Document Type : Research articles
Authors
- Zahra Dehghan 1
- Tayebeh Reyhani 1
- Vahideh Mohammadpour 1
- Seyedeh Zahra Aemmi 2, 3
- Reza Shojaeian 4
- Seyed Mohsen Asghari Nekah 5
1 Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran
2 Psychiatry and Behavioral Science Research Center, Ibn-e-Sina Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
3 Department of Nursing, PhD Student in Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
4 Assistant Professor of Pediatric Surgery, Department of Pediatric Surgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
5 Assistant Professor, Department of Education, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, IR Iran
Abstract
Background: Surgery as a stressful experience can affect the child and quality of care plan. Nurses can use non-pharmacological intervention to reduce anxiety and help children cope with this stress.
Objectives: This study was designed to compare the effects of dramatic puppet and therapeutic play on anxiety of children undergoing surgery.
Methods: In this randomized clinical trial, 75 children were divided into three groups (dramatic puppet, therapeutic play, and control) using a simple random allocation method. The study was conducted in Iran in 2013 - 2014. The revised children’s manifest anxiety scale (RCMAS) was used to determine the anxiety of children. The data were analyzed using paired t-test, one-way analysis of variance (ANOVA), and Tukey test.
Results: The findings revealed that the changes of anxiety scores after the intervention were significantly different among the three groups (P < 0.001), so that the anxiety scores decreased in both the intervention groups (puppet and play) and increased in the control group.
Conclusions: Therapeutic play and dramatic puppet can be used by nurses as a care strategy and effective preoperative preparation intervention to reduce anxiety in children undergoing surgery.
Keywords
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