The effect of therapeutic play on anxiety and fear levels in 6-12-year old children undergoing central venous catheter insertion in a pediatric hematology-oncology unit: A randomized controlled trial
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Summary
This summary is machine-generated.Therapeutic play significantly reduced anxiety and fear in children undergoing central venous catheter (CVC) insertion. This intervention enhances psychological comfort and preparation for invasive procedures in pediatric oncology.
Area Of Science
- Pediatric Oncology
- Child Psychology
- Medical Procedures
Background
- Central venous catheter (CVC) insertion is an invasive procedure.
- This procedure can cause significant fear and anxiety in children, particularly those undergoing treatment in pediatric hematology-oncology units.
Purpose Of The Study
- To evaluate the effectiveness of therapeutic play in reducing anxiety and fear levels in children aged 6-12 years undergoing CVC insertion.
- To compare outcomes between children receiving therapeutic play and those receiving routine care.
Main Methods
- A randomized controlled trial involving 80 children diagnosed with cancer scheduled for CVC insertion.
- Participants were randomly assigned to an intervention group (therapeutic play education) or a control group (routine care).
- Anxiety and fear were measured using standardized scales (CAS-S, CFS), along with physiological indicators like heart rate and respiratory rate.
Main Results
- The therapeutic play group demonstrated significantly lower anxiety and fear scores compared to the control group (p < 0.01).
- Physiological measures, including heart rate and respiratory rate, were significantly lower in the intervention group post-procedure.
- Excellent inter-rater reliability was observed between child, parent, and nurse assessments (ICC = 0.904-0.980).
Conclusions
- Therapeutic play is an effective intervention for reducing fear and anxiety associated with CVC procedures in pediatric oncology patients.
- Nurses can utilize therapeutic play to improve psychological comfort and preparation for invasive procedures.
- This approach is particularly beneficial in hematology-oncology settings for enhancing patient care.
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