Is tablet-based interactive distraction effective on pain and anxiety during circumcision in children? A randomized controlled trial
Turkish Journal of Urology, cilt.47, sa.6, ss.518-525, 2021 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 47 Sayı: 6
- Basım Tarihi: 2021
- Doi Numarası: 10.5152/tud.2021.21228
- Dergi Adı: Turkish Journal of Urology
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.518-525
- Anahtar Kelimeler: Anxiety, nursing, pain, pediatrics, urology
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Distraction is a nonpharmacological method commonly used during painful procedures in chil-dren. However, there are a few studies investigating the effectiveness of active distraction on pain and anxiety in children during circumcision. The purpose of this study was to evaluate the effectiveness of tablet-based interactive distraction on pain and anxiety in children during circumcision. Material and methods: To evaluate how tablet distraction could improve children’s outcomes during circum-cision, a single-center, nonblinded, randomized controlled, parallel group trial research design was employed. In this study, 35 children were included in tablet distraction group, which have a control group (n = 35). The primary outcome measure was the Numeric Rating Scale for pain. Secondary outcome measure was the State-Trait Anxiety Scale for Children, and other outcome variables were physiological parameters and satisfaction levels. Results: During and after the surgical procedure, pain scores (P <.001, P <.001, respectively) and pulse rates (P <.001, P <.001, respectively) were significantly lower in the tablet distraction group, whereas O2 saturation was higher than the control group (P <.001, P <.001, respectively). After the procedure, the anxiety scores were significantly lower in the tablet distraction group (P <.001), whereas the satisfaction scores were higher than control group (P <.001). Conclusion: This study concluded that the use of tablet distraction during circumcision has a positive effect on children’s pain, anxiety, satisfaction levels, and physiological parameters.