The Effect of the Strategic Game Tangram on Postoperative Patient Outcomes

NCT07031271 | Active Not Recruiting DMC

• 1 other identifier: Diversion of Attention
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to investigate the effects of playing tangram game after surgery on pain, fatigue and comfort levels in patients undergoing abdominal surgery.

Conditions

Pain Management; Postoperative Care; Nursing Care

Outcome Measures

Primary Outcomes (6)

• Pain level

  The numerical rating scale to be used in the assessment of pain is a one-dimensional 10 cm scale based on the patient's self-report. The lower end is "no pain", corresponding to 0 points, and the upper end is "unbearable pain", corresponding to 10 points. As the pain intensity expressed by the patient increases on the scale, it will be interpreted that the patient's pain increases. This is first measurement.

  Postoperative 1st day

• Pain level

  The numerical rating scale to be used in the assessment of pain is a one-dimensional 10 cm scale based on the patient's self-report. The lower end is "no pain", corresponding to 0 points, and the upper end is "unbearable pain", corresponding to 10 points. As the pain intensity expressed by the patient increases on the scale, it will be interpreted that the patient's pain increases. This is second measurement.

  20 minutes later after first measurement

• Pain level

  The numerical rating scale to be used in the assessment of pain is a one-dimensional 10 cm scale based on the patient's self-report. The lower end is "no pain", corresponding to 0 points, and the upper end is "unbearable pain", corresponding to 10 points. As the pain intensity expressed by the patient increases on the scale, it will be interpreted that the patient's pain increases. This is third measurement.

  30 minutes later after second measurement

• Fatigue level

  The numerical rating scale to be used in the assessment of fatigue is a one-dimensional 10 cm scale based on the patient's self-report. The lower end is "not tired" corresponding to 0 points, and the upper end is "unbearably tired" corresponding to 10 points. As the fatigue intensity expressed by the patient increases on the scale, it will be interpreted as the patient's fatigue increasing. This is first mesurement.

  Postoperative 1st day

• Fatigue level

  The numerical rating scale to be used in the assessment of fatigue is a one-dimensional 10 cm scale based on the patient's self-report. The lower end is "not tired" corresponding to 0 points, and the upper end is "unbearably tired" corresponding to 10 points. As the fatigue intensity expressed by the patient increases on the scale, it will be interpreted as the patient's fatigue increasing. This is second mesurement.

  20 minutes later after fist measurement

• Fatigue level

  The numerical rating scale to be used in the assessment of fatigue is a one-dimensional 10 cm scale based on the patient's self-report. The lower end is "not tired" corresponding to 0 points, and the upper end is "unbearably tired" corresponding to 10 points. As the fatigue intensity expressed by the patient increases on the scale, it will be interpreted as the patient's fatigue increasing. This is third mesurement.

  30 minutes later after second measurement

Secondary Outcomes (1)

• Comfort level

  30 minutes after second measurement

Study Arms (2)

Tangram game

EXPERIMENTAL

In this group, researchers will apply the Patient Identification Form to patients who are on the first day after surgery, who give at least 2 points for pain level, and who have had at least 3 hours since the last analgesic application, and will ask about the patients' pain and fatigue levels (First measurement). After this evaluation, patients in the intervention group will be asked to play the game for 20 minutes by making their own models with 7-piece tangram pieces in accordance with the randomization output. After the game, the pain and fatigue levels will be questioned again (Second measurement). The pain and fatigue levels will be questioned again 30 minutes after the second measurement (Third measurement).

Behavioral: Tangram game

Usual care

NO INTERVENTION

In this group, researchers will apply the Patient Identification Form to patients who are on the first day after surgery, who give at least 2 points for pain level, and who have had at least 3 hours since the last analgesic application, and will ask about the patients' pain and fatigue levels (First measurement). After this assessment, no intervention will be applied to the patients, and the pain and fatigue levels will be questioned again 20 minutes after the first measurement (Second measurement). The pain and fatigue levels will be questioned again 30 minutes after the second measurement (Third measurement).

Interventions

Tangram game BEHAVIORAL

Tangram game; It is a very old intelligence and attention game of Chinese origin. This game stands out with its both entertaining and educational aspects. Tangram consists of seven geometric pieces formed from a square shape. These 7 pieces; 2 large right triangles, 1 medium right triangle, 2 small right triangles, 1 square and 1 parallelogram. The aim is to create various shapes (animals, people, objects, letters, etc.) with these pieces. The aim of the Tangram game is to recreate the same appearance with a given shape (silhouette) using the pieces. All 7 pieces must be used in the game, the pieces must not be overlapped, the pieces must not be cut or divided, the pieces can be rotated or turned according to the selected shape. For example, the person is asked to create a cat figure with these 7 pieces in accordance with the rules. This game is one of the non-pharmacological pain management techniques by diverting the attention of the patients. It is easy to apply and cheap.

Tangram game

Eligibility Criteria

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

You may qualify if:

• Having had abdominal surgery
• Being on the first day after surgery
• Having a first pain measurement score of at least 2
• Having at least 3 hours since the last analgesic application

You may not qualify if:

• Having hearing/vision/mental problems
• Having limited movement in the hand/wrist/arm
• Having undergone surgery due to cancer
• Being diagnosed with a psychological illness (schizophrenia, depression)

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydın Adnan Menderes University

Aydin, Aydın, 09010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, Research Assisstant (Principal Investigator)

Study Record Dates

• First Submitted: June 13, 2025
• First Posted: June 22, 2025
• Study Start: June 15, 2025
• Primary Completion: December 15, 2025
• Study Completion: May 15, 2026
• Last Updated: June 29, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: 12 months after publication
• Access Criteria: Relevance to the topic of the study and approval of all-authors within 1 month of receiving the request.

Locations

TU (1)