The Effect of Stress Ball Use on Stress, Sleep Quality and Comfort Levels

Muğla Sıtkı Koçman University60 enrolled

Overview

This study was conducted to determine the impact of stress ball use on stress, sleep quality, and comfort levels in hemodialysis patients.

The study population consisted of patients undergoing hemodialysis treatment in the hemodialysis unit of a training and research hospital located in western Türkiye between February 19, 2024, and April 19, 2024 (N=90). The study sample included a total of 60 patients (30 in the experimental group and 30 in the control group), selected through randomization from those who met the research criteria and agreed to participate. During the study, two patients from the experimental group and one patient from the control group were excluded from the study due to health issues that prevented them from using the stress ball. The study was conducted with a total of 57 patients (28 in the experimental group and 29 in the control group).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

Conditions

Hemodialysis

Interventions

stress ballOTHER

the stress ball intervention was initiated. Before starting, the researcher provided instructions and demonstrations on how to use the stress ball, allowing then the patients to practice. The stress ball intervention was administered during the second hour of the hemodialysis session when patients were most comfortable. Patients were instructed to squeeze the stress ball once, counting internally as "1-2-3" with each squeeze. The stress ball intervention was administered three times weekly during hemodialysis sessions for 15 minutes each session, totaling 12 sessions for a period of four weeks. Throughout the intervention, patients were observed by the same researcher.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * participants had to be volunteers * aged 18 years and older, * undergoing hemodialysis treatment for at least six months, * attending hemodialysis sessions three times a week, * not having any conditions that would impede the use of a stress ball. Exclusion Criteria: * individuals who refused to participate in the study, * those undergoing hemodialysis for less than six months, * patients attending hemodialysis sessions twice a week, * individuals with health problems that prevented them from using a stress ball.

Locations (1)

Turkey, Muğla Sıtkı Koçman University

Muğla, Turkey (Türkiye)

Outcomes

Primary Outcomes

Stress evaluated using the Perceived Stress Scale

The obtainable total score from the scale ranges from 0 to 56, with higher scores indicating a greater perception of stress

Time frame: Change from before implementation and 4th week of practice

Sleep quality ewaluated the Pittsburgh Sleep Quality Index

The sum of the scores from these seven components yields the total PSQI score, which ranges from 0 to 21. Individuals with a total score of 5 or lower are classified as having 'good" sleep quality, while those with a score above 5 are classified as having "poor" sleep quality.

Time frame: Change from before implementation and 4th week of practice

Comfort evaluated using Hemodialysis Comfort Scale Version II

The total score obtained from the scale ranges from 26 to 130, with higher scores indicating greater comfort levels.

Time frame: Change from before implementation and 4th week of practice

Data from ClinicalTrials.gov

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