A randomized controlled trial of the effectiveness of a therapeutic play intervention on outcomes of children undergoing inpatient elective surgery: study protocol

He, Hong Gu, Zhu, Lixia, Li, Ho Cheung William, Wang, Wenru, Vehvilänen-Julkunen, Katri and Chan, Sally Wai Chi (2014) A randomized controlled trial of the effectiveness of a therapeutic play intervention on outcomes of children undergoing inpatient elective surgery: study protocol. Journal of Advanced Nursing, 70 2: 431-442. doi:10.1111/jan.12234

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Author He, Hong Gu
Zhu, Lixia
Li, Ho Cheung William
Wang, Wenru
Vehvilänen-Julkunen, Katri
Chan, Sally Wai Chi
Title A randomized controlled trial of the effectiveness of a therapeutic play intervention on outcomes of children undergoing inpatient elective surgery: study protocol
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 1365-2648
0309-2402
Publication date 2014-02
Year available 2013
Sub-type Article (original research)
DOI 10.1111/jan.12234
Open Access Status
Volume 70
Issue 2
Start page 431
End page 442
Total pages 12
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Collection year 2015
Language eng
Formatted abstract
Aim: To report a trial protocol to determine if a therapeutic play intervention leads to significant reduction in perioperative anxiety, negative emotional manifestations and postoperative pain of children undergoing inpatient elective surgery and in their parents' perioperative anxiety.
Background: Children undergoing surgery often experience anxiety, exhibit negative emotional manifestations pre-operatively and postoperative pain. Previous studies report that therapeutic play intervention has positive effects on anxiety reduction, while few studies have examined the effects of such intervention on children undergoing major elective surgery.
Design: Randomized controlled trial with repeated measures is proposed.
Methods: This study will recruit 106 pairs of 6-14-year-old children undergoing elective surgery in a Singaporean public hospital and their parents (protocol approved in October 2011). Eligible participants will be randomly allocated to either a control group (receiving routine care) or an experimental group (receiving 1-hour therapeutic play intervention plus routine care). Outcome measures include children's anxiety, emotional manifestation and postoperative pain, their parents' anxiety and process evaluation. Data will be collected at baseline (3-7 days before the operation), on the day of surgery and around 24 hours after the surgery.
Discussion: This study will identify a clinically useful and potentially effective approach to prepare children for surgery by reducing anxiety of both children and their parents during the perioperative period. The reduction of anxiety may lead to reduction of postoperative pain, which will eventually improve the physical and psychological well-being of children. This study was funded by the National Medical Research Council in Singapore.
Keyword Anxiety
Children
Emotional manifestation
Nursing
Postoperative pain
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 29 August 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Fri, 05 Sep 2014, 14:13:14 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work