Abstract

To evaluate the effect of instructional therapeutic play on acceptance of nasal lavage in children hospitalized for respiratory conditions. This quasi-experimental study was conducted at a teaching hospital. For the therapeutic play session, disposable gloves filled with compressed air and designed to resemble a human face, syringes, and saline solution ampoules were used. Children's acceptance behaviors were assessed before, immediately after, and 6h after the therapeutic play session. The data were subjected to descriptive and inferential statistical analyses. Children (N=42) aged 3-6years, 50% female, with a hospitalization duration of 0.2-9days, showed increased acceptance of nasal lavage (p=0.01), with the child self-administering the saline solution (p=0.01), and with reduction of all resistance behaviors to nasal lavage (p<0.05). Instructional therapeutic play was effective as an educational intervention for the acceptance of nasal lavage in hospitalized children. This study demonstrates the potential of using instructional therapeutic play, innovating the field of pediatric nursing, and expanding the international knowledge frontier of this subject. In the future, there is a need for clinical trials with control groups, larger and more heterogeneous samples, and implementation studies.

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