Akademik Veri Yönetim Sistemi
European Journal of Oncology Nursing, cilt.80, 2026 (SCI-Expanded, SSCI, Scopus)
Purpose This study examined the effect of playing a digital game during port catheter needle insertion on pain, fear, anxiety, and physiological responses in children aged 6–12 years undergoing chemotherapy. Methods This randomized controlled trial was conducted with 56 children in a pediatric hematology-oncology unit. Participants were randomly assigned to the experimental group, which played a digital game via an online platform during the procedure, or to the control group, which received standard care. Data were collected using the Demographic Form, Wong-Baker Faces Pain Rating Scale, Children's State Anxiety Scale, and Children's Fear Scale. Results Children in the experimental group reported lower pain and anxiety compared to controls, with mean post-procedure anxiety scores of 1.61 ± 0.737 versus 2.32 ± 1.634 (p = 0.049). Fear levels decreased significantly in both groups (p < 0.001). Heart rate remained more stable in the experimental group (p < 0.05), while no significant differences were observed in SpO2 values (p > 0.05). Conclusions This study highlights the efficacy of digital games in reducing pain, fear, and anxiety in children with port needles, as well as in stabilizing heart rate. Consequently, it is recommended that digital games be incorporated into clinical practice as an effective distraction method for pediatric patients during invasive procedures. This study has significant implications for nursing practice, demonstrating that digital games are a cost-effective, accessible, and child-friendly non-pharmacological intervention. By reducing distress and enhancing coping, digital games can be integrated into routine nursing care to improve children's experiences and foster trust in clinical settings.