Effect of Stress Ball During Chest Tube Removal After Open Heart Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMersin University

About this trial

15 minutes before the procedure, nurses (FEÖ and NT) will explain and demonstrate how to use the stress ball. The stress ball will be applied for approximately five minutes, including the chest tube removal procedure. A round, medium-hard, high-quality silicone ball, approximately 6 cm in diameter, will be used. Patients will be asked to hold the ball in their palms, count to three, squeeze, and release once. Patients will be instructed to continue this exercise until the chest tube removal procedure is completed, and then, under the supervision of the researcher, for approximately five minutes, focusing their attention on the stress ball. The ball will be washed and cleaned after each use and wiped with disposable asepsis wipes before being administered to the patient. The control group will not receive any other treatment beyond routine treatment and will be assessed at the same time as the study group.

The chest tube will be removed by a physician during the stress ball application. Procedural pain level, anxiety level and hemodynamic variables of all patients in the study and control groups will be re-evaluated immediately after chest tube removal and 15 and 30 minutes after chest tube removal.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

are 18 years of age or older,

are conscious and cooperative,

speak and understand Turkish,

have a stable general condition and hemodynamic variables,

Disqualifiers

Are under 18 years of age,

Are conscious and uncooperative,

Do not speak or understand Turkish,

Are in an unstable general condition or hemodynamic variables,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Stress ball

    Other intervention

    Recently, the use of non-pharmacological methods applied by nurses has become increasingly widespread. One independent nursing practice for reducing pain and anxiety is the stress ball. A stress ball, one of these non-pharmacological methods, utilizes the sense of touch to divert attention and cognitive focus. This simple, reliable, and low-cost method reduces pain and anxiety by directing the mind to a salient stimulus.

Treatment groups

46 Participants
are divided into 2 treatment groups
Group A: controlNo intervention 0 interventions
Group B: Stress ball groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Participants' pain levels with stress ball application

Visual Analog Scale (VAS): Developed by Freyd (1923), the VAS is a single, 10-cm-long scale that can be used vertically or horizontally to assess pain levels. A generally accepted, reliable, and easily applicable scale, the VAS consists of a 10-cm-long line with subjective descriptive statements at either end of the scale (0 cm = none at all and 10 cm = maximum presence). The individual places a mark on this 10-cm line at the appropriate location on the scale. The distance from the beginning of the scale to the mark is measured with a ruler, and the individual's pain level is numerically determined in cm.

Time frame
Before, immediately after, 15 minutes and 30 minutes after chest tube removal

Secondary outcomes

1

anxiety

The VAS-A was developed to convert numerical values that cannot be measured numerically. A generally accepted, reliable, and easily applicable measurement tool in the world literature, the VAS consists of a 10-cm-long line with subjective descriptive statements at either end (0 cm = not present at all and 10 cm = most present). Research has shown that the VAS-A has been used to assess anxiety in patients before surgical interventions. Individuals place a mark at the appropriate location on this 10-cm line. The distance from the beginning of the scale to the mark is measured with a ruler, and the individual's anxiety level is numerically determined in cm. A low score on the VAS-A indicates a low/mild anxiety level, while a high score indicates a high/severe anxiety level.

Time frame
Before, immediately after, 15 minutes and 30 minutes after chest tube removal
2

Systolic blood pressure changes after stress ball

This form will record the systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and oxygen saturation values of the study and control groups measured at the specified times. Hemodynamic variables will be monitored and recorded using a bedside monitor (Nihon Kohden, Tokyo). To ensure data reliability and accuracy, these monitors are calibrated monthly by the biomedical engineering department, in accordance with hospital policy.

Time frame
Before, immediately after, 15 minutes and 30 minutes after chest tube removal
3

Diastolic blood pressure changes after stress ball

This form will record the systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and oxygen saturation values of the study and control groups measured at the specified times. Hemodynamic variables will be monitored and recorded using a bedside monitor (Nihon Kohden, Tokyo). To ensure data reliability and accuracy, these monitors are calibrated monthly by the biomedical engineering department, in accordance with hospital policy.

Time frame
Before, immediately after, 15 minutes and 30 minutes after chest tube removal
4

Heart rate changes after stress ball

This form will record the systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and oxygen saturation values of the study and control groups measured at the specified times. Hemodynamic variables will be monitored and recorded using a bedside monitor (Nihon Kohden, Tokyo). To ensure data reliability and accuracy, these monitors are calibrated monthly by the biomedical engineering department, in accordance with hospital policy.

Time frame
Before, immediately after, 15 minutes and 30 minutes after chest tube removal

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Mersin University

Lead sponsor

Mersin University, School of Medicine

Collaborator