A "Finger Puppet Scenario Text" was prepared for use with children during inhaler treatment. The finger puppets used in the study were designed specifically for this research, being colorful and wearable on the finger for both boys and girls. This scenario text and the puppets were evaluated by experts.

In the finger puppet application, the researcher introduced the finger puppets to the children before inhaler treatment. Then, the finger puppet scenario was implemented by the researcher. This stage lasted approximately 10 minutes. During inhaler treatment, as outlined in the finger puppet scenario text, the puppet remained silent and in a sleep mode (silent play) throughout the treatment, depending on the cooperation between the child and the puppet.

The Child Fear Scale and the Emotional Indicators Scale were evaluated and recorded before, during, and after inhaler treatment. The PedsQL Healthcare Satisfaction Scale was evaluated at the end of inhaler treatment.

The video game used in the study was selected from among the children's parent's mobile phones and chosen by the child themselves. Ten minutes before the start of inhaler treatment, the video game was introduced and explained, and the child was asked to start playing and continue playing the video game throughout the inhaler treatment. The video game playing time lasted approximately 10 minutes. During inhaler treatment, children in the video game group were allowed to play the video game. The mask remained on the child while playing the video game. The Child Fear Scale and Emotional Indicators Scale were evaluated and recorded before, during, and after inhaler treatment. The PedsQL Healthcare Satisfaction Scale was evaluated at the end of inhaler treatment.

In this study, a stress ball was chosen that was soft and sized appropriately for the child's hand. Children in the stress ball group were given a stress ball before the procedure and asked to squeeze it during the procedure. Ten minutes before the start of inhaler treatment, the child was given the stress ball, introduced to it, and asked to squeeze, release, and play with it. The Child Fear Scale and the Emotional Indicators Scale were evaluated and recorded before, during, and after inhaler treatment. The PedsQL Healthcare Satisfaction Scale was evaluated at the end of inhaler treatment.

Finger Puppet

The scale can be used to determine the level of fear in children aged 4-10 years. It is administered by showing the child five facial expressions, ranging from a neutral expression ("0") to a frightened face ("4").

The scale can evaluate children's emotional indicators based on five parameters. These five parameters are: facial expression, vocal activity, interaction, and level of cooperation.

The scale includes six main categories: information, family involvement, communication, technical skills, emotional needs, and overall satisfaction. The scale is evaluated based on the understanding that higher scores indicate higher satisfaction levels.