NCT06316115

Brief Summary

Diabetic foot ulcer; It is a disease used to describe a series of lower extremity complications that may occur together with infection, ulceration or gangrene in individuals with diabetes and is coded as S91.3 and S91.8 in the International Classification of Diseases (ICD). Sharp debridement, one of the treatments for diabetic foot ulcers, is a short-term application performed with a sharp scalpel or scissors at the patient's bed or in outpatient clinic conditions. It should be performed by a skilled clinician with wound training. To our knowledge, no study has been found in the literature regarding the use of a stress ball as an intervention to prevent pain and anxiety during sharp debridement. In line with this information, this study will examine the effect of stress ball use on the pain and anxiety levels of patients with diabetic foot ulcers during wound debridement.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
76

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Dec 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 12, 2023

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 1, 2024

Completed
9 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 10, 2024

Completed
8 days until next milestone

First Posted

Study publicly available on registry

March 18, 2024

Completed
23 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 10, 2024

Completed
Last Updated

March 18, 2024

Status Verified

March 1, 2024

Enrollment Period

3 months

First QC Date

March 1, 2024

Last Update Submit

March 11, 2024

Conditions

Keywords

diabetic food ulcerstress ballpainanxciety

Outcome Measures

Primary Outcomes (1)

  • Introductory Information Form

    Introductory information formula section by examining studies conducted with products diagnosed with diabetic foot ulcers. Promotional information regime; People's birth year, education level, employment status, income level, place of residence, year of diabetes diagnosis, etc. A total of 13 questions will be asked about.

    at enrollment

Secondary Outcomes (1)

  • Meggit-Wagner classification of diabetic foot

    baseline

Other Outcomes (2)

  • Visual Comparison Scale

    immediately before and after the procedure

  • State Anxiety scale (STAI)

    immediately before and after the procedure

Study Arms (2)

Wound debridement of patients with diabetic foot ulcers

NO INTERVENTION

No Intervention: The patient's pain and anxiety will be evaluated by a nurse independent of the research before and during the debridement procedure, without any intervention to the patients

Patients with diabetic foot ulcers using stress balls during wound debridement

EXPERIMENTAL

Intervention Group: Patients in this group participating in the study will be given a stress ball and asked to use it before the debridement procedure, and each patient will be debrided by the same person throughout the procedure. The patient's pain and anxiety will be evaluated by a nurse independent of the research before and after the debridement procedure.

Other: In Patıents Wıth Dıabetıc Foot Ulcer, Effect On Paın And Anxıety Of Stress Ball Use Durıng Sharp Debrıdement

Interventions

Patients in this group participating in the study will be given a stress ball and asked to use it before the debridement procedure, and each patient will be debrided by the same person throughout the procedure. The patient's pain and anxiety will be evaluated by a nurse independent of the research before and after the debridement procedure.

Patients with diabetic foot ulcers using stress balls during wound debridement

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Being 18 years or older,
  • Being an inpatient in the endocrinology clinic,
  • Volunteer,
  • No communication problems (No hearing, understanding and speaking problems),
  • Being a patient diagnosed with diabetic foot ulcer,
  • The physician decided to apply sharp debridement,
  • Having pain according to the Visual Comparison Scale before the sharp debridement procedure,
  • Not having a health problem with the hand that would prevent him from using the ball

You may not qualify if:

  • No pain according to the Visual Comparison Scale,
  • Before performing sharp debridement, an intervention decision was taken to reduce pain (local anesthesia).
  • administered, nerve blockade, opioid analgesics, etc.) excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Harran Universitesi

Sanliurfa, Turkey (Türkiye)

RECRUITING

Related Publications (3)

  • Bagcivan G, Ozen N, Bayrak D, Cinar FI. Does Being A Cancer Patient or Family Caregiver of A Cancer Patient Affect Stem Cell Donation Awareness? Asia Pac J Oncol Nurs. 2019 Jul 3;7(1):36-43. doi: 10.4103/apjon.apjon_22_19. eCollection 2020 Jan-Mar.

  • Ozen N, Berse S, Tosun B. Effects of using a stress ball on anxiety and depression in patients undergoing hemodialysis: A prospective, balanced, single-blind, crossover study. Hemodial Int. 2023 Oct;27(4):411-418. doi: 10.1111/hdi.13102. Epub 2023 Jun 15.

  • Aslan F, Tosun B, Altinok Ersoy N, Ozen N. The effect of a stress ball on pain and anxiety during sharp debridement in patients with diabetic foot ulcers: A randomized controlled, single-blind study. J Tissue Viability. 2025 May;34(2):100861. doi: 10.1016/j.jtv.2025.100861. Epub 2025 Jan 26.

MeSH Terms

Conditions

Diabetic FootPain

Condition Hierarchy (Ancestors)

Diabetic AngiopathiesVascular DiseasesCardiovascular DiseasesFoot UlcerLeg UlcerSkin UlcerSkin DiseasesSkin and Connective Tissue DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System DiseasesDiabetic NeuropathiesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Fatma ASLAN

    Harran Universty

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Lecturer

Study Record Dates

First Submitted

March 1, 2024

First Posted

March 18, 2024

Study Start

December 12, 2023

Primary Completion

March 10, 2024

Study Completion

April 10, 2024

Last Updated

March 18, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations