Effect of Stress Ball Use on Fear and Anxiety During Pediatric Casting Procedures.

IF 0.7 4区医学 Q4 CRITICAL CARE MEDICINE

Journal of Trauma Nursing Pub Date : 2025-05-01 Epub Date: 2025-05-07 DOI:10.1097/JTN.0000000000000852

Sultan Esra Sayar, Zülbiye Demir Barbak, Orhan Delice

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引用次数: 0

Abstract

Background: Pediatric trauma patients are often exposed to treatments that can result in pain, fear, and anxiety. While nonpharmacological distraction techniques like stress balls have been increasingly used in pediatric care, their effectiveness during casting procedures remains unexplored.

Objective: This study aims to evaluate the impact of stress ball distraction on fear and anxiety in pediatric extremity fracture patients during casting procedures.

Methods: This randomized controlled trial, with a parallel group design, was conducted from February to May 2023 in a hospital in Erzurum, Turkey, to evaluate stress ball distraction on fear and anxiety in children aged 6-12 years presenting to the emergency department with extremity fracture.

Results: Among 66 children randomized to the stress ball (n = 33) or control (n = 33) group during casting procedures (mean age 8.5 years, 47% female), both groups were comparable at baseline. The stress ball group showed decreased fear scores (mean [SD], 2.24 [1.25] to 1.30 [1.07], p < .001), while controls showed increases (2.42 [1.02] to 3.15 [1.08], p < .001). State anxiety scores decreased in the stress ball group (mean [SD], 4.97 [2.52] to 3.09 [1.79], p < .001) but remained unchanged in controls (3.93 [0.32] to 3.91 [0.29], p = .487).

Conclusion: Our findings show that stress ball distraction reduced fear and anxiety in children during the casting procedures and is an easy and cost-effective intervention.

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压力球使用对儿童铸型过程中恐惧和焦虑的影响。

背景：儿童创伤患者经常暴露在可能导致疼痛、恐惧和焦虑的治疗中。虽然像压力球这样的非药物分散技术已经越来越多地用于儿科护理，但它们在铸造过程中的有效性仍未得到探索。目的：本研究旨在评估压力球牵引对儿童四肢骨折患者铸造过程中恐惧和焦虑的影响。方法：本随机对照试验采用平行组设计，于2023年2月至5月在土耳其埃尔祖鲁姆的一家医院进行，评估压力球分散治疗对急诊6-12岁四肢骨折患儿恐惧和焦虑的影响。结果：在铸型过程中，66名儿童随机分为压力球组（n = 33）和对照组（n = 33）（平均年龄8.5岁，47%为女性），两组在基线上具有可比性。应激球组患者的恐惧评分降低（平均[SD]， 2.24 [1.25] ~ 1.30 [1.07], p < 0.001），对照组患者的恐惧评分升高（2.42 [1.02]~ 3.15 [1.08],p < 0.001）。应激球组状态焦虑评分下降（平均[SD]， 4.97 [2.52] ~ 3.09 [1.79], p < 0.001），对照组状态焦虑评分保持不变（3.93 [0.32]~ 3.91 [0.29],p = .487）。结论：我们的研究结果表明，压力球分散可以减少儿童在铸造过程中的恐惧和焦虑，是一种简单而经济的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING

CiteScore

1.20

自引率

10.00%

发文量

106

期刊介绍： Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients. The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.