指导性治疗游戏对接受鼻咽拭子手术儿童情绪反应的影响：一项随机对照试验

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-09-11 DOI:10.1016/j.pedn.2025.09.004

Melisa Şengül MSc, BSN , Zeynep Erkut PhD, MSc, BSN

{"title":"指导性治疗游戏对接受鼻咽拭子手术儿童情绪反应的影响：一项随机对照试验","authors":"Melisa Şengül MSc, BSN , Zeynep Erkut PhD, MSc, BSN","doi":"10.1016/j.pedn.2025.09.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine the effect of instructional therapeutic play given before nasopharyngeal swabbing on emotional responses in children aged 3–6 years.</div></div><div><h3>Methods</h3><div>This was a randomised, controlled experimental study. The population covered children presenting to the outpatient paediatric unit of a hospital in Istanbul, Türkiye, for nasopharyngeal swabbing between January–March 2024. The study included 68 children who met the sample selection criteria (therapeutic play group: 34, control group: 34). Data were collected using the Information Form, the Children's Emotional Manifestation Scale (CEMS), and Instructional Therapeutic Play Guide for Nasopharyngeal Swab Procedure. Children in the therapeutic play group received instructional therapeutic play. For this intervention, the swabbing procedure was demonstrated on a doll before nasopharyngeal swabbing. Children in the control group were only explained the swabbing procedure as in routine practice. Two nurse observers independently rated each child's emotional responses one minute before, during, and one minute after the procedure.</div></div><div><h3>Results</h3><div>During the procedure, mean CEMS scores were significantly lower in the therapeutic play group (9.8 ± 3.8) than in the control group (15 ± 6.1) (<em>p</em> = 0.000). After the procedure, the mean CEMS score of the therapeutic play group (6.7 ± 2.4) was significantly lower than that of the control group (11.2 ± 5.8) (<em>p</em> = 0.000).</div></div><div><h3>Conclusions</h3><div>This study determined that demonstrating nasopharyngeal swabbing using the instructional therapeutic play method effectively and positively influenced the emotional responses of preschool children.</div></div><div><h3>Clinical implications</h3><div>The therapeutic play can be used as an effective paediatric nursing intervention to manage the negative effects of painful and/or stressful procedures on children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 433-440"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of instructional therapeutic play on emotional responses in children undergoing nasopharyngeal swabbing: A randomised controlled trial\",\"authors\":\"Melisa Şengül MSc, BSN , Zeynep Erkut PhD, MSc, BSN\",\"doi\":\"10.1016/j.pedn.2025.09.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>This study aimed to determine the effect of instructional therapeutic play given before nasopharyngeal swabbing on emotional responses in children aged 3–6 years.</div></div><div><h3>Methods</h3><div>This was a randomised, controlled experimental study. The population covered children presenting to the outpatient paediatric unit of a hospital in Istanbul, Türkiye, for nasopharyngeal swabbing between January–March 2024. The study included 68 children who met the sample selection criteria (therapeutic play group: 34, control group: 34). Data were collected using the Information Form, the Children's Emotional Manifestation Scale (CEMS), and Instructional Therapeutic Play Guide for Nasopharyngeal Swab Procedure. Children in the therapeutic play group received instructional therapeutic play. For this intervention, the swabbing procedure was demonstrated on a doll before nasopharyngeal swabbing. Children in the control group were only explained the swabbing procedure as in routine practice. Two nurse observers independently rated each child's emotional responses one minute before, during, and one minute after the procedure.</div></div><div><h3>Results</h3><div>During the procedure, mean CEMS scores were significantly lower in the therapeutic play group (9.8 ± 3.8) than in the control group (15 ± 6.1) (<em>p</em> = 0.000). After the procedure, the mean CEMS score of the therapeutic play group (6.7 ± 2.4) was significantly lower than that of the control group (11.2 ± 5.8) (<em>p</em> = 0.000).</div></div><div><h3>Conclusions</h3><div>This study determined that demonstrating nasopharyngeal swabbing using the instructional therapeutic play method effectively and positively influenced the emotional responses of preschool children.</div></div><div><h3>Clinical implications</h3><div>The therapeutic play can be used as an effective paediatric nursing intervention to manage the negative effects of painful and/or stressful procedures on children.</div></div>\",\"PeriodicalId\":48899,\"journal\":{\"name\":\"Journal of Pediatric Nursing-Nursing Care of Children & Families\",\"volume\":\"85 \",\"pages\":\"Pages 433-440\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Nursing-Nursing Care of Children & Families\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0882596325003185\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Nursing-Nursing Care of Children & Families","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0882596325003185","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨鼻咽拭子前进行指导性治疗游戏对3 ~ 6岁儿童情绪反应的影响。方法随机对照实验研究。研究对象为2024年1月至3月期间在土耳其伊斯坦布尔一家医院儿科门诊接受鼻咽拭子拭子检查的儿童。该研究包括68名符合样本选择标准的儿童（治疗游戏组34名，对照组34名）。采用信息表、儿童情绪表现量表（CEMS）和《鼻咽拭子手术指导治疗游戏指南》收集数据。治疗性游戏组的儿童接受指导性治疗性游戏。对于这种干预，在鼻咽拭子之前，在一个娃娃上演示了拭子程序。对照组的儿童只被解释为常规的拭子程序。两名护士观察员分别对每个孩子在手术前一分钟、手术中一分钟和手术后一分钟的情绪反应进行了评分。结果治疗游戏组CEMS评分（9.8±3.8）明显低于对照组（15±6.1），差异有统计学意义（p = 0.000）。术后治疗组CEMS平均评分（6.7±2.4）明显低于对照组（11.2±5.8）（p = 0.000）。结论运用指导性治疗性游戏法示范鼻咽拭子对学龄前儿童情绪反应有积极有效的影响。临床意义治疗性游戏可以作为一种有效的儿科护理干预措施，以管理疼痛和/或压力手术对儿童的负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The effect of instructional therapeutic play on emotional responses in children undergoing nasopharyngeal swabbing: A randomised controlled trial

Purpose

This study aimed to determine the effect of instructional therapeutic play given before nasopharyngeal swabbing on emotional responses in children aged 3–6 years.

Methods

This was a randomised, controlled experimental study. The population covered children presenting to the outpatient paediatric unit of a hospital in Istanbul, Türkiye, for nasopharyngeal swabbing between January–March 2024. The study included 68 children who met the sample selection criteria (therapeutic play group: 34, control group: 34). Data were collected using the Information Form, the Children's Emotional Manifestation Scale (CEMS), and Instructional Therapeutic Play Guide for Nasopharyngeal Swab Procedure. Children in the therapeutic play group received instructional therapeutic play. For this intervention, the swabbing procedure was demonstrated on a doll before nasopharyngeal swabbing. Children in the control group were only explained the swabbing procedure as in routine practice. Two nurse observers independently rated each child's emotional responses one minute before, during, and one minute after the procedure.

Results

During the procedure, mean CEMS scores were significantly lower in the therapeutic play group (9.8 ± 3.8) than in the control group (15 ± 6.1) (p = 0.000). After the procedure, the mean CEMS score of the therapeutic play group (6.7 ± 2.4) was significantly lower than that of the control group (11.2 ± 5.8) (p = 0.000).

Conclusions

This study determined that demonstrating nasopharyngeal swabbing using the instructional therapeutic play method effectively and positively influenced the emotional responses of preschool children.

Clinical implications

The therapeutic play can be used as an effective paediatric nursing intervention to manage the negative effects of painful and/or stressful procedures on children.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.