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Background <p>Therapeutic play is a non-pharmacological method used in the pain management in children. This study was conducted to determine the effect of therapeutic play with teddy bear on children's pain, anxiety, and mothers’ anxiety during peripheral intravenous catheterisation.</p> Methods <p>This prospective, randomised clinical trial consisted of children between the ages of 3–6 admitted to the pediatric service and their mothers (<i>N</i> = 120). The therapeutic play method with the teddy bear during peripheral intravenous catheterisation was applied in the Therapeutic play group (<i>N</i> = 60), and the standard procedure of the clinic was applied in the control group (<i>N</i> = 60). A questionnaire, the “FLACC” pain scale, the “CEMS” anxiety scale and “STAI-S” anxiety scale for parents were used to collect data.</p> Results <p>There was no significant difference in the pain and anxiety scores of the children before peripheral intravenous catheterisation between the groups (<i>p</i> &gt; 0.05). During the peripheral intravenous catheterisation, pain and anxiety levels of children were lower in the Therapeutic play group (<i>p</i> &lt; 0.001). There was no significant difference in the anxiety mean scores of the mothers between the groups before peripheral intravenous catheterisation (<i>p</i> &gt; 0.05). During the peripheral intravenous catheterisation, anxiety levels of the mothers were lower in the Therapeutic play group (<i>p</i> &lt; 0.001). A strong and positive correlation was found between the anxiety scores of mothers and pain and anxiety scores of children (<i>p</i> &lt; 0.05).</p> Conclusion <p>Therapeutic play with teddy bear was effective in lowering pain and anxiety levels of children, and the anxiety levels of mothers during peripheral intravenous catheterisation.</p> Practical implications <p>Therapeutic play is an effective non-pharmacological intervention. Health care professionals have great responsibilities in using the structured therapeutic play method during painful procedures.</p> Trial Registration <p>NCT05823324, registered on 2023–04-09.</p>

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The effect of therapeutic play with teddy bear on children's pain, anxiety, and mothers’ anxiety during peripheral intravenous catheterisation: a randomised clinical trial

  • 期刊论文

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  • 发表日期：

    2025年12月6日

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  • Simge Anderoğlu,
  • Seda Çağlar

摘要

Background

Therapeutic play is a non-pharmacological method used in the pain management in children. This study was conducted to determine the effect of therapeutic play with teddy bear on children's pain, anxiety, and mothers’ anxiety during peripheral intravenous catheterisation.

Methods

This prospective, randomised clinical trial consisted of children between the ages of 3–6 admitted to the pediatric service and their mothers (N = 120). The therapeutic play method with the teddy bear during peripheral intravenous catheterisation was applied in the Therapeutic play group (N = 60), and the standard procedure of the clinic was applied in the control group (N = 60). A questionnaire, the “FLACC” pain scale, the “CEMS” anxiety scale and “STAI-S” anxiety scale for parents were used to collect data.

Results

There was no significant difference in the pain and anxiety scores of the children before peripheral intravenous catheterisation between the groups (p > 0.05). During the peripheral intravenous catheterisation, pain and anxiety levels of children were lower in the Therapeutic play group (p < 0.001). There was no significant difference in the anxiety mean scores of the mothers between the groups before peripheral intravenous catheterisation (p > 0.05). During the peripheral intravenous catheterisation, anxiety levels of the mothers were lower in the Therapeutic play group (p < 0.001). A strong and positive correlation was found between the anxiety scores of mothers and pain and anxiety scores of children (p < 0.05).

Conclusion

Therapeutic play with teddy bear was effective in lowering pain and anxiety levels of children, and the anxiety levels of mothers during peripheral intravenous catheterisation.

Practical implications

Therapeutic play is an effective non-pharmacological intervention. Health care professionals have great responsibilities in using the structured therapeutic play method during painful procedures.

Trial Registration

NCT05823324, registered on 2023–04-09.