NCT07408037

Preoperative Gamified Breathing Exercise on Anxiety and Delirium in Children.

Preoperative Anxiety and Postoperative Recovery Delirium Observation in Children Who Underwent Gamified Breathing Exercise

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 80 (estimated)
• Sponsor: Bozok University · Academic / Other
• Sex: All
• Age: 3 Years – 7 Years
• Healthy volunteers: Accepted

Summary

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.

Conditions

• Preoperative Anxiety (Ameliyat Öncesi Anksiyete)
• Emergence Delirium (Derlenme Deliryumu)
• Postoperative Complications
• Pediatric Patients

Interventions

Type	Name	Description
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 tissues or move paper windmills. Participants are instructed to practice these games for 10 minutes every hour, approximately 10-15 times per day, until the day of surgery. All necessary equipment (straws, bubbles, toys) is provided by the researchers.

Timeline

• Start date: 2024-03-03
• Primary completion: 2026-11-12
• Completion: 2026-12-12
• First posted: 2026-02-12
• Last updated: 2026-02-12

Locations

1 site across 1 country: Turkey (Türkiye)