Preoperative Gamified Breathing Exercise on Anxiety and Delirium in Children.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Gamified Breathing Exercises.
- Who it may be relevant to
- Registry conditions: Preoperative Anxiety (Ameliyat Öncesi Anksiyete), Emergence Delirium (Derlenme Deliryumu), Postoperative Complications, Pediatric Patients. Basic parameters: 3 years — 7 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Preoperative Anxiety and Postoperative Recovery Delirium Observation in Children Who Underwent Gamified Breathing Exercise
Overview
This study aims to evaluate the effect of preoperative gamified breathing exercises on preoperative anxiety and postoperative emergence delirium in children. The intervention includes games like ball blowing and bubble blowing. Anxiety is measured using the mYPAS-SF scale, and delirium is assessed with the PAED scale.
Detailed description
This randomized controlled study investigates the impact of preoperative gamified breathing exercises on preoperative anxiety and postoperative emergence delirium in pediatric patients. Children in the intervention group and their parents receive specialized training on gamified breathing exercises starting 48-72 hours before surgery.
The intervention consists of various interactive breathing games selected based on the child's preference, including:
Ball Blowing: Blowing a cotton or ping-pong ball across a flat surface or into a 'goal' using a straw to encourage deep exhalation.
Bubble Blowing: Using soap bubbles to promote slow and controlled breathing patterns.
Tissue/Paper Blowing: Blowing on tissues to lift them or move paper windmills.
Candle Blowing: Simulating or practicing blowing out candles using different breath strengths.
Participants are asked to perform these exercises for 10 minutes every hour, approximately 10-15 times per day, until the time of surgery. The control group receives routine preoperative information and care.
Primary outcomes are measured using the Modified Yale Preoperative Anxiety Scale (mYPAS-SF) before the operation. Postoperative emergence delirium is assessed in the recovery room at 0, 15, and 30 minutes using the Pediatric Anesthesia Emergence Delirium (PAED) scale."
Bu Bölümden Sonraki Adım: Arms and Interventions Bu metni kaydedip ilerlediğinizde, sistem sizden grupları (Arms) ve müdahaleleri (Interventions) ayrı ayrı tanımlamanızı isteyecektir.
Arm 1 (Experimental): Gamified Breathing Exercise Group.
Arm 2 (No Intervention/Control): Routine Care Group.
Interventions
- Behavioral Gamified Breathing Exercises
The intervention involves providing preoperative training to children and their parents on gamified breathing exercises starting 48-72 hours before surgery. Children choose from various interactive breathing games, including: Ball Blowing: Blowing cotton or ping-pong balls across a surface using a straw. Bubble Blowing: Blowing soap bubbles to promote slow, deep exhalation. Candle Blowing: Practicing controlled breathing by blowing out candles. Tissue/Paper Blowing: Using breath to lift tiss
Primary outcome measures
- Preoperative Anxiety Score [Time frame: Immediately before the surgery (preoperative holding area).]
Secondary outcome measures (1)
- Postoperative Emergence Delirium Level [Time frame: At 0, 15, and 30 minutes after arrival in the Post-Anesthesia Care Unit (PACU).]
Eligibility criteria
Inclusion criteria
- Children aged 3 to 7 years (preschool age).
Scheduled for elective (planned) surgery at Bursa Uludag University Hospital.
Physical status classified as ASA I or ASA II.
Children and parents who volunteer to participate and provide written informed consent.
Exclusion criteria
Children with chronic neurological or psychiatric disorders.
Children with existing respiratory system diseases that prevent breathing exercises.
Children or parents with communication barriers (e.g., severe hearing or speech impairment).
Children undergoing emergency (non-elective) surgery.
\-
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Supportive care
Study locations
Turkey (Türkiye) · 1 center
- Bursa Uludağ Üniversitesi Hastanesi — Bursa
Publications
- Yang X, Lin C, Chen S, Huang Y, Cheng Q, Yao Y. Remimazolam for the Prevention of Emergence Delirium in Children Following Tonsillectomy and Adenoidectomy Under Sevoflurane Anesthesia: A Randomized Controlled Study. Drug Des Devel Ther. 2022 Sep 30;16:3413-3420. doi: 10.2147/DDDT.S381611. eCollection 2022. PMID 36203819
- Shen F, Zhang Q, Xu Y, Wang X, Xia J, Chen C, Liu H, Zhang Y. Effect of Intranasal Dexmedetomidine or Midazolam for Premedication on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomy and Adenoidectomy: A Randomized Clinical Trial. JAMA Netw Open. 2022 Aug 1;5(8):e2225473. doi: 10.1001/jamanetworkopen.2022.25473. PMID 35943745
- Cai YH, Zhong JW, Ma HY, Szmuk P, Wang CY, Wang Z, Zhang XL, Dong LQ, Liu HC. Effect of Remimazolam on Emergence Delirium in Children Undergoing Laparoscopic Surgery: A Double-blinded Randomized Trial. Anesthesiology. 2024 Sep 1;141(3):500-510. doi: 10.1097/ALN.0000000000005077. PMID 38758221
Identifiers
NCT: NCT07408037 · 2023-28 / 20