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The Effect of Music-Moving Toys to Reduce Fear and Anxiety in Preschool Children Undergoing Intravenous Insertion in a Pediatric Emergency Department: A Randomized Clinical Trial

Published:December 03, 2021DOI:https://doi.org/10.1016/j.jen.2021.10.004

      Abstract

      Introduction

      Intravenous catheter insertion is a highly invasive medical procedure that causes fear and anxiety in children. This study aimed to analyze the effect of a toy (with music and movement) distraction method on fear and anxiety in children aged 4 to 6 years.

      Methods

      This experimental, randomized clinical trial used parallel trial design guided by the Consolidated Standards of Reporting Trials checklist. Using simple randomization, eligible children (age 4-6; N = 60) were assigned to the intervention group (n = 30), who received the toy distraction method, or to the control group (n = 30), who received standard care. The Children’s Fear Scale was used to evaluate the fear levels, and Children’s State Anxiety Scale was used to evaluate anxiety levels. Physiological parameters (pulse, oxygen saturation) and crying time were monitored by the researcher as indicators of fear and anxiety. The chi-square test, repeated measures analysis of variance, Friedman test, t test, the Mann-Whitney U test, Wilcoxon test, and the intraclass correlation test were used for data analysis.

      Results

      There was no statistically significant difference in terms of fear and anxiety scores, physiological parameters, and crying time during the procedure between the children in the intervention and control group.

      Discussion

      We found that this method of toy distraction was not effective in reducing fear or anxiety during the intravenous catheter insertion procedure. Accordingly, we recommend that this distraction method be performed in different age groups and with larger samples in various painful and stressful practices in the future and that comparison be made with various distraction methods.

      Key words

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      Biography

      Tugba Nur Karaca is a Nurse, Tokat State Hospital, Tokat, Turkey. ORCID identifier: https://orcid.org/0000-0002-9242-3013.

      Biography

      Umran Cevik Guner is an Assistant Professor, Pediatric Nursing Department, Faculty of Health Sciences, Tokat Gaziosmanpasa University, Tokat, Turkey. ORCID identifier: https://orcid.org/0000-0002-8677-0414.