Video-Guided Jaw Relaxation and Breathing Exercises in Children With Burns

This randomized controlled trial aims to evaluate the effects of video-guided jaw relaxation and video-guided breathing exercises on anxiety, fear, and dressing duration in children with burns. Children aged 4-10 years receiving inpatient care in a pediatric burn unit will be randomly assigned to one of three groups: video-guided jaw relaxation, video-guided breathing exercise, or control. Children in the intervention groups will perform the assigned exercise simultaneously with a 5-minute video before burn dressing, while children in the control group will receive routine care. Anxiety and fear will be assessed at three time points: before the intervention (T1), immediately after the intervention and before dressing (T2), and immediately after dressing (T3). Dressing duration will also be recorded. The study will determine whether these brief, video-guided non-pharmacological interventions reduce anxiety and fear associated with burn dressing and affect dressing duration in children.

Inclusion Criteria: * Children aged 4-10 years * Receiving inpatient treatment in the Pediatric Burn Unit * Having undergone at least three previous burn dressing procedures * Able to communicate in Turkish * No visual or hearing impairment that would prevent participation in the video-guided intervention * No administration of an anxiolytic medication before the dressing procedure that could affect the study outcomes * No burns involving the face or neck * Child and parent/legal guardian willing to participate in the study and provide the required assent/consent Exclusion Criteria: * Child or parent/legal guardian requesting withdrawal from the study * Inability to tolerate or complete the assigned video-guided jaw relaxation or breathing exercise * Development of a serious clinical complication or requirement for intensive care during data collection * Inability or refusal to comply with the study protocol, including discontinuation or refusal of the assigned intervention