Effects of a cognitive-behavioral intervention package on pain, fear, and anxiety during port catheter needle insertion in children with cancer: A randomized controlled trial
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES, cilt.88, ss.98-106, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 88
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.pedn.2026.02.017
- Dergi Adı: JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
- Sayfa Sayıları: ss.98-106
- Ondokuz Mayıs Üniversitesi Adresli: Evet
Özet
Purpose:This study evaluated the effects of a Cognitive-Behavioral Intervention Package (CBIP) on pain, fear, andanxiety in children undergoing port catheter needle insertion in pediatric oncology. Design and methods:In a parallel-group randomized controlled trial conducted at a university hospital in Turkey(December 2024-August 2025), 48 children aged 6-12 years were stratified by age, sex, and prior fear of portaccess and randomized to CBIP (n= 24) or control (n = 24). CBIP comprised preparation and information,pre-procedural distraction, verbal reassurance, parental education and participation, distraction during the pro-cedure, and positive reinforcement. Outcomes were assessed pre/post using the Wong-Baker FACES Pain RatingScale (WB-FACES), Children's Fear Scale (CFS), and Children's Anxiety Scale-State (CAS\\S). Between-group dif-ferences, effect sizes, and 95% confidence intervals (CIs) were calculated. Results:Mean age was 9.31 years (SD = 2.03; range = 6-12). Groups were comparable at baseline (p>0.05).Post-procedure, CBIP showed lower pain (0.58 +/- 0.77 vs. 2.29 +/- 1.80), fear (0.45 +/- 0.65 vs. 2.08 +/- 1.76), andanxiety (0.37 +/- 0.82 vs. 2.62 +/- 2.16) than control (allp< 0.001). Mean differences (CBIP-Control) were-1.71 (95% CI:-2.51 to-0.91) for pain,-1.63 (-2.40 to-0.86) for fear, and-2.25 (-3.20 to-1.30) foranxiety, with large effect sizes (d = 1.23-1.40). Conclusions:CBIP reduced pain, fear, and anxiety during port needle insertion and is a feasible, nurse-deliverableapproach for routine pediatric oncology care. (c) 2026 ElsevierInc. All rightsare reserved, inclu ding thos e for text and data minin g, AI tra ining,and similartech-nologies