Meltem Yildirim1, Ecem Koroglu2, Cagla Yucel3, Senay Kirlak4, Sevim Sen5. 1. Serra Hunter Fellow, University of Vic, Faculty of Health Sciences and Welfare, Department of Nursing, Sagrada Família, 7, 08500 Vic, Barcelona, Spain. Electronic address: meltem.yildirim@uvic.cat. 2. Anadolu Medical Center, John Hopkins International, Cumhuriyet Mahallesi, 2255, Cumhuriyet Cd. No: 3, 41400 Gebze/Kocaeli, Turkey. Electronic address: ecmkrgl@gmail.com. 3. Yeditepe University Hospital, Icerenkoy Mahallesi Hastane Sokak, No: 4, 4/1 Atasehir, Istanbul, Turkey. Electronic address: cagla-yucel91@hotmail.com. 4. Burn Centre of Kartal Dr. Lutfi Kirdar Kartal Education and Research Hospital, Cevizli Mh., Şemsi Denizer Cad. E-5 Karayolu Cevizli Mevkii, 34890 Kartal/İstanbul, Turkey. Electronic address: senaykirlak@mynet.com. 5. PhD Student, Sakarya University, Institute of Health Sciences, Department of Nursing, Sakarya, Turkey. Electronic address: sen_sevim@yahoo.com.
Abstract
BACKGROUND AND AIM: Pediatric burn injury is a traumatic experience which affects the child both physically and psychologically. Following the burn injury, repetitive dressing changes are one of the main problems, and to manage the level of distress caused this procedure, various distraction strategies are being used. However, the effect of hospital clown during burn dressing change among children has not been studied before. Therefore, the present study aimed to investigate the effect of hospital clown-nurse on children's compliance to burn dressing change. METHODS: This randomized controlled experimental study was conducted with 50 children between 3-7years. There were 25 children in the experimental group and 25 children in the control group. In the intervention group, clown-nurse accompanied the child during burn dressing change while the children in the control group received standard care without hospital clown. Children's behavioral reactions were observed during dressing change. CONCLUSIONS: Children in the intervention group had better compliance to burn dressing change, in other words, they cried and/or yelled less, they were more active, had better mood, better communication and interaction with the accompanying parent and the nurse. In addition, older children in the experimental group had better compliance to the burn dressing change.
RCT Entities:
BACKGROUND AND AIM: Pediatric burn injury is a traumatic experience which affects the child both physically and psychologically. Following the burn injury, repetitive dressing changes are one of the main problems, and to manage the level of distress caused this procedure, various distraction strategies are being used. However, the effect of hospital clown during burn dressing change among children has not been studied before. Therefore, the present study aimed to investigate the effect of hospital clown-nurse on children's compliance to burn dressing change. METHODS: This randomized controlled experimental study was conducted with 50 children between 3-7years. There were 25 children in the experimental group and 25 children in the control group. In the intervention group, clown-nurse accompanied the child during burn dressing change while the children in the control group received standard care without hospital clown. Children's behavioral reactions were observed during dressing change. CONCLUSIONS:Children in the intervention group had better compliance to burn dressing change, in other words, they cried and/or yelled less, they were more active, had better mood, better communication and interaction with the accompanying parent and the nurse. In addition, older children in the experimental group had better compliance to the burn dressing change.