Nursing Caries Clinical Trial
Official title:
The Effect of Nursing Care Based on Kolcaba's Comfort Theory to the Comfort and Components of the Child and Parents Who Are Planned for Male Circumcision Operation
Aim: Male circumcision is one of the oldest and most commonly performed surgical procedures
in the world and in our country. Circumcision, which concerns such a large population, is a
stressful, traumatic, negative experience. Impairment in comfort is a condition in which a
child who is scheduled for circumcision operation often suffers. Physical, emotional,
sociocultural and environmental factors contribute to the formation of this condition.
Comfort Theory is a nursing model that makes it easier for the caregivers to see their
problems more systematically and to plan more easily. In the literature review, no studies
have been found to determine the effect of nursing care based on Kolcaba Konfors Comfort
Theory to the comfort and components of the children and their parents who have undergone
circumcision operation. Therefore, this study was needed. In this study, nursing care based
on Kolcaba's Comfort Theory, which continues throughout the perioperative period, was applied
to children and their parents.
Method: In this study, the effect of nursing care based on Kolcaba's Comfort Theory on fear,
anxiety, pain, comfort and anxiety in parents and health care satisfaction was tested in
children. Care was given when the child and his / her parents applied to the outpatient
clinic for anesthesia consultation on the working day before the operation, and care was
continued in the day surgery unit. On the 1st and 3rd days after discharge, the researcher
provided tele-monitoring and consultancy services. In addition, communication with the
parents was maintained at all times as needed. Care was terminated on the 10th day after
discharge. The time of the study was approximately 12-14 days for each child and his / her
parents.
The sample of the study was determined as 120 boys and their parents (60 control each, 60
intervention each). In this study, standard nursing care will be applied to the control group
and nursing care based on Kolcaba's Comfort Theory will be applied to the intervention group.
The data will be collected with the Child and Family Descriptive, VAS, Children's State
Anxiety (CSA) and Children's Fear Scale (CFS), Comfort Behavior Checklist, Spielberger State
Anxiety Scale, PedsQL Health Care Satisfaction Scale.
In this study, nursing care based on Kolcaba's Comfort Theory, which continues throughout the
perioperative period, was applied to children and their parents.
Care was given when the child and his / her parents applied to the outpatient clinic for
anesthesia consultation on the working day before the operation, and care was continued in
the day surgery unit. On the 1st and 3rd days after discharge, the researcher provided
tele-monitoring and consultancy services. In addition, communication with the parents was
maintained at all times as needed. Care was terminated on the 10th day after discharge. The
time of the study was approximately 12-14 days for each child and his / her parents.
Nursing care consists of 3 types of comfort-oriented care interventions. These interventions;
1. Standard maintenance interventions,
2. Emotional focused comfort care interventions,
3. Cognitive and functional comfort care interventions.
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