Port catheters play a significant role in the management of cancer patients and eliminate the need for serial peripheral access by reducing patient anxiety associated with repeated venous punctures. In particular, inserting the needle into a subcutaneous port can be painful, frightening, and uncomfortable, even when the skin is numbed with a local anesthetic. Therefore, this study aims to investigate the effects of stress ball use on pain, anxiety, and patient satisfaction during port catheter needle changes in oncology patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
50
After randomization, patients assigned to the intervention group will be informed about the study beforehand and their informed consent will be obtained. Subsequently, each patient will be given both theoretical and practical instructions on how to use the stress ball, and will be asked to practice. Patients will be given individual stress balls approximately 6 cm in diameter, of medium firmness, and made of medical-grade silicone. Patients who successfully use the stress ball will be instructed to take deep breaths, squeeze the stress ball in their hands, and exhale to release it for approximately 5-10 minutes during the port catheter change procedure. The practice will be observed by the researcher to ensure standardization. Throughout the study, all port catheter changes will be performed by the same nurse in the clinic, who is not involved in the study.
Şanlıurfa Mehmet Akif İnan Education and Research Hospital
Sanliurfa, Turkey (Türkiye)
Patient-reported information and state anxiety level before port catheter needle replacement
The State Anxiety Scale is a 20-item, 4-point Likert-type scale designed to determine how an individual feels at a given moment and under specific conditions. In the State Anxiety Inventory, the individual is asked to rate how they feel "right now" and choose one of the following options based on the intensity of the emotion or behavior expressed in the items: (1) "none", (2) "a little", (3) "a lot", and (4) "completely". The highest score of 4 is given for choosing "completely", and the lowest score of 1 is given for choosing "none". The lowest possible total score on the State Anxiety Scale is 20, and the highest is 80. A high score indicates a high level of anxiety, while a low score indicates a low level of anxiety.
Time frame: On the day of port catheter needle replacement, prior to the procedure
Pain intensity after port catheter needle replacement
Numerical Rating Scale The scale used to diagnose pain has numerical values between 0 and 10. The patient is asked to indicate their pain on the scale. During the evaluation, an 11-point scale was used, where "0" represents "no pain" and "10" represents "the most severe pain imaginable".
Time frame: Data will be collected within 15 minutes after completion of port catheter needle replacement.
Patient satisfaction after port catheter needle replacement
Visual Analog Patient Satisfaction Scale The visual patient satisfaction scale (visual analog patient satisfaction scale) overlaps with the characteristics of the VAS. This scale is a vertical straight line between 0 and 10. "0" (Not satisfied at all), "10" (Very satisfied). The patient indicates the point on the vertical line corresponding to their degree of medical satisfaction with a cross mark and is scored out of ten.
Time frame: Data will be collected within 15 minutes after completion of port catheter needle replacement
State anxiety level after port catheter needle replacement
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The State Anxiety Scale is a 20-item, 4-point Likert-type scale designed to determine how an individual feels at a given moment and under specific conditions. In the State Anxiety Inventory, the individual is asked to rate how they feel "right now" and choose one of the following options based on the intensity of the emotion or behavior expressed in the items: (1) "none", (2) "a little", (3) "a lot", and (4) "completely". The highest score of 4 is given for choosing "completely", and the lowest score of 1 is given for choosing "none". The lowest possible total score on the State Anxiety Scale is 20, and the highest is 80. A high score indicates a high level of anxiety, while a low score indicates a low level of anxiety.
Time frame: Data will be collected within 15 minutes after completion of port catheter needle replacement.