About this trial
The study was planned as a randomized controlled experimental study to determine the effect of cold application used during surgical drain removal on pain, anxiety level and physiological parameters of children aged 9-18 years.
The study will be conducted between July 2024 and April 2025 in the Pediatric Surgery Service of Adana City Training and Research Hospital. Pediatric Surgery Service has a capacity of 24 beds and 14 nurses work on a roster basis with 5 nurses during the day and 3 nurses at night. The clinical physician staff consists of 8 pediatric surgery specialists and 1 pediatric urologist. Mostly, acute abdomen, intra-abdominal mass excision, hypospadias surgery and congenital megacolon surgeries are performed.
The clinic provides outpatient and emergency services on a 24/7 basis. Data Collection In the study, children treated in pediatric surgery and followed up with drainage system after abdominal surgery will be evaluated in terms of sampling criteria and children who do not meet the criteria will be excluded from the study.
Application
1. Phase: The necessary ethics committee and institutional permission will be obtained before starting the study. 2. Stage: The decision to remove the drainage system after the end of function or end of indication is communicated to the investigator by the physician. 3. Stage: After obtaining written informed consent from the child\'s parents for the drain removal procedure, the researcher will explain the drain removal procedure and what will be done during the procedure to the parents. Then the descriptive information form will be filled. 4. Stage: Physiological parameters (pulse, blood pressure, respiration, SPO2 ) of the children will be measured by the researcher before and after the procedure. 5. Before the procedure, the necessary materials (ice pack or warm gel ice, infrared thermometer, gloves, saline, scalpel, clamp, sterile sponge, plaster and scissors) will be prepared and the drainage system will be clamped. 6. The parent and nurse will assess and record the child\'s pain score 15 minutes before, during and 15 minutes after the procedure. The child will be asked to make the same assessments and the results will be recorded.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The child must be between the ages of 9 and 18,
The child does not have developmental delay (Developmental Problems: Delay in one or more of the developmental areas such as communication, social-emotional, cognitive, sensory functions, fine-rough movements, self-care, loss of function, loss of ability, loss of ability, limitation of participation in life as a result of disease)
Follow-up with surgical drain
The child does not have a chronic disease that may affect his/her life
Disqualifiers
The child is under 9 years of age
Communication problems
Not volunteering to participate in the study
Presence of more than one surgical drain
Trial design
Parallel
Treatments tested in this trial
Ice pack
Other interventionThe temperature of the area where the ice pack is applied will be measured at one minute intervals, and when the relevant area reaches a temperature of 13.6 0C, the physician will be informed and the drain removal procedure will be initiated.
warm gel pad
Other interventionGel pads kept at room temperature will be applied to the drain area of the pediatric patient whose surgical drain indication is decided to end, in a sheath designed to wrap around the drain. After waiting for 10 minutes in the application area, the drainage system will be removed by the physician.
Treatment groups
Trial outcomes
Primary outcomes
State-Trait Continuity Inventory for Children
State-Trait Continuity Inventory for Children : The inventory, which is used to measure the state and trait anxiety states of children, was developed by Spielberger in 1973. It is a simplified form of the State-Trait Anxiety Inventory developed for adults for children. While the number of options was 4 in the adult form, it was reduced to 3 in the child form. Özusta translated the inventory into Turkish and conducted an application study.
Pain level
Numerical Pain Scale : This method, which aims to determine the severity of pain, aims to explain the patient\'s pain in numbers. On numerical scales, absence of pain (0) is evaluated as unbearable pain (10).
Locations
Sponsors and contacts
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