The Effect of Therapeutic Play on Children's Pain, Anxiety and Mothers’ Anxiety during Pre- and Postcircumcision Period


Metlek S., ÇAĞLAR S.

Journal of Perianesthesia Nursing, cilt.39, sa.5, ss.808-815, 2024 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 39 Sayı: 5
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1016/j.jopan.2023.12.015
  • Dergi Adı: Journal of Perianesthesia Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, DIALNET
  • Sayfa Sayıları: ss.808-815
  • Anahtar Kelimeler: anxiety, circumcision surgery, pain, pediatric nursing, therapeutic play
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Purpose: The study was conducted to determine the effect of the therapeutic play method implemented on the pre- and postcircumcision pain and anxiety levels of children and mothers’ anxiety levels in the pediatric surgery clinic. Design: Prospective, randomized clinical trial. Methods: The study consisted of children between the ages of 3 to 6 admitted to the pediatric surgery clinic and their mothers (N = 120; Therapeutic playgroup = 60, Control group = 60). As a therapeutic play method the children and their mothers used play dough during the structured conversation for about 10 minutes before and after the operation. A questionnaire, the Face, Legs, Activity, Cry, Consolability (FLACC) pain scale, the Children's Emotional Manifestation Scale (CEMS) anxiety scale, and State-Trait Anxiety Inventory-S (STAI-S) anxiety scale for parents were used to collect data. Findings: In the pre- and postcircumcision period, the pain and anxiety levels of children and mothers’ anxiety levels in the therapeutic playgroup were statistically lower compared to the control group (P < .05). In the postoperative period, a positive and significance correlation was found between anxiety levels of the mothers and pain and anxiety levels of children in the control group (P < .05). Conclusions: The therapeutic play method was effective in reducing the pain and anxiety levels of children and mothers’ anxiety in the pre- and postcircumcision period.