Author/Authors :
Aemmi Seyedeh Zahra نويسنده M.Sc Nursing, Mashhad University of Medical Sciences, Mashhad, Iran. , Reyhani Tayebeh نويسنده Faculty of Nursing and Midwifery,Department of Pediatric Nursing,Mashhad University of Medical Sciences,Mashhad,Iran , Mohammadpour Vahideh نويسنده Faculty of Nursing and Midwifery,Mashhad University of Medical Sciences,Mashhad,Iran , Shojaeian Reza نويسنده Sarvar Children Hospital,Mashhad University of Medical Sciences,Mashhad,Iran , Dehghan Zahra نويسنده Department of Pediatric Nursing, School of Nursing and
Midwifery, Mashhad University of Medical Sciences, Mashhad, IR
Iran , Asghari Nekah Seyed Mohsen نويسنده Assistant Professor, Department of Education, Faculty of
Education and Psychology, Ferdowsi University of Mashhad, Mashhad,
IR Iran
Abstract :
Background Surgery as a stressful experience can affect the child
and quality of care plan. Nurses can use non-pharmacological
intervention to reduce anxiety and help children cope with this stress.
Objectives This study was designed to compare the effects of dramatic
puppet and therapeutic play on anxiety of children undergoing surgery.
Methods In this randomized clinical trial, 75 children were divided into
three groups (dramatic puppet, therapeutic play, and control) using a
simple random allocation method. The study was conducted in Iran in 2013
- 2014. The revised children’s manifest anxiety scale (RCMAS) was used
to determine the anxiety of children. The data were analyzed using
paired t-test, one-way analysis of variance (ANOVA), and Tukey test.
Results The findings revealed that the changes of anxiety scores after
the intervention were significantly different among the three groups (P
< 0.001), so that the anxiety scores decreased in both the
intervention groups (puppet and play) and increased in the control
group. Conclusions Therapeutic play and dramatic puppet can be used by
nurses as a care strategy and effective preoperative preparation
intervention to reduce anxiety in children undergoing surgery.
