Clinical trial NCT06726239: Progressive Relaxation Exercises Before Mobilization:Effects on Pain, Anxiety and Physiologic Parameters CABG Patients
Official title: The Effect of Progressive Relaxation Exercises Applied Before Mobilization on Pain, Anxiety and Physiological Parameters in Patients With Coronary Artery Bypass Graft Surgery
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Pain
Anxiety
Physiological Parameter
Mobilization
Coronary Artery Bypass Graft Surgery (CABG)
PROGRESSIVE MUSCLE RELAXATION EXERCISES
Keywords: coronary artery bypass graft surgery
pain
Anxiety
progressive relaxation exercise
physiological parameter
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2024-12-10
Enrollment: 68
Sex: ALL
Minimum age (years): 35
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: experiment-control
Primary purpose: PREVENTION

Brief summary: This study is planned as a randomized controlled experimental study to determine the effect of progressive relaxation exercises applied before mobilization on pain, anxiety and physiological parameters in patients undergoing coronary artery bypass graft surgery.

Detailed description: This study was planned as a randomized controlled experimental study to determine the effect of progressive relaxation exercises on pain, anxiety and physiological parameters before mobilization in patients undergoing coronary artery bypass graft (CABG) surgery. Ethics committee and institutional approval were obtained before starting the study. Patients were informed about the study and their verbal and written informed consent was obtained. The study will be conducted in a public hospital in Istanbul between May 2024 and May 2025 with 68 patients (experimental group = 34, control group = 34) who met the research criteria and underwent CABG surgery. The patients in the experimental group will be given progressive relaxation exercises twice at 6-hour intervals on postoperative day 1 and day 2. Patients in the control group will receive routine treatment and care. Physiological parameters, pain, and anxiety levels will be evaluated twice daily on postoperative days 1 and 2 in both groups.It was also stated that a smart wristband should be worn on the arms of the patients on postoperative days 1 and 2 to monitor the frequency of mobilization in both the experimental and control groups. In addition, the frequency of analgesic use will be monitored.

Eligibility criteria: Inclusion Criteria:

* Ability to read and write in Turkish,
* Analgesics given ≥4h before assessment,
* Conscious and communicative,
* Elective coronary artery bypass graft surgery planned,
* Patients undergoing coronary artery bypass graft surgery for the first time were included in the study.

Exclusion Criteria:

* Diagnosed with a psychiatric or neurological disorder,
* Diagnosis of a musculoskeletal condition that could affect mobilization,
* Patients with hearing and vision loss,
* Patients participating in another clinical trial during the same period,
* Patients who developed any complications during the postoperative period were excluded.

Primary outcomes:
measure: Descriptive Characteristics Form
timeFrame: Preoperative
measure: Trait Anxiety Inventory
timeFrame: Preoperative
measure: Physiological parameters monitoring
timeFrame: Postoperative Day 1:(measured twice, 6-hour apart): Control: Pre-test, 30 min later, 15 min post-mobilization Experimental: Pre-test, 5 min post-PGE, 15 min post-mobilization. Postoperative Day 2: Both groups:Same measurements at 6-hour intervals, twice
measure: State Anxiety Inventory
timeFrame: Postop Day 1:(measured twice, 6-hour apart): Control: Pre-test,30 minutes after,15 min post-mobilization.Experimental: Pre-test, 5 minutes after PGE, 15 min post-mobilization.Postoperative Day 2: Both groups:Same measurements at 6-hour intervals, twice
measure: Short Form McGill Pain Questionnaire
timeFrame: Postop1:Measured twice at 6h:Control:Pre-test, 30 min later, post-mobilization vas, 15 min post-mobilization. Experimental: Pre-test, 5 min post-PGE, post-mobilization vas, 15 min post-mobilization.Postop2: Both groups:Measured twice at 6-hour intervals
Secondary outcomes:
measure: Mobilization Schedule
timeFrame: Postoperative day 1 and 2
measure: Analgesia monitoring form
timeFrame: Postoperative day 1 and 2
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi
Study officials:
References: