Effects of Cartoons and Mobile Games on Preoperative Anxiety and Fear in Children With Appendicitis: An RCT
Apandisit Tanısı Ile Cerrahi Servise Yatırılan Çocuklarda Preoperatif Kaygı ve Korkunun Azaltılmasında Çizgi Film ve Mobil Oyunların Etkisi: Randomize Kontrollü Bir Araştırma
his study aims to evaluate the effects of cartoon viewing and mobile game playing on preoperative anxiety and fear levels in children aged 7-12 years who are hospitalized for appendicitis surgery. The study is designed as a randomized controlled trial with three groups: a cartoon group, a mobile game group, and a control group receiving routine care.
Children in the intervention groups will watch a cartoon or play a mobile game for 10 minutes before surgery. Anxiety and fear levels will be measured using validated scales before and after the intervention. The findings of this study are expected to contribute to atraumatic care practices by providing simple and effective non-pharmacological methods to reduce preoperative anxiety and fear in children.
調査の概要
状態
詳細な説明
Preoperative anxiety and fear are common among children undergoing surgery and may negatively affect both perioperative outcomes and postoperative recovery. Non-pharmacological, atraumatic care interventions are recommended to minimize psychological distress in pediatric patients. Among these interventions, distraction techniques such as cartoon viewing and mobile game playing are widely used due to their practicality and accessibility.
This randomized controlled trial aims to compare the effects of cartoon viewing and mobile game playing on preoperative anxiety and fear levels in children aged 7-12 years diagnosed with appendicitis and admitted to a pediatric surgery unit. Participants will be randomly assigned to one of three groups: a cartoon intervention group, a mobile game intervention group, or a control group receiving routine care.
Children in the intervention groups will receive a 10-minute distraction intervention (cartoon viewing or mobile game playing) prior to surgery, while the control group will receive standard clinical care without any additional intervention. Anxiety and fear levels will be assessed before and after the intervention using validated measurement tools.
This study is expected to provide evidence-based data on the effectiveness of simple, low-cost, and easily applicable non-pharmacological interventions in reducing preoperative anxiety and fear in children. The findings may contribute to the development of atraumatic care practices and improve pediatric surgical care outcomes.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Eda Emine Yetkin, MSc Student
- 電話番号：+905 30 137 58 79
- メール：edaayetkinn@outlook.com
研究場所
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Ankara、トルコ（Türkiye）
- 募集
- Ankara Bilkent City Hospital
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コンタクト：
- Pediatric Surgery Service (4A and 4B Pediatric Surgery Service
- 電話番号：0312 552 60 00
- メール：ankarasehir@saglik.gov.tr
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参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Being hospitalized in the Pediatric Surgery Service with a diagnosis of appendicitis.
- Being between the ages of 7 and 12 years.
- Voluntary consent/assent from both the child and their parents to participate in the study.
- Absence of any visual, auditory, or cognitive problems that prevent communication.
- Not having received any analgesics before the intervention.
Exclusion Criteria:
- Refusal to participate in the study voluntarily.
- Having a condition that prevents communication due to vision, hearing, speech, or mental health status.
- Being in an agitated state or unable to cooperate.
- Having received analgesics due to pain before the study.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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介入なし：Control Group
Participants in this group will receive standard hospital care and routine preoperative preparation without any additional digital distraction interventions.
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実験的：Cartoon Group
Participants in this group will be exposed to a cartoon-assisted distraction intervention designed to explain the surgical process and reduce anxiety before surgery.
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Participants will watch the cartoon titled "Şüko is Having Surgery," which explains the surgical process in child-friendly language, on an iPad Mini 6 with headphones for 10 minutes.
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実験的：Mobile Game Group
Participants in this group will engage in age-appropriate mobile games on a tablet computer as a digital distraction intervention prior to their surgical procedure.
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Children will be asked to play a game of their choice for 10 minutes on a tablet from among games selected according to their age group and PEGI standards (Head Ball 2, Subway Surfers, and Magic Tiles 3).
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Preoperative Anxiety Level
時間枠：Baseline (upon admission to the pediatric surgery inpatient unit prior to the intervention) and post-intervention (immediately before transfer to the operating room).
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The Modified Yale Preoperative Anxiety Scale (m-YPAS) will be used.
This scale provides an observational assessment across five categories (activity, emotional expressivity, state of arousal, vocalization, and use of parents).
Total scores range from 5 to 22, with higher scores indicating higher levels of anxiety.
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Baseline (upon admission to the pediatric surgery inpatient unit prior to the intervention) and post-intervention (immediately before transfer to the operating room).
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Children's Fear Level
時間枠：Baseline (upon admission to the pediatric surgery inpatient unit prior to the intervention) and post-intervention (immediately before transfer to the operating room).
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The Children's Fear Scale (CFS) will be used.
This scale consists of five different facial expressions scored between 0 and 4. A score of 0 indicates "no anxiety/fear," whereas a score of 4 indicates "the highest level of fear."
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Baseline (upon admission to the pediatric surgery inpatient unit prior to the intervention) and post-intervention (immediately before transfer to the operating room).
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Heart Rate
時間枠：Measured at two time points: baseline (pre-intervention) and immediately post-intervention.
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The participants' heart rate will be measured to evaluate physiological stability.
The values will be recorded in beats per minute (bpm).
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Measured at two time points: baseline (pre-intervention) and immediately post-intervention.
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Blood Pressure
時間枠：Measured at two time points: baseline (pre-intervention) and immediately post-intervention.
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The participants' systolic and diastolic blood pressure values will be measured.
The values will be recorded in millimeters of mercury (mmHg).
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Measured at two time points: baseline (pre-intervention) and immediately post-intervention.
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Oxygen Saturation
時間枠：Measured at two time points: baseline (pre-intervention) and immediately post-intervention.
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The participants' peripheral oxygen saturation (SpO2) levels will be monitored.
The values will be recorded as a percentage (%).
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Measured at two time points: baseline (pre-intervention) and immediately post-intervention.
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- TABED 1/1735/2025
- TYL-2026-2917 (その他の助成金/資金番号：Ankara Yildirim Beyazit University BAP Department)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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