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• MakaleAçık Erişim2025Scopus SJRQ1/r/gumushane/13998
  The Effect of Music on Fear and Anxiety of Children During Tomography: A Randomized Controlled Double-Blind Study

  Kurudirek, Fatma; Demir Barbak, Zülbiye; Demir İmamoğlu, Zeynep; Çiftci, Kamile; Delice, Orhan

  Aim: This study was conducted to determine the effect of a musical intervention during computed tomography (CT) on fear, anxiety and vital signs of children. Method: This randomized, double-blind controlled trial was conducted according to the Consolidated Standards of Reporting Studies (CONSORT) guidelines. The study sample included children aged between 6 and 10 years who met the inclusion criteria and underwent CT scan in the emergency department of a public hospital in eastern Turkey between 18 April and 20 May 2023. The research was completed with a total of 60 children, randomized to one of two groups. The nursing intervention of the study was playing music. Data were collected through face-to-face interviews using the Child and Family Information Form, the Children's Fear Scale (CFS), Children's Anxiety Meter-State (CAM-S) and the Vital Signs Monitoring Form (pulse, blood pressure and oxygen saturation). Ethical principles were followed in the research. Results: The level of fear, anxiety, pulse rate and respiratory rate of the children in the musical intervention group during CT scanning were lower than in the control group (p < 0.05). No difference was found between the groups in terms of oxygen saturation (p < 0.05). Conclusion and Recommendations for Implementation: The results of this study suggest that musical intervention during CT scanning in children is effective in reducing the level of fear and anxiety and stabilizing vital signs. By using such nonpharmacologic methods, nurses can provide support to children and alleviate emotional difficulties during procedures. Trial Registration: NCT06086509. Summary: What is already known about this topic? Music therapy is recognized as an effective nonpharmacologic intervention to reduce fear and anxiety in paediatric patients undergoing medical procedures. Previous studies have shown that musical intervention during CT scans can calm children, potentially reducing the need for sedation and improving compliance. Knowledge gaps remain regarding the specific effects of music on physiological parameters like pulse and respiratory rates during paediatric CT scans. What this paper adds? This study demonstrates that musical intervention during CT scans significantly reduces fear and anxiety levels in children aged 6–10 years. The research findings show that music intervention can also stabilize vital signs, such as pulse and respiratory rates, during CT scans, suggesting a relaxed physiological state. The results support the idea that incorporating music into paediatric imaging procedures can enhance patient comfort and improve the quality of the imaging process by encouraging children to remain still. The implications of this paper: Incorporating music therapy into routine paediatric imaging procedures can reduce anxiety, improve patient cooperation and potentially reduce the need for sedatives. Future research could explore the optimal types of music, volume levels and delivery methods to maximize the calming effects on children during various medical procedures. Training programs for paediatric healthcare providers can include education on the benefits of nonpharmacologic interventions, like music therapy, to reduce anxiety and improve patient outcomes in clinical settings.

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  AtıfScopus3·WoS2·OpenAlex3

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• MakaleYalnız künye2024Scopus SJRQ1/r/gumushane/14256
  The effect of a cognitive behavioural intervention package on peripheral venous cannulation pain, fear and anxiety in Paediatric patients: A randomised controlled trial

  Demir Imamoglu, Zeynep; Aytekin Ozdemir, Aynur

  Purpose: This study investigated the effect of a cognitive behavioural intervention package (CBIP) on peripheral venous cannulation (PVC) pain, fear and anxiety in paediatric patients aged 7–12 years. Design and methods: This randomised controlled trial included 77 paediatric patients (intervention: n = 39 and control: n = 38). The control group underwent a routine PVC procedure, whereas the intervention group attended the CBIP while undergoing a PVC procedure. Data were collected using a sociodemographic form, the Visual Analogue Scale (VAS), the Wong–Baker FACES (WB-FACES) Pain Rating Scale, the Children's Fear Scale (CFS) and the State–Trait Anxiety Inventory for Children–State Form (STAIC–State). The participants, their caregivers and the researcher scored PVC pain, fear and anxiety levels. The study was approved by an ethics committee. Informed consent was obtained from caregivers, and verbal consent was obtained from children. Results: No significant difference in pre-procedural CFS scores were noted between the CBIP and control groups (p > 0.05). However, the CBIP group had significantly lower mean procedural pain (VAS and WB-FACES), fear (CFS) and anxiety (STAIC–State) scores than the control group (p < 0.05). Conclusions: The CBIP helped children experience less PVC pain, fear and anxiety. Practice implications: Nurses can use the CBIP to help reduce PVC pain, fear and anxiety in children. Clinical trials registration: The study was registered at Clinical-Trials.gov (NCT06018909).

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  AtıfScopus9·WoS8·OpenAlex9

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• MakaleAçık Erişim2023Scopus SJRQ3/r/gumushane/11800
  The Effect of a Musical Toy on Preschool Children’s Pain and Anxiety During Blood Collection; [Okul Öncesi Dönem Çocuklarında Kan Alma İşlemi Sırasında Işıklı Dönen Müzikli Oyuncağın Ağrı ve Anksiyeteye Etkisi]

  Kurudirek, Fatma; Demir İmamoğlu, Zeynep; Ekici, Sümeyye

  Objective: This study examined the effect of providing a lighted, rotating musical toy on preschool children’s pain and anxiety during a blood collection procedure. Methods: The randomized controlled study was conducted on a sample of children aged 4-6 years who applied to the blood collection unit of a state hospital in Turkey from July 1 through August 1, 2022. The data were obtained from 95 children who met the research criteria (48 in the control group and 47 in the intervention group). Stratification and block randomization methods were used to determine the experimental and control groups. The variables of gender and fear of interference were used in the stratification of the children. The Family and Child Information Form, Child Fear and Anxiety Inventory, and Wong–Baker Facial Expression Rating Scale were used to collect the data. Results: The pain scores of the children in the experimental group were found to be lower (1.42 ± 1.05) than those in the control group (2.81 ± 1.23), and the result was statistically significant (P < .001). During the procedure, the mean Child Fear and Anxiety Inventory score of the children in the experimental group (1.21 ± 0.97) was lower than that of the control group (2.72 ± 1.10), and the difference was statistically significant (P < .001). Conclusion: This study found that providing a lighted, rotating musical toy to children aged 4-6 during blood collection effectively reduced their pain and anxiety. In line with these results, it is recommended that nurses and parents use such a toy in blood collection units to reduce pain and anxiety in children.

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  AtıfScopus4·WoS3·OpenAlex2·TR Dizin1

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