Investigating the effect of interactive playing on the intensity of anxiety before orthopedic surgery in children 4 - 6 year

Determining the effect of interactive playing on the intensity of anxiety before orthopedic surgery in children 4 - 6 year

The third phase of the clinical trial with a control group with a parallel group design, which will be conducted with a sample size of 60 people (30 subject in each of the intervention and control groups) and with a gender block.

This study is carried out by implementing an interactive playing scenario designed by the research team on children with non-dominant lower or upper extremity closed fractures of 4-6 years old children at the time of entering the operating room corridor of Shafa yahyaian Hospital and in the presence of the child's mother. The control group will not receive any intervention.

Consent of the child's mother for the child's participation in the research ,Child's cooperation to study , The presence of the mother next to the child at the time of sampling, Child Age between 4 and 6 years, Absence of mental and cognitive developmental disorders , Not having hyperactivity or autism, No record of entering the operating room for any reason, No history of previous surgery, Closed fracture in any of the lower limbs or non-dominant upper limbs of the child , Non-elective type of surgery

The intervention includes the use of gloves which filled by water and a magic marker that is given to the child to draw simple shapes such as eyes or eyebrows on each finger of the glove at certain times of the scenario, following the narration of the scenario designed by the research team. The control group will not receive any intervention.

Anxiety

We use convenience sampling, but the samples will be allocated to intervention and control groups in the form of random blocks of four using the sealed envelope site. To ensure matching between the two groups as well as to achieve a completely random and balanced assignment, we will use a randomized classification using Stratified permuted block randomization. Individuals are then divided into two stratum of male and female, and for each class a separate random assignment is continued until the sample size is reached. For random assignment in each class based on different sequences of two methods A (intervention) and B (control), 4 blocks are defined and numbered from left to right from 1 to 4. Then using 1 to 4 random blocks of blocks are randomly selected. Thus, the assignment type is determined from left to right, respectively. Since we need 30 subject in each group, we have to randomly select the block 8 times for that class).