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    The effectiveness of finger puppet play in reducing fear of surgery in children undergoing elective surgery: A randomised controlled trial
    (Elsevier, 2021) Kostak, Melahat Akgun; Kutman, Gulsev; Semerci, Remziye
    Background: The use of therapeutic interventions in the preoperative period reduces the fear in children by strengthening the relationship between the child, parent and the nurse. Aims: This study aimed to investigate the effect of finger puppet play with parental involvement on fear of surgery in children undergoing elective minor surgery. Methods: A prospective, randomised controlled study was conducted in a state hospital in Turkey with 70 children aged between 5-10 years. In addition to the routine care, children in the intervention group received an intervention that included finger puppet play with their parents while the control group received routine care. The data were collected via demographic form and Children's Fear Scale. Findings: The preoperative fear scores of the children did not show a statistical difference between the group (p > 0.05). The results showed that children in the finger puppet group reported significantly lower fear scores than those in the control group while entering the surgery room (p < 0.001), and in the postoperative period (p < 0.001). The proxy report of the parents and nurses were also lower for the children in the finger puppet group (p < 0.05). Discussion: The results provide empirical data on the effectiveness of finger puppet play in children's preoperative care, entering the surgery room, and postoperative fear. Conclusion: In line with these results, it is recommended that finger puppet play is used by nurses and parents for reducing fear of surgery in children at paediatric clinics. (c) 2020 Australian College of Nursing Ltd. Published by Elsevier Ltd.