Abstract
Purpose
This study explored the effect of comfort-oriented nursing care based on comfort theory
on reducing perioperative anxiety and fear in children undergoing surgical circumcision.
Design
Randomized controlled trial.
Method
The study was completed with the participation of children circumcised in a hospital
in Turkey using the same surgeon, anesthesia, and surgical technique. A total of 120
children meeting the inclusion criteria and providing consent to participate in the
study were randomly divided into two equal groups. The study was conducted between
June and September 2019. The intervention group received comfort-oriented nursing
care based on the comfort theory. The control group received routine nursing care.
Data were collected using the Children's Anxiety Meter-State and Children's Fear Scale.
Outcome variables were determined at seven measurement points, including baseline,
five intermediate points, and at the follow-up visit on the 10th postoperative day.
Results
A statistically significant difference in the fear of the group receiving comfort-oriented
nursing care based on comfort theory was noted compared with the control group.
Conclusion
Comfort-oriented nursing care based on the comfort theory was effective in reducing
perioperative anxiety and fear among children undergoing surgical circumcision. This
study is important given that comfort-oriented nursing care based on the comfort theory
may be applied to those receiving care in pediatric surgery.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of PeriAnesthesia NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Male Circumcision: Global Trends and Determinants of Prevalence, Safety and Acceptability.Geneva World Health Organization. 2007; 1: 1-35
- Male circumcision.Pediatrics. 2012; 130
- Male Circumcision: Determinants of Male Circumcision and Global Prevalence.Geneva World Health Organization. 2007; : 3-12
- The effect of music therapy, hand massage, and kaleidoscope usage on postoperative nausea and vomiting, pain, fear, and stress in children: a randomized controlled trial.J Perianesth Nurs. 2020; 35: 649-657
- The effect of distraction technique on pain intensity among patients undergoing circumcision anesthetic in Medan.Int J Nurs Health Serv. 2020; 3: 297-304
- The effect of virtual reality on mothers’ anxiety during children’s circumcision: a randomized controlled study.Int J Nurs Pract. 2021; 27: 1-10
- Circumcision of infants and children: short-term trauma and long-term psychosexual harm.Adv Sex Med. 2015; 05: 22-38
- Long-term adverse outcomes from neonatal circumcision reported in a survey of 1,008 men: an overview of health and human rights implications.Int J Hum Rights. 2017; 21: 189-218
- Pain control in neonatal male circumcision: a best evidence review.J Pediatr Urol. 2021; 17: 3-8
- Post-traumatic stress disorder (PTSD)among Filipino boys subjected to non-therapeutic ritual or medical surgical procedures: a retrospective cohort study.Ann Med Surg. 2019; 42: 19-22
- The effectiveness of health education on maternal anxiety, circumcision knowledge, and nursing hours: a quasi-experimental study.J Nurs Res. 2017; 25: 296-303
- Fear of circumcision in boys considerably vanishes within ten days of procedure.Urol J. 2016; 13: 2541-2545
- Antecedents of emotional distress and sexual dissatisfaction in circumcised men: previous findings and future directions—comment on bossio and pukall (2017).Arch Sex Behav. 2018; 47: 1319-1320
- Ritual circumcision and castration anxiety.Psychiatry. 1973; 36: 49-59
- Effect of Puppet Show on Children’s anxiety and pain levels during the circumcision operation: a randomized controlled trial.J Pediatr Urol. 2020; 16: 490.e1-490.e8
- The effect of virtual reality on children's anxiety, fear, and pain levels before circumcision.J Pediatr Urol. 2021; 17: 567.e1-567.e8
- Article in press. The effect of circumcision on the mental health of children: a review @BULLET.Turkish J Psychiatr. 2011;
- Behavioral analysis of children’s response to induction of anesthesia.Anesth Analg. 2009; 109: 1434-1440
- Hemşirelikte teori ve model kullanımı: Nitel bir çalışma.Cukurova Med J. 2019; 44: 281-289
Fawcett, J. & Desanto- Madeya, S. Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories. FA Davis. (2012).
- Using a conceptual model in nursing research - Mitigating fatigue in cancer patients.J Adv Nurs. 2007; 58: 503-512
Kolcaba, K. Comfort Theory and Practice: A Vision for Holistic Health Care and Research. 2003.
