About this trial
The purpose of this clinical trial is to learn whether the use of a "cold and arm sling elevation pillow" affects anxiety and comfort levels in children aged 7-12 years undergoing surgery for upper extremity fractures. The main questions it aims to answer are:
* Does the use of a cold and arm sling elevation pillow reduce postoperative anxiety levels in children? * Does the use of a cold and arm sling elevation pillow increase postoperative comfort levels in children?
Researchers will compare the experimental group (using the specially designed cold and arm sling elevation pillow) with the control group (receiving standard clinical care, including standard pillows and separate ice packs) to see the effects of the integrated pillow on anxiety and comfort.
Participants will:
* Receive education before surgery based on their randomly assigned group (experimental or control), * Use the assigned elevation and cold application method for the first 24 hours following surgery, * Complete anxiety and comfort assessment scales at four different time points: before the intervention, just before surgery, 6 hours after surgery, and at the time of discharge.
Eligibility criteria
Qualifiers
Children aged 7-12 years
Scheduled for elective surgery with a diagnosis of upper extremity fracture
Planned to receive analgesic treatment every 8 hours (three times daily) for postoperative pain management
Fully oriented and without any condition that would impair communication or cooperation
Disqualifiers
Undergoing emergency surgical intervention
Presence of an open wound, infection, suspected compartment syndrome, or vascular injury at the fracture site
Presence of sensory loss or neurological deficit in the affected extremity
Presence of cognitive, hearing, speech, or severe physical disabilities
Trial design
Treatments tested in this trial
- Cold and arm sling elevation pillow
- Standard postoperative care
Treatment groups
Sponsors and collaborators
Istanbul University - Cerrahpasa
Lead sponsor
Baltalimani Bone Diseases Research and Training Hospital
Collaborator