioral Intervention Package (CBIP) applied during port catheter needle insertion on pain, anxiety, and fear levels in children aged 6-18 years diagnosed with oncology.

Research Hypotheses

Between the Cognitive-Behavioral Intervention Package group (G1) and the control group (G2):

H1: There is a difference in the mean scores of the Wong-Baker FACES Pain Rating Scale (WB-FPRS) between the groups.

H2: There is a difference in the mean scores of the Children's Anxiety Scale between the groups.

H3: There is a difference in the mean scores of the Children's Fear Scale between the groups.

Prior to the intervention, researchers will administer the scales to the intervention group, followed by the implementation of the CBIP. After the port catheter needle insertion, the scales will be re-administered to evaluate the final levels of pain, anxiety, and fear.

Inclusion Criteria:

• Are 6-18 years old,
• Have a cancer diagnosis,
• Have undergone at least one prior port catheter needle insertion,
• Are willing to participate along with parental consent.

Exclusion Criteria:

• Have any visual, auditory, verbal, or cognitive impairment,
• Are in the terminal stage of the disease,
• Have a history of sedative, analgesic, or narcotic use within 24 hours prior to enrollment,
• Have a fever or history of infection at the time of enrollment,
• Have a pre-procedure WB-FPRS score of 2 or higher unrelated to the procedure,
• Do not complete the study.