Günübirlik cerrahi uygulanacak 4-10 yaş arası çocuklara ameliyat odasında projektör kaleydoskop ve çizgi film izletmenin anksiyete, korku ve ağrı üzerine etkisi
[ X ]
Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Tarsus Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırma, günübirlik cerrahi girişim uygulanacak olan çocuklara ameliyat odasında projektör kaleydoskop ve çizgi film izletmenin çocuklarda meydana gelen anksiyete, korku ve ağrı üzerine etkisinin incelenmesi amacıyla yapıldı. Araştırmanın evrenini Mayıs-Kasım 2024 tarihleri arasında çalışmaya dahil edilme kriterlerine uyan, çocuk cerrahi servisine başvuran ve günübirlik cerrahi müdahale geçirecek olan 4-10 yaş arası çocuklar oluşturdu. Çalışmanın örnekleminde toplam 90 çocuk (kontrol grubu 30 çocuk, projektör kaleydoskop izletilen 30 çocuk, çizgi film izletilen 30 çocuk) yer aldı. Uygulama gruplarında yer alan çocuklara cerrahi işlemden hemen önce projektör kaleydoskop ve çizgi film izletimi yapıldı. Araştırmanın verilerinin toplanmasında; Tanıtıcı Bilgi Formu, Çocuk Anksiyete-Durumluluk Skalası, Çocuk Korku Skalası, Wong Baker Ağrı Ölçeği ve Vital Bulgu Takip Formu kullanıldı. Ameliyat öncesi dönemde çocukların gruplar arası anksiyete ve korku puanları arasında fark saptanmamıştır (p>0.05). Ameliyat sonrası dönemde çocukların anksiyete ve korku puanları arasında gruplar arası anlamlı bir fark bulunmuştur (p<0.05). Çocuk ve gözlemci hemşirenin anksiyete puanlarının uyumunda ameliyat öncesi (r=0.815, p<0.05) ve ameliyat sonrası (r=0.911, p<0.05) uyumun istatistiksel olarak anlamlı olduğu görülmektedir. Çocuk ve gözlemci hemşirenin korku puanlarının uyumunda ise ameliyat öncesi (r=0.888, p<0.05) ve ameliyat sonrası (r=0.802, p<0.05) uyumun istatistiksel olarak anlamlı olduğu görülmektedir. Ayrıca ameliyat sonrası dönemde çocukların ağrı puanları arasında gruplar arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0.05). Araştırmanın sonucunda; ameliyat öncesi uygulanan projektör kaleydoskop gösterimi ve çizgi film izletme yönteminin çocukların ameliyat sürecinde yaşadıkları anksiyete ve korku düzeylerini azaltmada etkili olduğu görülmüştür. Ek olarak ameliyat öncesi uygulanan bu iki yöntemin çocukların ameliyat sonrası yaşadıkları ağrı düzeylerini azalttığı saptanmıştır. Ameliyat odalarında dikkati başka yöne çekmeyi sağlayan görsel ve işitsel uyaranların yaygınlaştırılması ve standart uygulama haline getirilmesi önerilmektedir.
The aim of this study was to investigate the effect of projector kaleidoscope and watching cartoons in the operating room on anxiety, fear and pain in children undergoing day surgery. The population of the study consisted of children aged 4-10 years who met the inclusion criteria between May-November 2024, who were admitted to the paediatric surgery service and who would undergo day surgery. A total of 90 children (control group 30 children, projector kaleidoscope 30 children, cartoon 30 children) were included in the sample of the study. The children in the treatment groups were shown projector kaleidoscope and cartoon films just before the surgical procedure. Descriptive Information Form, Child Anxiety-Situation Scale, Child Fear Scale, Wong Baker Pain Scale and Vital Sign Follow-up Form were used to collect the data. In the preoperative period, there was no difference between the anxiety and fear scores of the children between the groups (p>0.05). In the postoperative period, children a significant difference was found between the anxiety and fear scores between the groups (p<0.05). In the agreement of the anxiety scores of the child and the observer nurse, the preoperative (r=0.815, p<0.05) and postoperative (r=0.911, p<0.05) agreement was statistically significant. In the agreement of the fear scores of the child and the observer nurse, it is seen that the preoperative (r=0.888, p<0.05) and postoperative (r=0.802, p<0.05) agreement is statistically significant. In addition, a statistically significant difference was found between the pain scores of the children in the postoperative period (p<0.05). As a result of the study, it was seen that the projector kaleidoscope display and cartoon film watching method applied before the surgery were effective in reducing the anxiety and fear levels experienced by the children during the surgery process. In addition, it was found that these two methods applied before surgery reduced the pain levels experienced by children after surgery. It is recommended that visual and auditory stimuli that provide diversion of attention in operating rooms should be made widespread and become standard practice
The aim of this study was to investigate the effect of projector kaleidoscope and watching cartoons in the operating room on anxiety, fear and pain in children undergoing day surgery. The population of the study consisted of children aged 4-10 years who met the inclusion criteria between May-November 2024, who were admitted to the paediatric surgery service and who would undergo day surgery. A total of 90 children (control group 30 children, projector kaleidoscope 30 children, cartoon 30 children) were included in the sample of the study. The children in the treatment groups were shown projector kaleidoscope and cartoon films just before the surgical procedure. Descriptive Information Form, Child Anxiety-Situation Scale, Child Fear Scale, Wong Baker Pain Scale and Vital Sign Follow-up Form were used to collect the data. In the preoperative period, there was no difference between the anxiety and fear scores of the children between the groups (p>0.05). In the postoperative period, children a significant difference was found between the anxiety and fear scores between the groups (p<0.05). In the agreement of the anxiety scores of the child and the observer nurse, the preoperative (r=0.815, p<0.05) and postoperative (r=0.911, p<0.05) agreement was statistically significant. In the agreement of the fear scores of the child and the observer nurse, it is seen that the preoperative (r=0.888, p<0.05) and postoperative (r=0.802, p<0.05) agreement is statistically significant. In addition, a statistically significant difference was found between the pain scores of the children in the postoperative period (p<0.05). As a result of the study, it was seen that the projector kaleidoscope display and cartoon film watching method applied before the surgery were effective in reducing the anxiety and fear levels experienced by the children during the surgery process. In addition, it was found that these two methods applied before surgery reduced the pain levels experienced by children after surgery. It is recommended that visual and auditory stimuli that provide diversion of attention in operating rooms should be made widespread and become standard practice
Açıklama
Anahtar Kelimeler
Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
