Effectiveness of pop-it therapeutic play on children’s anxiety during inhalation therapy in children’s wards
https://doi.org/10.4081/pmc.2023.315
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Hospitalized children receive anxiety-triggering medical procedures, such as inhalation therapy. One non-pharmacological intervention that can be provided to reduce children’s anxiety is pop-it therapeutic play. This study aimed to measure the effectiveness of pop-it therapeutic play on children’s levels of anxiety during inhalation therapy in children’s wards. This study used a randomized control trial involving 66 children aged 1–12 years who received inhalation therapy and were treated in the children’s ward from three hospitals in North Sulawesi. The respondents were divided into intervention and control groups, with 33 respondents for each group. The samples were selected using simple random sampling. Anxiety level was assessed using the Visual Facial Anxiety Scale. The findings showed that playing pop-it effectively reduced children’s anxiety levels during inhalation therapy, with a p value of 0.000 (α < 0.05). Therefore, playing pop-it is the right solution for children who receive inhalation therapy and is recommended as an alternative toy in hospitals. This finding can be applied in children who receive inhalation therapy because it is easy to do, efficient and effective controlling the children’s anxiety.
Li WHC, Chung JOK, Ho KY, Kwok BMC. Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr 2016;16:36. DOI: https://doi.org/10.1186/s12887-016-0570-5
Johnson AA, Berry A, Bradley M, et al. examining the effects of music-based interventions on pain and anxiety in hospitalized children : An integrative review. J Pediatr Nurs 2021;60:71–6. DOI: https://doi.org/10.1016/j.pedn.2021.02.007
Ministry of Women's Empowerment and Child Protection, Republic of Indonesia. Profil Anak Indonesia 2020. Jakarta: Ministry of Women's Empowerment and Child Protection, Republic of Indonesia; 2020. Available from: https://www.kemenpppa.go.id/index.php/page/read/25/3056/profil-anak-indonesia-tahun-2020.
Lestari NE, Nurhaeni N, Chodidjah S. The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia. Enferm Clin 2018;28:19–22. DOI: https://doi.org/10.1016/S1130-8621(18)30029-9
Meskill SD, O'Bryant SC. Respiratory virus co-infection in acute respiratory infections in children. Curr Infect Dis Rep 2020;22:3. DOI: https://doi.org/10.1007/s11908-020-0711-8
Ministry of Health, Republic of Indonesia. Laporan Nasional Riskesdas 2018. Jakarta: National Institute of Health Research and Development, Ministry of Health, Republic of Indonesia. 2019. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Silva MPC, Belisario MS, Roch NHG. Using therapeutic toy for administering by inhalation in pre-schools. Rev Enferm UERJ 2020;28:e48443. DOI: https://doi.org/10.12957/reuerj.2020.48443
Pizzulli A, Perna S, Bennewiz A, et al. The impact of nasal aspiration with an automatic device on upper and lower respiratory symptoms in wheezing children: A pilot case-control study. Ital J Pediatr 2018;44:68. DOI: https://doi.org/10.1186/s13052-018-0489-6
Dixon E, Puckey M, Collins N, et al. Striving for perfection, accepting the reality: A reflection on adherence to airway clearance and inhalation therapy for paediatric patients with chronic suppurative lung disease. Paediatr Respir Rev 2020;34:46–52. DOI: https://doi.org/10.1016/j.prrv.2019.04.002
Durak H and Uysal G. The effect of cartoon watching and distraction card on physiologic parameters and fear levels during inhalation therapy in children: A randomized controlled study. J Trop Pediatr. 2021;67: fmab018. DOI: https://doi.org/10.1093/tropej/fmab018
Ünver S, Güray Ö, Aral S. Effectiveness of a group game intervention in reducing preoperative anxiety levels of children and parents: A randomized controlled trial. AORN J 2020;111:403–12. DOI: https://doi.org/10.1002/aorn.12990
de Campos FV, Antunes CF, Damiao EBC, et al. Anxiety assessment tools in hospitalized children. Acta Paul Enferm 2020;33:eAPE20180250.
Forouzandeh N, Drees F, Forouzandeh M, Darakhshandeh S. The effect of interactive games compared to painting on preoperative anxiety in Iranian children: A randomized clinical trial. Complement Ther Clin Pract 2021;40:101211. DOI: https://doi.org/10.1016/j.ctcp.2020.101211
Sezici E, Ocakci AF, Kadioglu H. Use of play therapy in nursing process : A prospective randomized controlled study. J Nurs Scholarsh 2017;49:162–9. DOI: https://doi.org/10.1111/jnu.12277
da Silva SGT, Santos MA, Floriano CMF, et al. Influence of therapeutic play on the anxiety of hospitalized school-age children: Clinical trial. Rev Bras Enferm. 2017;70:1244–9. DOI: https://doi.org/10.1590/0034-7167-2016-0353
Mendri NK, Badi’ah A, Najib M. Pop up toys as story play therapy on the level of anxiety on general anesthesia surgery among children around 6-12 years old. Proceeding of the 7th International Conference on Public Health 2020, November 2020, Surakarta, Indonesia. Sebelas Maret University; 2020, pp. 242-253. DOI: https://doi.org/10.26911/the7thicph.03.29
Inan G and Inal Sevil. The impact of 3 different distraction techniques on the pain and anxiety levels of children during venipuncture: A clinical trial. Clin J Pain 2019;35:140-7. DOI: https://doi.org/10.1097/AJP.0000000000000666
Wang X, Zhang J, Xin H, et al. Effectiveness of two distraction strategies in reducing preoperative anxiety in children in China: A randomized controlled trial. J Pediatr Nurs 2023;68:e8-e15. DOI: https://doi.org/10.1016/j.pedn.2022.10.013
March A and McCormack D. Nursing theory-directed healthcare: Modifying Kolcaba's comfort theory as an institution-wide approach. Holist Nurs Pract 2009;23:75-80; quiz 81-2. DOI: https://doi.org/10.1097/HNP.0b013e3181a1105b
Kolcaba K, Tilton C, Drouin C. Comfort theory: A unifying framework to enhance the practice environment. J Nurs Adm 2006;36:538–44. DOI: https://doi.org/10.1097/00005110-200611000-00010
Orhan E and Yildiz S. The effects of pre-intervention training provided through therapeutic play on the anxiety of pediatric oncology patients during peripheral catheterization. Int J Caring Sci 2017;10:1533–44.
Cao X, Yumul R, Loani O, et al. A novel visual facial anxiety scale for assessing preoperative anxiety. PLoS One 2017;12:e0171233. DOI: https://doi.org/10.1371/journal.pone.0171233
Yati M, Wahyuni S, Pratiwi DS. The effect of storytelling in a play therapy on anxiety level in pre-school children during hospitalization in the general hospital of Buton. Public Health of Indonesia 2017;3:96–101. DOI: https://doi.org/10.36685/phi.v3i3.134
Bosch-Alcaraz A, Falcó-Pegueroles A, Jordan I. A literature review of comfort in the paediatric critical care patient. J Clin Nurs 2018;27:2546–57. DOI: https://doi.org/10.1111/jocn.14345
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
