Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Nebülizatör Tedavisi Alan Üç-Altı Yaş Grubu Çocuklarda Oyuncak Tipi Nebülizatör ile Verilen Eğitimin Etkinliğinin Değerlendirilmesi
Evaluation of the Effectiveness of Education Given with Toy Type Nebulizer in Children Between 3-6 Years of Age Who Receive Nebulizer Treatment
Merve YANIKa, Tülay KUZLU AYYILDIZb
aZonguldak Kadın Doğum ve Çocuk Hastalıkları Hastanesi,
bHemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği AD, Zonguldak Bülent Ecevit Üniversitesi Sağlık Bilimleri Fakültesi, Zonguldak, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2019;28(1):7-18
doi: 10.5336/pediatr.2018-63137
Article Language: TR
Full Text
ÖZET
 Amaç: Nebülizatör kullanan üç-altı yaş grubu çocukların annelerine, oyuncak tipi nebülizatör ile verilen uygulama eğitiminin annenin uygulama beceri davranışı, kaygı düzeyi ve çocuğun anksiyetesine etkisini belirlemektir. Gereç ve Yöntemler: Randomize kontrollü olarak gerçekleştirilen çalışma, Şubat 2017-Ocak 2018 tarihleri arasında İstanbul ili Okmeydanı Eğitim ve Araştırma Hastanesi çocuk servislerinde gerçekleştirilmiştir. Araştırmanın örneklemini, nebülizatör tedavisi alan yaş aralığı üç-altı yıl olan 60 çocuk ve anneleri oluşturmuştur. Araştırma verilerinin toplanmasında tanıtıcı bilgi formu, Çocukların Duygusal Dışa Vurumunu Değerlendirme Ölçeği, Durumluk ve Sürekli Kaygı Ölçeği, hastaların cihaz kullanma becerilerinin değerlendirildiği basamaklar, nebülizatör eğitim broşürü, oyuncak tipi nebülizatör kullanılmıştır. Bulgular: Deney grubu çocukların anksiyete puan ortalamalarının inhaler tedavi sırasında azaldığı, kontrol grubu çocukların işlem sırasındaki anksiyete puanlarında artış olduğu saptanmıştır. Kontrol ve deney grubu annelerin eğitim öncesi uygulama ve değerlendirme basamaklarına ilişkin puan ortalamaları arasında birinci değerlendirmede anlamlı farklılık yok iken, ikinci ve üçüncü değerlendirmede istatistiksel olarak anlamlı farklılık saptanmıştır. Çalışma ve kontrol grubu annelerin işlem öncesi ve sonrası kaygı puan ortalamaları arasında istatistiksel olarak anlamlı farklılık gözlenmemiştir. Sonuç: Oyuncak tipi nebülizatör ile verilen eğitimin çocukların nebül tedavi sırasındaki anksiyetelerine olumlu yönde etki gösterdiği, annelerin eğitim sonrası uygulama becerilerinde artış olduğu, anksiyeteleri üzerine ise herhangi bir etkisinin olmadığı belirlenmiştir.

Anahtar Kelimeler: Nebülizatör; çocuk; anksiyete
ABSTRACT
 Objective: The application training given to the mothers of 3-6 year old group nebulizer by toys type nebulizer determines the maternal application skill behavior, level of anxiety and the effect of the child on anxiety. Material an Methods: The randomized controlled study was carried out in the children's services of Okmeydanı Training and Research Hospital in İstanbul between February 2017-January 2018. The sample of the study consisted of 60 children and their mothers aged 3-6 who took nebulizer treatment. In the collection of research data, descriptive information form, Children's Emotional Manifestation Scale, State and Trait Anxiety
Scale, steps to evaluate the patient's ability to use devices, nebulizer training brochure, toy type nebulizer was used. Results: The mean anxiety scores of children in the experimental group were decreased during inhaler treatment, and the anxiety scores of children in the control group were increased during the operation. There was no statistically significant difference between the mean scores of the control and experiment group pre-training application and evaluation stages, the second and the third evaluation. There was no statistically significant difference between pre- and post-treatment anxiety scores of mothers in the working and control group. Conclusion: Educational training with toy type nebulizer was found to have positive effects on children's anxiety during nebulization treatment, it was determined that there was an increase in the mothers' post-training skills and no effect on their anxiety.

Keywords: Nebuliser; child; anxiety
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