The Effect of Using the Popit Toy and Stress Ball During Inhaler Therapy in Children

The goal of this clinical trial is to evaluate whether using a popit toy and a stress ball as distraction methods during inhaled medication administration can reduce anxiety, fear, and negative emotional responses and improve satisfaction in children aged 4-6 years receiving treatment in a pediatric emergency unit. The main questions it aims to answer are: * Does using a popit toy or a stress ball during inhaled medication administration reduce children's anxiety, fear, and negative emotional responses? * Does using a popit toy or a stress ball improve children's satisfaction with the procedure? * Do these distraction methods affect physiological parameters? To determine the effects of these non-pharmacological methods, researchers will compare the Popit toy group, the stress ball group, and the standard control group, which receives no intervention. Researchers compared a pop-it toy group, a stress ball group, and a control group to determine the effects of these non-pharmacological methods. Participants: * Participants were randomly assigned to one of three groups: the pop-it toy group, the stress ball group, or the control group. * They received inhalation therapy according to the standard treatment protocol. * Assessments of anxiety, fear, emotional state, and satisfaction were conducted before and/or after the procedure. * Physiological parameters (heart rate, respiratory rate, oxygen saturation, and body temperature) were measured before and after the administration of the inhalation medication.

Inclusion Criteria: * Children aged 4 to 6 years. * Presentation to the pediatric emergency unit with a respiratory disease requiring inhaled medication (nebulizer or inhaler therapy). * Oxygen saturation (SpO₂) of 90% or higher before the procedure. * No congenital anomalies. * Not crying before the inhaled medication procedure. * Parent or legal guardian able to provide written informed consent. * Child willing to participate in the study. Exclusion Criteria: * The child being younger than 4 or older than 6 years of age * Having communication, cognitive, or neurological issues