About this trial
The goal of this study is to evaluate the effects of personal versus hospital-provided dolls on preoperative anxiety and postoperative delirium in preschool children aged 3-7 years undergoing elective adenoidectomy and/or tonsillectomy.
The main questions it aims to answer are:
* Is the use of a personal doll or a hospital-provided doll associated with lower preoperative anxiety compared with no doll use? * Is dolls used associated with a reduced incidence and severity of postoperative emergence delirium? * Researchers will compare children accompanied by a hospital-provided doll, children accompanied by their personal doll, and children with no doll to assess differences in preoperative anxiety levels, serum cortisol concentrations, and postoperative delirium scores.
Participants will:
* Be observed in one of three exposure groups (hospital-provided doll, personal doll, or no doll) * Undergo standardized preoperative anxiety assessments at predefined time points * Have serum cortisol levels measured during routine intravenous cannulation * Be assessed for postoperative delirium in the recovery unit
Eligibility criteria
Qualifiers
Female children aged 3-7 years
Scheduled for elective adenoidectomy and/or tonsillectomy under general anesthesia
Able to communicate verbally
ASA physical status I or II, according to the American Society of Anesthesiologists classification
Disqualifiers
Presence of psychiatric, neurological, or developmental disorders
Presence of chronic pain or ongoing medical treatment that may affect anxiety levels
Refusal to participate despite repeated encouragement by the investigators
Use of additional anxiety-reducing methods or medications outside the study protocol prior to intervention
Trial design
Treatments tested in this trial
- Hospital-Provided Doll
- Personal Doll
- No Doll