Distraction Method on Pain and Anxiety During Circumcision
2020年1月6日 更新者：Elif Gezginci、Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
The Effect of Playing Games With Tablet on Pain and Anxiety During Circumcision in Children: A Randomized Controlled Study
Circumcision is a common procedure in infants, children and young people around the world for cultural, religious or medical reasons.
Since this is a painful procedure, it is performed under local anesthesia or general anesthesia.
It is recommended to perform this procedure under local anesthesia if there is no risk.
Although local anesthesia is used during the procedure, pain and anxiety levels of children may increase.
Distraction methods are commonly used and effective methods to reduce pain and anxiety during painful procedures.
The aim of this study was to evaluate the effect of tablet playing during circumcision on pain and anxiety in school age children.
研究概览
详细说明
Circumcision is a common procedure in the worldwide.
To our knowledge, although there have been several randomized controlled trials using video and game techniques, which are distractions to reduce pain and anxiety during painful procedures, no randomized controlled trials using playing the game with Tablet to reduce pain and anxiety during circumcision have been found.
Non-pharmacological studies, such as play therapy, are needed to reduce pain and anxiety in school-age children undergoing circumcision under local anesthesia.
The aim of this study is to provide evidence about the effectiveness of playing the game with Tablet used to reduce pain and anxiety during circumcision, and to contribute to nursing care in pain management.
研究类型
介入性
注册 (实际的)
70
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
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Istanbul、火鸡
- University of Health Sciences
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
7年 至 12年 (孩子)
接受健康志愿者
是的
有资格学习的性别
男性
描述
Inclusion Criteria:
- being between 7-12 years
- male gender
- circumcision with local anesthesia
- agreeing to participate in the study
Exclusion Criteria:
- presence of any contraindication for circumcision (hemophilia, bleeding disorders, urinary anatomical disorders-hypospadias, epispadias etc.)
- any analgesic used 24 hours before circumcision
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Tablet group
The Tablet group played the game with Tablet during the whole circumcision.
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Children in the Tablet group started to play the game with Tablet about 5-10 minutes before circumcision, and continued to play the game during the whole procedure.
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无干预：Control group
The control group did not play game with Tablet during the procedure.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
change on pain intensity as measured by Visual Analog Scale
大体时间："5-10 minutes before procedure", "during procedure" and "5 minutes after" circumcision.
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The average score change on pain intensity as measured by Visual Analog Scale.
This scale is an unidimensional measure commonly used to measure pain intensity.
The scale is a measuring tool with length of 0-10 cm (0-100 mm).
High scores on the scale indicate that pain intensity is high.
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"5-10 minutes before procedure", "during procedure" and "5 minutes after" circumcision.
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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score change on anxiety level as measured by State-Trait Anxiety Inventory for Children
大体时间："5-10 minutes before procedure" and "5 minutes after procedure" circumcision.
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The average score change on anxiety level as measured by State-Trait Anxiety Inventory for Children.
This scale is used to measure anxiety.
The scores on the scale ranges from 20 to 60.
The high scores on the scale indicate that anxiety is high.
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"5-10 minutes before procedure" and "5 minutes after procedure" circumcision.
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- American Academy of Pediatrics Task Force on Circumcision. Circumcision policy statement. Pediatrics. 2012 Sep;130(3):585-6. doi: 10.1542/peds.2012-1989. Epub 2012 Aug 27.
- Liguori S, Stacchini M, Ciofi D, Olivini N, Bisogni S, Festini F. Effectiveness of an App for Reducing Preoperative Anxiety in Children: A Randomized Clinical Trial. JAMA Pediatr. 2016 Aug 1;170(8):e160533. doi: 10.1001/jamapediatrics.2016.0533. Epub 2016 Aug 1.
- Wilson-Smith EM. Procedural Pain Management in Neonates, Infants and Children. Rev Pain. 2011 Sep;5(3):4-12. doi: 10.1177/204946371100500303.
- Hussein HA. Effect of active and passive distraction on decreasing pain associated with painful medical procedures among school aged children. World Journal of Nursing Sciences 1(2): 13-23, 2015.
- Polat F, Tuncel A, Balci M, Aslan Y, Sacan O, Kisa C, Kayali M, Atan A. Comparison of local anesthetic effects of lidocaine versus tramadol and effect of child anxiety on pain level in circumcision procedure. J Pediatr Urol. 2013 Oct;9(5):670-4. doi: 10.1016/j.jpurol.2012.07.022. Epub 2012 Sep 7.
- Rizalar S, Tural Buyuk E, Yildirim N. Children's perspectives on the medical and cultural aspects of circumcision. Iranian Journal of Pediatrics 27(2): 1-7, 2017.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2018年10月1日
初级完成 (实际的)
2019年10月31日
研究完成 (实际的)
2019年12月27日
研究注册日期
首次提交
2020年1月5日
首先提交符合 QC 标准的
2020年1月6日
首次发布 (实际的)
2020年1月7日
研究记录更新
最后更新发布 (实际的)
2020年1月7日
上次提交的符合 QC 标准的更新
2020年1月6日
最后验证
2020年1月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.