Effect of the Palming Technique on Preoperative Anxiety and Hemodynamic Responses in Thyroid Surgery

Yuzuncu Yil University80 enrolled

Overview

Purpose of the Observational Study: The purpose of this observational study was to evaluate the effects of the palmar technique on preoperative anxiety, hemodynamic parameters, and intubation-related hemodynamic responses in patients undergoing thyroidectomy. Primary Research Question: Does the palmar technique applied preoperatively reduce preoperative anxiety and associated hemodynamic changes in thyroidectomy patients? Study Design: Type: Prospective, single-blind, observational study Location: A single-center tertiary care hospital in Turkey Sample: 80 patients aged 18-65, ASA I-II Methods: Patients were divided into two groups using a sealed envelope method: Group P: Patients who received the palm-based technique Group N: Control group without intervention When admitted to the preoperative waiting room (T1), all patients: Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention. The same parameters were measured again 15 minutes later (T2). After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times: Pre-intubation (T3) 1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique Sample Size:Total: 80 patients

Interventions

Group PBEHAVIORAL

When admitted to the preoperative waiting room (T1), all patients: Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention. The same parameters were measured again 15 minutes later (T2). After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times: Pre-intubation (T3) 1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18-65 years * Patients classified as ASA I-II * Patients scheduled for thyroid surgery * Patients without a history of glaucoma * Patients without active psychiatric or neurological disease * Patients who were informed about the study and provided written informed consent Exclusion Criteria: * Patients with a diagnosed psychiatric disorder * Patients using sedatives, antidepressants, or antiepileptic medications * Patients with impaired cooperation, comprehension, vision, or hearing * Patients with a history of ophthalmic surgery * Patients classified as ASA III or higher

Outcomes

Primary Outcomes

Change in Preoperative Anxiety Score (State-Trait Anxiety Inventory - STAI-State)

Baseline (TPreoperative anxiety will be assessed using the State-Trait Anxiety Inventory - State (STAI-State) scale (range: 20-80; higher scores indicate higher anxiety). The primary outcome is the change in STAI-State score from baseline (T1) to 15 minutes after the palming technique (T2).1) and 15 minutes after intervention (T2)

Time frame: Baseline (T1) and 15 minutes after intervention (T2)

Change in Heart Rate

Change in heart rate (beats per minute) between baseline (T1) and 15 minutes after the palming technique (T2).