Progressive Relaxation Exercises Before Mobilization:Effects on Pain, Anxiety and Physiologic Parameters CABG Patients

NCT06726239 | Recruiting

• 1 other identifier: 1308
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

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.

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

Outcome Measures

Primary Outcomes (5)

• Descriptive Characteristics Form

  The first part includes questions about demographic characteristics such as gender, age, body mass index (height-weight), marital status, education level, income level and occupation, and the second part includes questions about other chronic diseases, previous surgery, previous stay in the intensive care unit, smoking and alcohol use.

  Preoperative

• Trait Anxiety Inventory

  The Trait Anxiety Inventory is used to determine how the individual "usually" feels and the items of the scale are scored between 1-4 points (1=almost never, 2=sometimes, 3=very often, 4=almost always). There are 7 reversed statements in the trait anxiety subscale (items 21, 26, 27, 30, 33, 36 and 39).

  Preoperative

• Physiological parameters monitoring

  Physiological parameters will be monitored.

  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

• State Anxiety Inventory

  It is used to determine how the individual feels "right now" and the items of the scale are scored between 1-4 points (1=not at all, 2=somewhat, 3=very much, 4=completely).

  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

• Short Form McGill Pain Questionnaire

  The scale consists of three parts in which the nature of pain, intensity of pain and overall pain intensity are evaluated.

  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 (2)

• Mobilization Schedule

  Postoperative day 1 and 2

• Analgesia monitoring form

  Postoperative day 1 and 2

Study Arms (2)

No Intervention

NO INTERVENTION

In the preoperative period, patients in the control group completed the Patient Demographic Information Form and the Trait Anxiety Inventory. Patients were preoperatively informed about wearing a smart bracelet on postoperative days 1 and 2 to track step count and walking distance. Physiological parameters, state anxiety, and pain levels (Short-Form McGill Pain Questionnaire) were evaluated at pre-test, 30 minutes later, and 15 minutes after mobilization. Additionally, pain intensity was assessed immediately after mobilization. On postoperative days 1 and 2, all assessments were conducted twice daily. The frequency of analgesic administration was also monitored.

Experimental

EXPERIMENTAL

In the preoperative period, patients completed the Patient Demographic Information Form and the Trait Anxiety Inventory. Patients were preoperatively informed about wearing a smart bracelet on postoperative days 1 and 2 to track step count and walking distance. Furthermore, patients in the intervention group received video-assisted training on diaphragmatic breathing and progressive muscle relaxation (PMR) exercises. In the intervention group, PMR was performed twice a day on postoperative days 1 and 2. Physiological parameters, state anxiety, and pain levels (Short-Form McGill Pain Questionnaire) were measured at pre-test, 5 minutes after each PMR session, and 15 minutes after mobilization. Additionally, pain intensity was assessed immediately after mobilization. The frequency of analgesic administration was also monitored.

Other: Progressive relaxation exercises

Interventions

Progressive relaxation exercises OTHER

The aim of relaxation exercises is to help individuals recognize the difference between tension and relaxation and to enable them to relax in situations of stress. These exercises are performed with light background music and verbal instructions, allowing patients to mentally focus on the process. The progressive relaxation technique involves the voluntary contraction and subsequent relaxation of muscle groups, typically starting from the hands and progressing to the feet, with each muscle group activated in sequence. During the exercise, the instructions and steps from the 'Relaxation Exercises' CD published by the Turkish Psychologists Association will be followed.

Experimental

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi

Istanbul, Istanbul, 34320, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Central Study Contacts

Tuğçe Bozkurt

CONTACT

05063137927; tgcebzkrt55@gmail.com

Ayfer Özbaş

CONTACT

05063137927; tgcebzkrt55@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Candidate in Surgical Nursing, Istanbul University-Cerrahpasa

Model Details: experiment-control

Study Record Dates

• First Submitted: December 2, 2024
• First Posted: December 10, 2024
• Study Start: May 31, 2024
• Primary Completion: June 30, 2025
• Study Completion: June 30, 2025
• Last Updated: July 1, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)