The Effect of Using a Motivation Card on Pain and Number of Walking Steps After Prostate Surgery

The Effect of Using Motivational Cards on Pain Level and Number of Steps in Mobilization of Patients After Open Prostate Surgery

The purpose of this clinical study is to evaluate the effect of using motivational cards on pain and step counts in patients who underwent open prostate surgery due to benign prostatic hyperplasia.The main hypotheses are:

H1: Patients who use motivation cards during mobilization after open prostate surgery have lower pain levels than those who do not. H2: Patients who used motivation cards for mobilization after open prostate surgery had a higher number of steps than those who did not use them. After the surgery, patients were asked to walk with a pedometer. A mobilization motivation card was used in the study group.

Study Overview

• Status: Completed
• Conditions: Prostatic Hyperplasia
• Intervention / Treatment: Behavioral: Mobilization Motivation Card

Detailed Description

The group distribution of the patients was made using the Random Allocation Software (Version 2.0.0) program and the patients were divided into two groups: the study group and the control group.

The patients were visited by the researcher in their rooms on the morning of the day they were scheduled for surgery, and the purpose of the study was explained to the patients. Verbal and written consent was obtained from those who agreed to participate in the study, and it was explained to the patients that they would be visited again at their bedsides the day after surgery.

The Visual Pain Scale was created to assess the severity of pain. A score of '0' at the left end of the line indicates no pain, and a score of '10' at the right end indicates unbearable pain. In this study, patients were asked to mark the severity of the pain they were experiencing on a scale. The research nurse visited the patient in the service rooms before they were transferred to the operating room to make the first assessment in the study group, and the purpose of the study was explained to the patient. Patient introduction form, pedometer and mobilization motivation card were introduced to the patient. The patient was informed that they would be visited at 10:00 a.m. on the first day after the surgery to mobilize the patient. On the morning of the first day after surgery, the patient's pain status was determined with the Visual Pain Scale. The patient's vital signs were checked and the pedometer was placed on the lumbar region. The patient was mobilized according to the mobilization stage. The number of steps after the first mobilization was recorded on the mobilization motivation card and the card was hung at the bedside. The researcher nurse was informed that he would be visited again in 1 hour and these stages were repeated 3 times.

In the control group, the first evaluation was made by the researcher nurse. Patient introduction form, pedometer were introduced to the patient. On the morning of the first day after surgery, the patient's pain status was determined with the Visual Pain Scale. The patient's vital signs were checked and the pedometer was placed on the lumbar region. The patient was mobilized according to the mobilization stage. The number of steps after the first mobilization was recorded on the mobilization motivation card but was not given to the patient. The researcher nurse informed that he would be visited again in 1 hour and these stages were repeated 3 times.

• Study Type: Interventional
• Enrollment (Actual): 90
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Tekirdağ, Turkey, 59000
    • Tekirdağ Dr. İsmail Fehmi Cumalıoğlu City Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Hospitalized in the ENT-Urology Clinic
• Those aged 18 and over
• Those who will undergo elective surgery
• Volunteer to participate in the study
• Post-surgical follow-up will be done in the service.
• Those who will undergo general anesthesia
• No mental problems
• Patients who had no vision, hearing or speech problems were included.

Exclusion Criteria:

• Those who will undergo emergency and unplanned surgical intervention
• Laparoscopic surgery was performed
• Taken to the intensive care unit after surgery
• Those who will not undergo general anesthesia
• Having mental problems
• Patients with vision, hearing and speech problems were not included.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental: Experimental (with Card); In this procedure, patients used a pedometer and mobilization motivation card during their mobilization on the first postoperative day.	Behavioral: Mobilization Motivation Card; On the morning of the surgery, the Mobilization Motivation Card and Pedometer will be introduced and the patient will be informed. On the morning of the first postoperative day, before the patient's first mobilization, pain assessment will be made with the Visual Analog Scale (VAS), and the Mobilization Motivation Card will be hung at the bedside during the day and will help increase the patient's participation in mobilization. Later, after a pedometer is attached to the patient's waist, the patient will be mobilized.
No Intervention: No Intervention: Standard (No Card); In this procedure, patients used a pedometer during their mobilization on the first postoperative day. They did not use a mobilization motivation card.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of steps after surgery	Before mobilization, the number of steps taken will be tracked via a pedometer placed on the patient's waist, and after mobilization, the pedometer will be taken back from the patient. The number of steps taken will be recorded by the nurse.	12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain before and after mobilization	Before mobilization, patients will be assessed for pain using a visual analog pain scale. To assess pain, patients are asked to rate their pain level on a scale ranging from 0 - "No pain" to 10 - "Unbearable pain".	12 months

Collaborators and Investigators

• Sponsor: Trakya University
• Investigators: Principal Investigator: Seher Ünver, Trakya University

Study record dates

Study Major Dates

• Study Start (Actual): January 29, 2024
• Primary Completion (Actual): June 30, 2025
• Study Completion (Actual): July 30, 2025

Study Registration Dates

• First Submitted: November 19, 2024
• First Submitted That Met QC Criteria: November 19, 2024
• First Posted (Actual): November 21, 2024

Study Record Updates

• Last Update Posted (Actual): August 6, 2025
• Last Update Submitted That Met QC Criteria: July 31, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Keywords: Pain; Motivation; Walking
• Additional Relevant MeSH Terms: Urogenital Diseases; Genital Diseases; Pathologic Processes; Genital Diseases, Male; Prostatic Diseases; Male Urogenital Diseases; Prostatic Hyperplasia; Hyperplasia
• Other Study ID Numbers: 2023/442

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No