Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Çocuk Cerrahi Hastalarına Periferik Damar Yolu Açma Girişimi Öncesi Terapötik Oyun ile Verilen Eğitimin Anksiyete Üzerine Etkisi
The Effect of Therapeutic Game Education on Anxiety in Pediatric Surgery Patients Before Peripheral Vascular Access Procedure
Zeynep İŞLERa , Tülay KUZLU AYYILDIZb
aZonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi, Sağlık Uygulama ve Araştırma Merkezi Çocuk Cerrahisi AD, Zonguldak, Türkiye
bZonguldak Bülent Ecevit Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Bölümü, Zonguldak, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(2):387-96
doi: 10.5336/nurses.2024-104905
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, çocuklarda periferik damar yolu açma girişimi öncesi terapötik oyun ile verilen eğitimin anksiyete üzerine etkisini değerlendirmek amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Araştırma, yarı deneysel olarak yapılmıştır. Araştırmanın örneklemini Ocak-Mayıs 2022 tarihleri arasında bir üniversite hastanesinin çocuk cerrahisi servisinde tedavi gören, çalışmaya katılmaya gönüllü olan ve dâhil edilme kriterlerini karşılayan 102 çocuk (kontrol grubunda 33; amigurumi grubunda 35, boyama grubunda 34) oluşturmuştur. Veri toplamada Aile ve Çocuğu Bilgilendirme ve Tanıtım Formu, 3-6 yaş grubu çocuklar için Çocukların Duygusal Dışa Vurumunu Değerlendirme Ölçeği, 6-12 yaş grubu çocuklar için Çocuklar İçin Duygusal Görünüm Ölçeği, amigurumi bebek, Damar Yolu Eğitim ve Boyama Kitabı ve periferik oksijen satürasyonu ölçüm cihazı kullanılmıştır. Verilerin değerlendirilmesinde SPSS 20.0 İstatistik paket programı kullanılmıştır. Bulgular: Çocukların yaş ortalamaları, cinsiyet, eğitim durumu, yatış şekli (planlı-acil), hastane deneyimi, damar yolu deneyimi, hastanenden yatış süresi bakımından gruplar arasında istatistiksel olarak anlamlı fark tespit edilmemiştir (p>0,05). Periferik damar yolu açma girişimi öncesi ve sonrası amigurumi, boyama ve kontrol grubundaki çocukların kalp atımları ve satürasyon değerleri açısından aralarında istatistiksel olarak anlamlı fark bulunmamıştır (p>0,05). Ancak, boyama ve kontrol grubu çocukların işlem öncesine göre işlem sonrası anksiyete ölçek puanları anlamlı düzeyde düşüş göstermiştir (p>0,05). Amigurumi ve boyama grubu 3-6 çocukların işlem sonrası anksiyete puanları düşük bulunmuştur (p>0,05). Sonuç: Damar yolu açılacak 3-6 yaş çocuklara, anksiyetelerini azaltmak amacı ile işlem öncesi amigurumi ve boyama uygulamaları yaptırılabilir.

Anahtar Kelimeler: Çocuk; periferik damar yolu; dikkati başka yöne çekme; anksiyete; çocuk hemşireliği
ABSTRACT
 Objective: This study was conducted to evaluate the effect of training given with therapeutic games on anxiety in children before attempting peripheral vascular access. Material and Methods: The study was conducted as a quasi-experimental study. The sample of the study consisted of 102 children (33 in the control group; 35 in the amigurumi group, 34 in the painting group) who were treated in the pediatric surgery service of a university hospital between January-May 2022, volunteered to participate in the study and met the inclusion criteria. In data collection, Family and Child Information and Introduction Form, Children's Emotional Expression Evaluation Scale for children in the 3-6 age group, Emotional Appearance Scale for Children for children in the 6-12 age group, amigurumi doll, Intravenous Access Training and Coloring Book and peripheral oxygen saturation measuring device were used. SPSS 20.0 Statistics package program was used to evaluate the data. Results: No statistically significant difference was detected between the groups in terms of the average age of the children, gender, educational level, type of hospitalization (planned-emergency), hospital experience, vascular access experience, and duration of hospitalization (p>0.05). There was no statistically significant difference in heart rates and saturation values of the children in the amigurumi, painting and control groups before and after peripheral vascular access (p>0.05). However, the post-procedural anxiety scores of the painting and control groups showed a significant decrease compared to pre-procedural scores (p>0.05). The amigurumi and staining group of children aged 3-6 exhibited lower post-procedural anxiety scores (p>0.05). Conclusion: Children aged 3-6 who require vascular access may benefit from amigurumi and stain application prior to the procedure to alleviate anxiety.

Keywords: Child; peripheral vascular access; distraction; anxiety; pediatric nursing
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