Determining the Effect of Breathing Exercise Applied to Children Aged 6-12 Before Enema on Anxiety, Fear and Pain

Constipation Clinical Trial

Official title:

Determination of the Effect of Breathing Exercise Technique Applied to Children Aged 6-12 Before Enema on Anxiety, Fear and Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05508022
• Other study ID #: KaratayUF
• Status: Completed
• Phase: N/A
• Start date: May 9, 2023
• Est. completion date: June 15, 2023

Study information

• Verified date: October 2023
• Source: KTO Karatay University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In this study, it was aimed to determine the effect of breathing exercise applied before the enema procedure, which causes fear, pain and anxiety in children aged 6-12 years who applied to the pediatric emergency service, on fear, pain and anxiety in children. This research is in pretest-posttest, parallel group, randomized controlled experimental design. The universe of the research consists of children aged 6-12 years who applied to the pediatric emergency department of Iğdır State Hospital (Turkey) between May 2022 and June 2022.

Description:

In this study, it was aimed to determine the effect of breathing exercise applied before the enema procedure, which causes fear, pain and anxiety in children aged 6-12 years who applied to the pediatric emergency service, on fear, pain and anxiety in children. This research is in pretest-posttest, parallel group, randomized controlled experimental design. The universe of the research consists of children aged 6-12 years who applied to the pediatric emergency department of Iğdır State Hospital (Turkey) between May 2022 and June 2022. In the study, the pre-test scores of the pain, fear and anxiety levels of the children were compared and it was found that the pain, fear and anxiety levels of the intervention and control groups were moderate, and there was no difference between the groups. This result is important in terms of evaluating the effectiveness of the initiative. In the study, a significant difference was found between the pain, fear and anxiety levels of the intervention and control groups after breathing exercise. Accordingly, the pain, fear and anxiety levels of the intervention group were significantly lower than the control group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 106
• Est. completion date: June 15, 2023
• Est. primary completion date: May 10, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 6 Years to 12 Years

Eligibility

Inclusion Criteria:

• Being between 6-12 years of age
• Administering an enema because of constipation or distension
• There should be no obstacle to the enema procedure
• Child and parent agree to participate in the study

Exclusion Criteria:

• Having a mental disability
• Having any problems with hearing, vision, hearing
• Taking analgesics within the last 6 hours
• Having an additional illness that may cause pain

Removal criteria were as follows:

• Developing complications during the enema procedure (intestinal perforation, bleeding, etc.)

Related Conditions & MeSH terms

• Child, Only
• Constipation

Intervention

Behavioral:
• Breathing exercise
Before the enema is applied, breathing exercises will be applied to the participants in the intervention group.

Locations

Country	Name	City	State
Turkey	Kto Karatay University	Konya

Sponsors (1)

Lead Sponsor	Collaborator
KTO Karatay University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Comparison of the anxiety level of the experimental group in which breathing exercise was applied	Before the enema application, the participants in the experimental group will be given breathing exercises. Thus, it is aimed to prevent the child from experiencing anxiety that may result from enema application. With this application, the effect of breathing exercise on anxiety will be monitored.	20 minutes
Primary	Comparison of the fear level of the experimental group in which breathing exercise was applied.	Before the enema application, the participants in the experimental group will be given breathing exercises. Thus, it is aimed to prevent the child from experiencing fear that may arise from enema application. With this application, the effect of breathing exercise on fear will be monitored.	20 minutes
Primary	Comparison of the pain level of the experimental group in which breathing exercise was applied	Before the enema application, the participants in the experimental group will be given breathing exercises. Thus, it is aimed to prevent the child from experiencing pain that may result from enema application. With this application, the effect of breathing exercise on pain will be monitored.	20 minutes

External Links

•   Association between abdominal pain and fecal impaction grade assessed through radiography in constipated patients at a pediatric emergency service
•   Comparing the Effect of Two Methods of Distraction on the Pain Intensity Venipuncture in School-age Children: A Randomized Clinical Trial
•   Constipation and paediatric emergency department utilization
•   Developing a New One-Dimensional Scale to Measure Pain in Children: Pencil Pain Scale
•   Effects of breathing exercise techniques on the pain and anxiety of burn patients: A systematic review and meta-analysis
•   Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5-12 years old: A randomised controlled study
•   Medical management of constipation
•   Psychosocial factors impacting antegrade continence enema outcomes in pediatric patients
•   Relaxation-guided imagery reduces perioperative anxiety and pain in children: a randomized study
•   Soap bubbles as a distraction technique in the management of pain, anxiety, and fear in children at the paediatric emergency room: A pilot study.
•   Soap Suds Enemas Are Efficacious and Safe for Treating Fecal Impaction in Children With Abdominal Pain
•   The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial
•   The effectiveness of a health promotion and stress-management intervention program in a sample of obese children and adolescents
•   The Effects of Cartoon Assisted Endoscopy Preparation Package on Children's Fear and Anxiety Levels and Parental Satisfaction in Turkey