Actively Recruiting
Determining the Effects of Reflexology and Cold Application Before Chest Tube Removal on Pain, Anxiety, and Physiological Parameters in Patients Undergoing Coronary Artery Bypass Grafting: A Randomized Controlled Study
Led by Ankara University · Updated on 2026-04-14
108
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying the effects of combining reflexology and cold application on pain, anxiety, and physiological signs in patients undergoing chest tube removal after coronary artery bypass grafting (CABG) surgery. This randomized controlled trial aims to find non-drug nursing methods to improve patient comfort and recovery by reducing pain and anxiety during this invasive procedure. Participants will be randomly assigned to one of three groups: a combined intervention group receiving 40 minutes of foot reflexology and 20 minutes of cold application before chest tube removal, a cold application only group receiving a cold pack at the tube site for 20 minutes, and a control group receiving standard care without extra interventions. The cold pack is applied at temperatures between -20°C and -30°C over gauze to protect the skin. Patients will be assessed using pain scales, anxiety inventories, and monitoring of blood pressure, heart rate, respiratory rate, and oxygen levels at three times: before the intervention, immediately before tube removal, and 30 minutes after removal. The study includes data collection through forms and questionnaires, with statistical analysis planned to evaluate differences between groups. Participation is expected to last around the time of the chest tube removal procedure and immediate follow-up.
CONDITIONS
Brief Title
Effects of Reflexology and Cold Application Before Chest Tube Removal in CABG Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Being 18 years of age or older
- Not having undergone previous open heart surgery
- Not having received analgesics within 4 hours prior to the procedure
- Having a Visual Analog Scale (VAS) pain score of 3 or higher
- Voluntary participation in the study
You will not qualify if you...
- Being under 18 years of age
- Using inotropic drugs
- Having a history of chronic pain
- Having a history of alcohol or drug use
- Having a psychiatric illness
- Having skin lesions, burns, or wounds on the feet that would prevent massage application
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - A few hours on the day of chest tube removal
Participants receive either foot reflexology for 40 minutes, cold application for 20 minutes, or standard clinical care immediately before chest tube removal.
1 visit (in-person) during chest tube removal
Duration - 30 minutes post-procedure
Participants are monitored for pain, anxiety, and physiological parameters 30 minutes after chest tube removal.
1 follow-up assessment (in-person)
Trial Site Locations
Total: 1 location
1
Gulhane Training and Research Hospital
Ankara, Turkey (Türkiye), 06010
Actively Recruiting
Research Team
N
neriman yükseltürk şimşek, assistant prof.
Y
yasemin özkan, phd
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
3
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