The Effect of Stress Ball and 4-7-8 Breathing Technique on Fear, Anxiety and Physiological Parameters

Kafkas University75 enrolled

Overview

The study aimed to examine the effects of two different applications (stress ball and 4-7-8 breathing technique) before Upper GI Endoscopy on patients' fear, anxiety and physiological parameters before the procedure. The study as a single-blind, pre-test and post-test experimental study.

Due to the procedures involved, endoscopy patients experience high levels of fear and anxiety. Fear and anxiety may activate the patient's autonomic nervous system, causing increased sweating, heart rate, blood pressure and respiratory rate, and complications related to the procedure. Reducing fear and anxiety and making the patient feel relaxed not only prevents possible harm to the patient due to the procedure, but also facilitates the work of the healthcare team performing the procedure and ensures accurate results. In this context, this study aimed to examine the effects of stress ball exercise and 4-7-8 breathing technique on the fear, anxiety and vital signs of patients who will undergo Upper Gastrointestinal (GI) endoscopy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Endoscopy Breathing Exercises Cognitive Therapy Stress Anxiety Physiological Parameters

Interventions

stress ballOTHER

Patients squeeze the stress ball

4-7-8 breathing techniqueOTHER

breathing in quietly through the nose for 4 seconds. holding the breath for a count of 7 seconds. exhaling forcefully through the mouth for 8 seconds.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Upper GI Endoscopy will be performed for the first time, 2. American Society of Anesthesiologists (ASA) Status I-II 3. Those over 18 years of age 4. Participates in the research voluntarily and is willing to cooperate. 5. No visual impairment, hearing impairment or communication problem, 6. Not having a psychiatric diagnosis and not using anxiolytic, hypnotic or sedative drugs Exclusion Criteria: 1. Those diagnosed with severe respiratory failure 2. Those who have health problems in the hand, wrist or arm area that prevent squeezing the stress ball. 3. Using psychiatric medication (antipsychotic, antidepressant, anxiolytic, sedative, etc. 4. Anyone who wishes to leave the research at any stage of the research, with his or her own initiative.

Locations (1)

Mehtap ÇULLU

Muğla, Turkey (Türkiye)

Outcomes

Primary Outcomes

Visual Analog Scale (VAS)

Developed by Price et al. (1983), VAS is a reliable, valid and practical measurement tool for repeated measurements. The scale, which is generally used to score pain, will be used in this study to score patients' fear between 1-10 points. The scale is represented by a 10 cm line representing the lowest and highest scores for fear (0 = no fear, 10 = most intense fear).

Time frame: At the beginning and end of the 20-minute stress ball or breathing exercise intervention (before the endoscopy procedure)

State-Trait Anxiety İnventory

It was developed by Spielberger and his colleagues in 1970. It has two parts: State and Trait Anxiety. The State Anxiety Scale section determines how a person feels at a particular moment and under certain conditions. The feelings or behaviors expressed by the person are answered by marking one of the options: (1) not at all, (2) a little, (3) a lot, (4) completely, depending on the degree of severity. Trait Anxiety Scale is related to how the individual feels in general, regardless of the current situation.

Time frame: At the beginning and end of the 20-minute stress ball or breathing exercise intervention (before the endoscopy procedure)

Secondary Outcomes

systolic blood pressure (mm/Hg)

Measurements are made at the beginning and end of the stress ball or breathing exercise intervention applied before the endoscopy (before the endoscopy procedure).

Time frame: At the beginning and end of the 20-minute stress ball or breathing exercise intervention (before the endoscopy procedure)

diastolic blood pressure (mm/Hg)

Measurement are made at the beginning and end of the stress ball or breathing exercise intervention applied before the endoscopy (before the endoscopy procedure).

Time frame: At the beginning and end of the 20-minute stress ball or breathing exercise intervention (before the endoscopy procedure)

Data from ClinicalTrials.gov

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