Comparison of Early Postoperative Functional Capacity and Kinesiophobia in Patients Undergoing Thoracic Surgery Via Thoracotomy or VATS
Comparison of Early Postoperative Functional Capacity, Kinesiophobia, Pain, Dyspnea, Fatigue, and Anxiety in Patients Undergoing Thoracic Surgery Via Thoracotomy or Video-Assisted Thoracic Surgery
This observational cross-sectional study aims to compare early postoperative functional capacity and kinesiophobia in patients undergoing thoracic surgery via thoracotomy or video-assisted thoracic surgery (VATS). Patients aged 18-75 years who underwent thoracic surgery and agreed to participate will be evaluated during the early postoperative period, after chest tube removal and before hospital discharge.
Functional capacity will be assessed using the 1-minute sit-to-stand test. Kinesiophobia will be evaluated using the Tampa Scale for Kinesiophobia. Pain, dyspnea, fatigue, and coronavirus-related anxiety will also be assessed using validated scales and questionnaires. The study will investigate the relationship between kinesiophobia and postoperative functional and symptom-related outcomes.
Aperçu de l'étude
Statut
Les conditions
Description détaillée
Thoracic surgical procedures may lead to postoperative pain, reduced mobility, impaired functional capacity, and fear of movement. Thoracotomy involves opening the chest wall and is associated with greater surgical trauma, whereas video-assisted thoracic surgery (VATS) is a minimally invasive surgical approach performed through smaller incisions without rib spreading. VATS is generally associated with lower morbidity, shorter hospital stay, and earlier return to physical activity.
Kinesiophobia, defined as an excessive and irrational fear of movement or re-injury, may negatively affect postoperative recovery and rehabilitation participation. Although kinesiophobia has been widely investigated in musculoskeletal and chronic pain conditions, there is limited evidence regarding its role after thoracic surgery.
The aim of this study is to evaluate early postoperative functional capacity, kinesiophobia, and factors associated with kinesiophobia in patients undergoing thoracic surgery via thoracotomy or VATS. Eligible patients will be assessed in the early postoperative period, after removal of chest tubes and before discharge, corresponding approximately to postoperative days 2-10.
Demographic and clinical data will be recorded. Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia. Functional capacity will be evaluated using the 1-minute sit-to-stand test. Pain will be assessed using the McGill-Melzack Pain Questionnaire. Dyspnea and fatigue will be evaluated using the Modified Borg Scale. Coronavirus-related anxiety will be assessed using the Coronavirus Anxiety Scale Short Form.
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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Altındağ
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Ankara, Altındağ, Turquie (Türkiye), 06100
- Hacettepe University
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Undergoing thoracic surgery via thoracotomy or video-assisted thoracic surgery
- Aged between 18 and 75 years
- Volunteering to participate in the study
- Providing informed consent
Exclusion Criteria:
- Presence of cooperation or communication problems that prevent assessment
- History of previous thoracic surgery
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
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Thoracotomy Group
Patients aged 18-75 years who underwent thoracic surgery via thoracotomy and agreed to participate in the study.
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VATS Group
Patients aged 18-75 years who underwent thoracic surgery via video-assisted thoracic surgery and agreed to participate in the study.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Kinesiophobia
Délai: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia.
The scale consists of 17 items scored on a 4-point Likert scale.
Total scores range from 17 to 68, with higher scores indicating greater fear of movement.
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Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Functional Capacity
Délai: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Functional capacity will be assessed using the 1-minute sit-to-stand test.
The number of full sit-to-stand repetitions completed in one minute will be recorded.
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Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Pain Level
Délai: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Pain will be evaluated using the McGill-Melzack Pain Questionnaire, which assesses pain location, quality, temporal characteristics, and intensity.
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Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Dyspnea
Délai: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Dyspnea severity will be assessed using the Modified Borg Scale, a 0-10 category-ratio scale, with higher scores indicating greater perceived dyspnea.
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Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Fatigue
Délai: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Fatigue severity will be assessed using the Modified Borg Scale, a 0-10 category-ratio scale, with higher scores indicating greater perceived fatigue.
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Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Coronavirus-related Anxiety
Délai: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Coronavirus-related anxiety will be assessed using the Coronavirus Anxiety Scale Short Form.
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Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
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Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- GO 20/1155
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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