Journal of pediatric nursing · 2025
The effect of instructional therapeutic play on emotional responses in children undergoing nasopharyngeal swabbing: A randomised controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Şengül Melisa, Erkut Zeynep
Аннотация
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.
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.