IRCT20140721018550N11 IRCT 2023-01-18 Semnan University of Medical Sciences Effect of interactive playing on the anxiety before orthopedic surgery in children --- Investigating the effect of interactive playing on the intensity of anxiety before orthopedic surgery in children 4 - 6 year 2023-02-20 anticipated 60 Complete https://irct.ir/trial/67794 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: In this research, for the interactive playing, we will use the scenario designed by the research team, which uses a glove filled with water, the story is told by the researcher, and the child paints the items on each finger of the glove with a magic marker, Randomization description: 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). 3 Anxiety. Intervention 1: Intervention group: On the day of surgery, pulse, blood pressure, and blood oxygen saturation percentage of children in the intervention group with the same equipment in the presence of the child's mother and their anxiety with the preoperative anxiety scale of Yale University and visual analog scale (VAS) by a trained colleague of the project , it is measured and recorded. Then, using gloves filled with water and a magic marker that he gives to the child, the main researcher narrates the scenario designed by the research team and in several stages asks the child to identify parts of the face. Draw on each finger of the glove. At the end, for the second time, the aforementioned indicators are measured and recorded by the colleague of the project from the same arm as before and with the same instrument, and the child's anxiety is measured and recorded with the preoperative anxiety scale of Yale University and the visual analog scale (VAS). Intervention 2: Control group: On the day of surgery, pulse, blood pressure, and blood oxygen saturation percentage of children in the intervention group with the same equipment in the presence of the child's mother and their anxiety with the preoperative anxiety scale of Yale University and visual analog scale (VAS) measured and recorded by a trained colleague of the project. No intervention was done for the control group and they were placed in a comfortable position on the bed for ten minutes, which is equivalent to the intervention time for the intervention group. At the end, for the second time, the aforementioned indicators are measured and recorded by the colleague of the project from the same arm as before and with the same instrument, and the child's anxiety is measured and recorded with the preoperative anxiety scale of Yale University and the visual analog scale (VAS). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is After the completion of the research, it will be provided upon written request.