- Comfort theory and its application to pediatric nursing.Pediatr Nurs. 2005; 31: 187-194
- Effect of care programme based on comfort theory on reducing parental anxiety in the paediatric day surgery: randomised controlled trial.J Clin Nurs. 2021; : 1-13https://doi.org/10.1111/jocn.15945
- Exploring holistic comfort in children who experience a clinical venipuncture procedure.J Holist Nurs. 2018; 36: 108-122
- Application of Katharine Kolcaba comfort theory in post operative child: delivering integrative comfort care intervention by using theory of comfort: a case study of a 5 years old child admitted in PICU with laparotomy experiencing post operative discomfort.Int J Sci Res. 2016; 5: 1714-1720
- Suggesting a practical theory to oncology nurses: case report of a child in discomfort.J Palliat Care. 2018; 33: 194-196
- Attitudes and practices regarding circumcision in Turkey.Child Care Health Dev. 2003; 29: 275-280
- Knowledge, attitude and behaviour of boys and parents about circumcision.Acta Paediatr Int J Paediatr. 2013; 102: 169-173
- Children’s perspectives on the medical and cultural aspects of circumcision.Iran J Pediatr. 2017; 27: 1-7
- Interactive music as a treatment for pain and stress in children during venipuncture: a randomized prospective study.J Dev Behav Pediatr. 2007; 28 (30, 254 (2009)): 399-403
- Effectiveness Of animated cartoons as a distraction strategy on behavior response to pain perception among children undergoing. Venipuncture.Nurs Midwifery Res J. 2012; 8: 198-209
- Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses.Behav Res Methods. 2009; 41: 1149-1160
- A mixed-method study of effects of a therapeutic play intervention for children on parental anxiety and parents’ perceptions of the intervention.J Adv Nurs. 2015; 71: 1539-1551
- The effect of an educational pre-operative DVD on parents’ and children’s outcomes after a same-day surgery: a randomized controlled trial.J Adv Nurs. 2017; 73: 599-611
- Integrating the Comfort TheoryTM into pediatric primary palliative care to improve access to care.J Hosp Palliat Nurs. 2019; 21: 382-389
- Comfort theory: a unifying framework to enhance the practice environment.J Nurs Adm. 2006; 36: 538-544
- Effectiveness of a preoperative preparation program on children’s emotional states and parental anxiety.J Perianesth Nurs. 2018; 33: 972-980
- Children’s postoperative symptoms at home through nurse-led telephone counseling and its effects on parents’ anxiety: a randomized controlled trial.J Spec Pediatr Nurs. 2016; 21: 189-199
- Parental anxiety in pediatric surgery consultations: the role of health literacy and need for information.J Pediatr Surg. 2020; 55: 590-596
- Effectiveness and appropriateness of therapeutic play intervention in preparing children for surgery: a randomized controlled trial study.J Spec Pediatr Nurs. 2008; 13: 63-73
- Validation of a clinically useful measure of children’s state anxiety before medical procedures.J Spec Pediatr Nurs. 2013; 18: 311-319
- The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: randomized controlled trial.Eur J Oncol Nurs. 2021; 50: 1-7
- Content validation: clarity/relevance, reliability and internal consistency of enunciative signs of language acquisition.Codas. 2017; 29: 1-6
- Children’s fear during procedural pain: preliminary investigation of the children’s fear scale.Health Psychol. 2011; 30: 780
- A study of the impact of discharge information for surgical patients.J Adv Nurs. 2001; 35: 435-441
- The position of a written document in preoperative information for pediatric surgery: a randomized controlled trial on parental anxiety, knowledge, and satisfaction.J Pediatr Surg. 2018; 53: 375-380
- Using a children’s book to prepare children and parents for elective ENT surgery: results of a randomized clinical trial.Int J Pediatr Otorhinolaryngol. 2003; 67: 35-41
- Unstructured play for anxiety in pediatric inpatient care.J Spec Pediatr Nurs. 2017; 22: 1-7
- Parental anxiety and stress before pediatric anesthesia: a pilot study on the effectiveness of preoperative clown intervention.J Health Psychol. 2014; 19: 587-601
- The effectiveness of web-based mobile health interventions in paediatric outpatient surgery: a systematic review and meta-analysis of randomized controlled trials.J Adv Nurs. 2020; : 1949-1960https://doi.org/10.1111/jan.14381
- Reducing children’s pain and parents’ anxiety in the postoperative period: a therapeutic model in Turkish sample.J Pediatr Nurs. 2020; 51: e33-e38
- Consent challenges and psychosocial distress in the scale-up of voluntary medical male circumcision among adolescents in Western Kenya.AIDS Behav. 2019; 23: 3460-3470
Article info
Publication history
Published online: December 16, 2022
Footnotes
Conflict of Interest: None to report.
Funding: This research reported in this publication is supported by the Akdeniz University, funded by the Scientific Research Projects Coordination Unit under Number 4806-2019. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The funders peer-reviewed and approved the project but have no role in the study design, data collection, management, analysis, and interpretation of data; writing of the report; or the decision to submit the manuscript for publication.
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
