- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05032469
Foot Reflexology to Reduce Pain and Anxiety Before Chest Tube Removal
Effect of The Foot Reflexology Applied Before Chest Tube Removal on the Pain And Anxiety Level: A Randomized Controlled Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Background: Patients undergoing cardiovascular surgery suffer from anxiety and pain due to the chest tube removal (CTR).
Objective/Hypothesis: The aim of this randomized controlled study was to identify the effect of foot reflexology applied before chest tube removal process on pain and anxiety level.The following hypotheses (H) were tested in this study:
H1a : There was a difference between the reflexology group and the control group in terms of pain level during CTR.
H1b : There was a difference between the reflexology group and the control group in terms of anxiety level during CTR.
H1c : There was a difference between the reflexology group and the control group in terms of the difference between the pain level before CTR and during CTR.
H1d : There was a difference between the reflexology group and the control group in terms of the difference between the anxiety level before CTR and during CTR.
Study design: A randomized controlled trial. Method: The study sample who has gone through coronary artery bypass graft surgery was randomly assigned to reflexology or the control group (twenty- eight each in). The primary outcomes were pain, evaluated using a numeric pain-rating scale, and anxiety evaluated by the profile of mood states scale tension-anxiety subscale, both measured first (before and after reflexology) and second postoperative days (before the reflexology and immediately after chest tube removal, 15th minutes and 1 h).
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Çankaya
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Ankara, Çankaya, Turkey, 06490
- Baskent University Ankara Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult patients over 18 years who have CABG surgery
- Having at least two chest tube catheters
- Having chest tubes removed together
- Volunteering to participate in the research
Exclusion Criteria:
- Patients with diagnosed with psychiatric illness
- Having orientation or confusion problems, complete vision or hearing loss, mental problems due to problems such as dementia, mental retardation, and language problems
- Having pacemaker, varicose veins in the ankles
- Having chronic pain
- Having femoral fracture and open wound on the sole of the foot
- Having acute infection and hyperthermia, thromboembolism, suspected deep vein thrombosis at the postoperatively
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Refloxology Intervention
The first foot reflexology was applied to the intervention group for 30 min (20 min on the right foot, 10 min on the left foot) on the first postoperative day (24 h after the surgery).
On the second postoperative day, 30 min of foot reflexology was applied to the patients who decided to chest tube removal (CTR).
After the foot reflexology applied by the researcher, CTR was performed by the doctor within 10 min.
Immediately after CTR, the patient's pain and anxiety level during CTR was measured.
At the 15th minute after CTR, the pain and anxiety level of the patients was measured, their satisfaction with the reflexology application was measured.
Then, the patients were asked to describe the pain and feelings and thoughts during CTR, 1 hr after CTR, pain level was measured, and they were asked to express their feelings and thoughts about the reflexology application.
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Reflexology is a method that creates nervous, hormonal and energetic effects in the body using pressure, rubbing and stretching applied with special hand and finger techniques to reflex points corresponding to all parts, organs and systems of the body in the ears, hands and feet
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No Intervention: Standart Care
Participants in the control group will receive standart postoperative care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric Pain Rating Scale Change
Time Frame: 1st postoperative day change from baseline pain score at after intervention, 2nd postoperative day change from baseline pain score at during, 15th min,1h after chest tube removal
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Numeric Pain Rating Scale includes values ranging from 0 (no pain) - 10 (the worst pain)
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1st postoperative day change from baseline pain score at after intervention, 2nd postoperative day change from baseline pain score at during, 15th min,1h after chest tube removal
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Profile of Mood States Scale Tension-Anxiety Subscale Change
Time Frame: 1st postoperative day change from baseline pain score at after intervention, 2nd postoperative day change from baseline pain score at during, 15th min after chest tube removal
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Profile of Mood States Scale Tension-Anxiety Subscale includes the following nine items: tense, shaky, on edge, panicky, uneasy, restless, nervous and anxious.
Each item was graded as 0 (not at all), 1 (a little), 2 (moderately), 3 (quite a bit) or 4 (extremely) and the sum of the items is the total scale, varying from 0 (no tension-anxiety) - 36 (most tension-anxiety).
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1st postoperative day change from baseline pain score at after intervention, 2nd postoperative day change from baseline pain score at during, 15th min after chest tube removal
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numerical Satisfaction Evaluation Form
Time Frame: Second postoperative day
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Numerical Satisfaction Evaluation Form includes values ranging from 0 (I am not satisfied), 10 (I am satisfied)
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Second postoperative day
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Form to determine the feelings and thoughts of the patients about reflexology application and chest tube removal
Time Frame: Second postoperative day
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Six open ended questions about the feelings and thoughts of the patients about reflexology application and chest tube removal.
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Second postoperative day
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Elif BUDAK ERTÜRK, MsN,RN, PhD, Başkent University, Faculty of Health Science, Department of Nursing
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 24074710-38
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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