Effects of Different Transport Methods on Preoperative Anxiety and Fear in Preschool Children
Przegląd badań
Status
Szczegółowy opis
Preoperative anxiety is frequently observed in preschool children undergoing surgical procedures. The unfamiliar hospital environment, separation from parents, and fear of anesthesia and surgery may increase children's anxiety and fear before surgery. Elevated preoperative anxiety has been associated with poor cooperation during anesthesia induction, increased postoperative pain, maladaptive behavioral changes, and delayed recovery.
Several non-pharmacological interventions have been developed to reduce children's anxiety before surgery. Among these, distraction techniques and child-friendly environmental modifications have shown promising results. Transporting children to the operating room using battery-powered ride-on cars has recently emerged as an innovative distraction strategy that may transform the transport process into a playful experience.
This controlled study aims to compare three different operating room transport methods in preschool children undergoing elective day surgery: routine transport by walking with a parent, transport by stretcher, and transport using a battery-powered ride-on car. Preoperative anxiety and fear will be assessed using validated pediatric assessment tools before surgery. The study findings may provide evidence for the effectiveness of child-friendly transport methods in reducing preoperative anxiety and fear and support the implementation of non-pharmacological interventions in pediatric surgical care.
Typ studiów
Zapisy (Szacowany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: İlayda Tekelioğlu
- Numer telefonu: +905512559774
- E-mail: ilaydatekelioglu@gmail.com
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dziecko
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- Children aged 3-6 years (36-72 months)
- Scheduled to undergo elective surgery in the Department of Pediatric Surgery
- Able to communicate appropriately for their age
- Have sufficient cognitive development to respond to the study assessment scales
- Child and parent/legal guardian are able to speak and understand Turkish
- Written informed consent obtained from the child's legal guardian (and child assent obtained when appropriate)
Exclusion Criteria:
- Presence of visual, hearing, or communication impairments that could interfere with study participation
- Receipt of premedication requiring sedation due to an emergency condition
- Presence of severe pain that could affect anxiety assessment before surgery
- Inability to safely use the battery-powered ride-on car because of physical or mobility limitations before surgery
- Withdrawal of consent by the child's legal guardian or the child's unwillingness to continue participation
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie podtrzymujące
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Aktywny komparator: Routine Walking with Parent
Participants are transported to the operating room by walking with a parent according to the hospital's routine practice.
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Participants are transported to the operating room by walking with a parent according to the hospital's routine practice.
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Eksperymentalny: Stretcher Transport
Participants are transported to the operating room using a stretcher.
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Participants are transported to the operating room using a stretcher.
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Eksperymentalny: Battery-Powered Ride-on Car Transport
Participants are transported to the operating room using an age-appropriate battery-powered ride-on car accompanied by the researcher.
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Participants are transported to the operating room using an age-appropriate battery-powered ride-on car accompanied by the researcher.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Preoperative Anxiety Level
Ramy czasowe: Immediately before transfer to the operating room (preoperative period).
|
Preoperative anxiety levels will be assessed using the Children's Anxiety Scale-State (CAS-S), a visual thermometer-like scale with scores ranging from 0 to 10. Higher scores indicate higher levels of state anxiety.
Scores will be compared among preschool children transported to the operating room by walking with a parent, stretcher, or battery-powered ride-on car.
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Immediately before transfer to the operating room (preoperative period).
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Preoperative Fear Level
Ramy czasowe: Immediately before transfer to the operating room (preoperative period)
|
Preoperative fear levels will be assessed using the Children's Fear Scale (CFS), which consists of five facial expressions and is scored from 0 to 4. A score of 0 indicates no fear, while a score of 4 indicates severe fear.
Higher scores indicate higher levels of fear.
Scores will be compared among preschool children transported to the operating room by walking with a parent, stretcher, or battery-powered ride-on car.
|
Immediately before transfer to the operating room (preoperative period)
|
Współpracownicy i badacze
Sponsor
Śledczy
- Główny śledczy: Nurdan Akçay Didişen, PhD, Ege university
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Inne numery identyfikacyjne badania
- 30333
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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