About this trial
This single-center, parallel-group, randomized experimental study will compare the effects of two non-pharmacological distraction/coping interventions - cartoon watching and ball squeezing - on procedural pain and pain-related fear during venous blood sampling in children aged 6-9 years. The study will be conducted in the Pediatric Blood Collection Unit of Mersin University Hospital. Eligible children will be randomized to either the cartoon-watching group or the ball-squeezing group. Pain will be assessed using the Wong-Baker FACES Pain Rating Scale, and pain-related fear will be assessed using the Children's Fear Scale before, during, and after venous blood sampling.
Hypotheses
* H1a: There is a difference between groups in mean WB-FACES scores during the procedure. * H1b: There is a difference between groups in mean CFS scores during the procedure.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Child aged 6-9 years
Child with need or plan for intravenous/venous blood sampling
Disqualifiers
Child with a neurodegenerative disease, mental retardation, vision and hearing problems, chronic, life-threatening (sepsis, shock, respiratory / cardiac arrest) or genetic disease
Child with use of opioids, narcotics, analgesics or sedatives in the last 24 hours before the procedure
Trial design
Parallel
Treatments tested in this trial
Cartoon-Watching Group
BehavioralBehavioral intervention: Cartoon watching. The child will begin watching a cartoon chosen by the child two minutes before venous blood sampling starts. Cartoon watching will continue until venous blood sampling is completed.
Ball-Squeezing Group
BehavioralBehavioral intervention: Ball squeezing with a stress ball. The child will begin squeezing a stress ball chosen by the child two minutes before venous blood sampling starts. Ball squeezing will continue until venous blood sampling is completed.
Treatment groups
Trial outcomes
Primary outcomes
Procedural pain score during venous blood sampling
Procedural pain score during venous blood sampling, assessed using the Wong-Baker FACES Pain Rating Scale at puncture. The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst/unbearable pain. Higher scores indicate greater pain. Time frame: during the procedure at puncture.
Pain-related fear score during venous blood sampling
Pain-related fear score during venous blood sampling, assessed using the Children's Fear Scale at puncture. The scale ranges from 0 to 4, from a neutral/no-fear face to a very fearful face. Higher scores indicate greater fear. Time frame: during the procedure at puncture.
Secondary outcomes
Pre-procedure pain score
Pre-procedure pain score assessed using the Wong-Baker FACES Pain Rating Scale. The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst/unbearable pain. Higher scores indicate greater pain.
Pre-procedure pain-related fear score
Pre-procedure pain-related fear score assessed using the Children's Fear Scale. The scale ranges from 0 to 4, from a neutral/no-fear face to a very fearful face. Higher scores indicate greater fear.
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