The Effect of Directed Imagery Technique Applied to Patients Who Have Had Lumbar Disc Herniation Surgery on Patients' Pain, Anxiety, and Sleep Levels: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Preoperative Anxiety Scale
研究概览
简要总结
The Directed Imagery technique (YIT) is a set of stories that people create by first giving relaxation exercises and then visualizing the symbols given by the practitioner. Guided imagery is based on the understanding that the body and mind are interconnected and that the mind can affect the body. In directed imagery, the person's thoughts and imagination are focused and directed to a specific goal by the practitioner, usually through a sound recording. The directed imagery technique can be effective in solving problems such as pain, stress, fatigue, and anxiety in nursing care.
详细描述
- Patients in the control group; Nursing care will be applied according to the routine care protocol of the clinic where the research was conducted.
- Patients in the experimental group; In addition to the nursing care given according to the routine care protocol of the clinic where the research was conducted, the "imagery method" will be applied four times in total, once before the operation, once on the 1st day, 2nd day and 3rd day after the operation. It will be ensured that the patients to be imaged are in the supine or semifawler position in a comfortable way and listen to the audio recording with headphones.
Before the application, the patient will be told to listen to the audio recording with headphones at the most convenient time of the day for him, in an environment where he will not be disturbed by others, by putting his phone in airplane mode, after giving advance notice to avoid disturbing family members. Headphones will be provided for each patient by the researcher. In the first meeting, the voice recordings will be transferred to the phones of the individuals via the phone in the Neurosurgery Service. Communication with the patient will be provided in accordance with the pandemic rules. In the preoperative period, "Descriptive Information Form", "Operation-Specific Anxiety Scale", "Richard-Campbell Sleep Scale", "Visual Analog Scale (VAS)", "State Anxiety Scale" will be applied to the experimental and control groups before imagery is performed. After the interventions applied to the experimental group are completed, the scales will be re-administered to the individuals in the experimental and control groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Those who will undergo lumbar disc hernia surgery
- •Compliant with ASA 1 and 2 classification
- •Preoperative hospitalizations
- •Patients without cognitive clouding
- •Patients who can speak Turkish
- •Patients without hearing and vision problems will be included in the study.
排除标准
- •Those over the age of eighty or under the age of 18
- •Having a psychiatric disease and using medication
- •Having trouble sleeping and taking medication
- •Those who are classified as ASA 3 and above,
- •Those who have laparoscopic surgery,
- •Those with chronic pain, alcohol, drug and substance addiction,
- •Oncological cases,
- •Those with hearing, vision, speech and cognitive dysfunction,
- •Those who do not speak Turkish,
- •People with high anxiety who use anxiolytics
- •Patients who do not accept the procedure will not be included in the study.
研究组 & 干预措施
İmaginary group
Expert opinion for the scenario will be taken from a psychologist and a psychiatric nurse.
The flow of the script; It will start with breathing exercises and continue with the safe place application, after affirming the functionality that is said while in a safe place in the mind, it will be in the form of waking up by turning to the body and returning to the present.
Headphones will be provided for each patient by the researcher. In the first meeting, the voice recordings will be transferred to the phones of the individuals via the phone in the Neurosurgery Service. Communication with the patient will be provided in accordance with the pandemic rules.
The audio recording will be played twice, in the evening before the operation and on the evening of the operation day.
干预措施: Directed Imagery Technique (Behavioral)
Control group
In the routine care applied to the patients, the vitals of the patients are followed, drug treatments are administered and the motor functions of the patients are monitored. In addition, analgesics are routinely administered in the ward for pain and no attempt is made for sleep.
结局指标
主要结局
Preoperative Anxiety Scale
时间窗: Change: [Time Frame: 3 days: Preoperative assessment (Time 1), morning of surgery day (Time 2)]
The range of scores that can be taken from the scale is 10-50 points, and high scores reflect high anxiety.
Richards Campbell Sleep Scale
时间窗: Change: [Time Frame: 3 days: Preoperative assessment (Time 1), morning of the day of surgery (Duration 2), postoperative (Duration 3)
Each item is evaluated on a chart between 0 and 100 using the visual analog scale technique. A score of "0-25" from the scale indicates "very bad sleep" and a score of "76-100" indicates "very good sleep".
Visual Analog Scale (VAS)
时间窗: Change: [Time Frame: 3 days: Preoperative assessment (Time 1), morning of the day of surgery (Duration 2), postoperative (Duration 3)
"0" describes no pain, "100" describes the most unbearable pain. A score of "0-30" indicates mild pain, a score of "31-60" indicates moderate pain, and a score of "61 and above" indicates severe pain.
次要结局
未报告次要终点
研究者
Eda Albayrak
Research Assistant
TC Erciyes University