(Effect of Toy Nebulizer Versus Distraction Cards on Children's Fear and Parental Satisfaction During Nebulization Therapy: A Comparative Study

Inclusion Criteria:Children aged 3-6 years receiving nebulization therapy for the first time due to acute respiratory conditions (e.g., asthma or bronchitis). 2\. Presence of at least one parent (preferably the mother) during the procedure who is capable of evaluation and communication in Arabic or Kurdish. 3\. Children who are alert and able to cooperate (absence of severe pain or any condition preventing basic communication). 4\. Voluntary written informed consent obtained from the parents and assent from the child (where applicable). \- Exclusion Criteria:Prior history of nebulization therapy (to ensure the fear response is not conditioned by past experiences). 2\. Children with cognitive, neurological, or developmental disabilities, or severe chronic illnesses (e.g., terminal cancer). 3\. Parental inability to complete fear or satisfaction questionnaires due to disability or illiteracy. 4\. Refusal to participate by the child or parent, or the presence of emergency conditions requiring immediate life-saving intervention. \-