A comparison of watching cartoons versus playing games as a distraction method on pain and fear of pain during peripheral intravenous cannula placement in children aged 6-9 years: A randomized experimental study

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dc.authoridUGUCU, Guzide/0000-0002-1095-8656
dc.contributor.authorUysal, Derya Akdeniz
dc.contributor.authorPolat, Ozlem Guzel
dc.contributor.authorUgucu, Guzide
dc.contributor.authorKarakul, Atiye
dc.contributor.authorOlcay, Ayse Zisan
dc.contributor.authorTuzun, Ozlem
dc.contributor.authorYigit, Rana
dc.date.accessioned2025-03-17T12:25:59Z
dc.date.available2025-03-17T12:25:59Z
dc.date.issued2025
dc.departmentTarsus Üniversitesi
dc.description.abstractPurpose: This study aimed to compare the effects of watching cartoons and playing games as a distraction method during peripheral intravenous cannula insertion on pain and fear of pain in children aged 6-9 years. Design & methods: This RCTwith a parallel-group randomized experimental design was conducted between May and July 2024 in the pediatric unit of a university hospital with a tertiary referral centre. Sixty-eight children aged 6-9 years were assigned to two different groups using block randomization method (Cartoon Group = CG; n = 34, Gaming Group = GG; n = 34). The Wong-Bakers FACES (R) Pain Rating Scale and Children's Fear Scale were used for data collection. The children's pain and fear of pain were evaluated 2 min before, during and 2 min after the procedure. Results: The mean age of the children (N = 64) was 7.41 +/- 1.71 years (min-max = 6-9). Pain scores of GG (n = 32) were higher than CG (n = 32) (MD = 1.46; SE = 0.35; p <0.001; %95 CI = 0.76-2.15). During the procedure, fear of pain scores of GG were higher than CG (MD = 0.78; SE = 0.32; p = 0.018; %95 CI = 0.13- 1.42). Conclusion: This study revealed that watching cartoons reduced the pain score by approximately 1.5 units and the fear of pain score by approximately 1 unit compared to playing online games during peripheral intravenous cannula placement in children aged 6-9 years. Practice implication: In children aged 6-9 years planned to undergo peripheral intravenous cannula placement, watching a cartoon, one of the distraction techniques, can be recommended to effectively reduce pain and fear of pain. Tablets that allow watching cartoons and films, which are widely used and accessible in the clinical field, can facilitate the use of distraction techniques. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
dc.identifier.doi10.1016/j.pedn.2024.11.023
dc.identifier.endpage166
dc.identifier.issn0882-5963
dc.identifier.pmid39616818
dc.identifier.scopus2-s2.0-85210407689
dc.identifier.scopusqualityQ1
dc.identifier.startpage161
dc.identifier.urihttps://doi.org/10.1016/j.pedn.2024.11.023
dc.identifier.urihttps://hdl.handle.net/20.500.13099/1975
dc.identifier.volume80
dc.identifier.wosWOS:001373285800001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Pediatric Nursing-Nursing Care of Children & Families
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250316
dc.subjectPain
dc.subjectFear of pain
dc.subjectChildren
dc.subjectPeripheral intravenous cannula
dc.subjectDistraction
dc.subjectNursing
dc.titleA comparison of watching cartoons versus playing games as a distraction method on pain and fear of pain during peripheral intravenous cannula placement in children aged 6-9 years: A randomized experimental study
dc.typeArticle

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