The combined effects of cold therapy and music therapy on pain following chest tube removal among patients with cardiac bypass surgery.
Sajad Yarahmadi, Nooredin Mohammadi, Arash Ardalan...
https://pubmed.ncbi.nlm.nih.gov/29705484Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID07251270
Effect of Stress Ball on Pain, Anxiety Levels, and Hemodynamic Variables During Chest Tube Removal After Open Heart Surgery
Led by Mersin University · Updated on 2025-12-08
46
Participants Needed
1
Research Sites
7 weeks
Total Duration
On this page
Sponsors
M
Mersin University
Lead Sponsor
M
Mersin University, School of Medicine
Collaborating Sponsor
AI-Summary
What this Trial Is About
This research aims to evaluate the effects of using a stress ball during chest tube removal on pain, anxiety, and hemodynamic changes in patients who have undergone open heart surgery. The study focuses on adult patients with a single chest tube, stable health, and no psychiatric conditions. The goal is to understand how this non-drug method may influence comfort and physiological responses during the removal procedure. Participants are randomly assigned to one of two groups. The study group will use a medium-hard, 6 cm diameter silicone stress ball during chest tube removal. Nurses will explain and demonstrate the use of the ball 15 minutes before the procedure, and patients will follow a specific squeezing routine throughout the removal and for about five minutes afterward. The control group will receive only routine care without the stress ball. Chest tubes are typically removed on the second or third day after surgery. Participants will complete questionnaires and have their blood pressure, heart rate, respiratory rate, oxygen levels, pain, and anxiety measured before, immediately after, and at 15 and 30 minutes following chest tube removal. Researchers will monitor these hemodynamic variables using bedside equipment. The study will collect data from September 2025 to September 2026, assessing the impact of the stress ball versus routine care over this time period.
CONDITIONS
Brief Title
Effect of Stress Ball During Chest Tube Removal After Open Heart Surgery
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Have only one chest tube after open heart surgery
- Are 18 years of age or older
- Are conscious and cooperative
- Speak and understand Turkish
- Have a stable general condition and stable hemodynamic variables
- Have a planned surgical procedure
- Have no previous chest tube experience
- Have no psychiatric diagnosis
- Are not using psychiatric and/or local neuromuscular blocking medications
- Agree to participate in the study by signing the Informed Consent Form
You will not qualify if you...
- Do not have a chest tube or have multiple chest tubes after open heart surgery
- Are under 18 years of age
- Are conscious but uncooperative
- Do not speak or understand Turkish
- Are in an unstable general condition or have unstable hemodynamic variables
- Have undergone emergency surgery
- Have previous chest tube placement experience
- Have a current psychiatric diagnosis
- Are taking psychiatric and/or local neuromuscular blocking medications
- Do not agree to participate in the study by not signing the Informed Consent Form
AI-Screening
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit
Treatment
Duration - Chest tube removal typically occurs 2 to 3 days post surgery
Participants undergo open heart surgery and receive routine care including chest tube placement. On the second or third postoperative day, participants in the study group use a stress ball during chest tube removal while the control group receives routine care without the stress ball. The stress ball application lasts approximately five minutes during chest tube removal, with instructions and demonstrations provided 15 minutes before the procedure.
1 in-person visit for chest tube removal and stress ball application
Follow-up
Duration - 30 minutes post chest tube removal
Participants have their pain levels, anxiety, and hemodynamic variables assessed immediately after chest tube removal and again at 15 and 30 minutes post-procedure.
1 extended visit including assessments immediately after, 15 minutes, and 30 minutes post chest tube removal
Trial Site Locations
Total: 1 location
1
Turkey, Mersin University,
Yenişehir, Mersin, Turkey (Türkiye), 33120
Actively Recruiting
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Research Team
T
Tuğba ÇAM YANIK
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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