THE EFFECT OF USÄ°NG DÄ°STRACTOR CARDS AND THERMOCHROMÄ°C CARDS ON PAÄ°N, FEAR, ANXÄ°ETY AND PROCEDURE TÄ°ME Ä°N CHÄ°LDREN RECEÄ°VÄ°NG INHALER THERAPY. Respiratory illnesses in children are a leading cause of childhood morbidity and mortality worldwide. Organizations such as the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) report that millions of children are hospitalized each year due to respiratory illnesses (He, Wang, \& Zhang, 2025). A large proportion of these illnesses are caused by viral agents, and pathogens such as Respiratory Syncytial Virus (RSV), influenza, and rhinoviruses pose serious health threats to young children (Chen, Zhang, \& Li, 2024). This study will be one of the rare studies in pediatric nursing that examines the effectiveness of non-pharmacological interventions that can be applied during inhaler therapy in young age groups. The findings will contribute to nurses developing effective methods to reduce the negative emotions experienced by children during treatment. Furthermore, the first-ever use of thermochromic cards in this context in pediatric nursing will provide an innovative perspective on pediatric nursing practices. H0: Thermochromic cards and distraction cards used during inhaler therapy have no effect on pain, fear, anxiety levels, or processing time. Thermochromic cards used during inhaler therapy: H1: reduce the child's pain. H2: reduce the child's fear. H3: reduce the child's anxiety level. H4: shorten the child's processing time. Distraction cards used during inhaler therapy: H5: reduce the child's pain. H6: reduce the child's fear. H7: reduce the child's anxiety level. H8: shorten the child's processing time.
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Fear level before, during, and after inhalation therapy assessed by the Child Fear Scale (ÇKÖ)
Timeframe: Before inhalation therapy, during the procedure, and up to 5 minutes after completion of inhalation therapy
Pain intensity before, during, and after inhalation therapy assessed by the Wong-Baker FACES Pain Rating Scale
Timeframe: Before inhalation therapy, during the procedure, and up to 5 minutes after completion of inhalation therapy
Anxiety level before, during, and after inhalation therapy assessed by the Child Anxiety Scale-State (ÇAS-D)
Timeframe: Before inhalation therapy, during the procedure, and up to 5 minutes after completion of inhalation therapy
Muhammed Ata Nur GEÇER, MsC, PhD (Candicate)