The effect of cartoon character-printed band use during burn dressing on fear, stress, pain, and physiological parameters in children: A randomized controlled trial
Journal of Pediatric Nursing, cilt.91, ss.617-627, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 91
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.pedn.2026.08.066
- Dergi Adı: Journal of Pediatric Nursing
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
- Sayfa Sayıları: ss.617-627
- Anahtar Kelimeler: Child, Fear, Pain, Pediatric nursing, Stress, psychological
- Van Yüzüncü Yıl Üniversitesi Adresli: Evet
Özet
Purpose This study evaluated the effects of cartoon character-printed bands on fear, stress, pain, and physiological parameters in children. Design A randomized controlled trial was conducted. Methods: This single-center study included 42 children (aged 7–10 years) undergoing burn dressing. Participants were randomly assigned to an intervention group (cartoon character-printed band, n = 21) or a control group (standard dressing, n = 21). Data were collected using the Children's Fear Scale, Wong-Baker Faces Pain Rating Scale, Perceived Stress Scale for Children, and monitoring of vital signs. Outcomes were assessed before and after the procedure and analyzed using mixed between-within ANOVA. Results Significant group × time interactions were found for fear (F = 56.178, p < .001, \eta^2 = 0.584), stress (F = 83.997, p < .001, \eta^2 = 0.677), and pain (F = 48.338, p < .001, \eta^2 = 0.547), showing substantial reductions in the intervention group. Additionally, the intervention group demonstrated a significant increase in oxygen saturation ( p < .001, \eta^2 = 0.411) and a decrease in heart rate (p < .001, \eta^2 = 0.312). No significant differences were observed in body temperature or respiratory rate. Conclusions Cartoon character-printed bands appear to be a promising, low-cost, and easily applicable non-pharmacological nursing intervention. Integrating these distraction-based materials into routine care may help reduce procedural distress and support selected physiological outcomes in this sample. Implications for practice This intervention has the potential to be incorporated into standard pediatric nursing care without requiring additional training or equipment. Clinical trial registration NCT07313735.