The Effect of Bibliotherapy Administered During the Preoperative Period on Vital Signs, Anxiety, and Coping With Illness in Adolescent Patients

NCT07126054 | Completed

• 1 other identifier: 98127364
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 2

Brief Summary

This study aimed to evaluate the effects of bibliotherapy administered to adolescent patients in the preoperative period on vital signs, anxiety levels, and coping attitudes using a pretest-posttest controlled experimental design. The main hypotheses: H1: Bibliotherapy administered to adolescent patients during the preoperative period positively affects at least one of the patients' vital signs. H2: Bibliotherapy administered to adolescent patients during the preoperative period reduces the patients' state anxiety level. H3: Bibliotherapy administered to adolescent patients during the preoperative period reduces the patients' trait anxiety level. H4: Bibliotherapy administered to adolescent patients during the preoperative period increases the patients' level of coping with illness. Researchers will compare control group to see if vital signs, anxiety and coping with illnes levels. Bibliotherapy was applied to the intervention group, while the control group received routine clinical care.

Conditions

Psycho-educational; Anxiety; Illness, Critical

Keywords

Adolescent patient; perioperative period; bibliotherapy; coping with illness; anxiety

Outcome Measures

Primary Outcomes (7)

• Vital sign: pulse

  Pulse is the rhythmic expansion of an artery caused by the ejection of blood from the heart, reflecting the heart rate and rhythm.

  Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

• Vital sign: blood pressure

  Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic). Ask ChatGPT Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic). Ask ChatGPT Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic).

  Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

• vital sign: body temperature

  Body temperature is the measure of the body's ability to generate and dissipate heat, reflecting the balance between heat production and heat loss.

  Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

• vital sign: respiratory rate

  Breathing, or respiratory rate, is the number of breaths taken per minute, indicating how effectively the body is exchanging oxygen and carbon dioxide.

  Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

• vital sign: Oxygen saturation

  Oxygen saturation is the percentage of hemoglobin in the blood that is saturated with oxygen, indicating how efficiently oxygen is being transported to body tissues.

  Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

• State-Trait Anxiety Inventory for Children

  The State-Trait Anxiety Inventory for Children measures both the temporary (state) and general (trait) levels of anxiety experienced by children. The highest possible score on the State Anxiety Inventory is 60, and the lowest is 20. An increase in the score indicates a higher level of anxiety.

  Day 1: 1 hour after the decision for surgery is explained to the patient and and at after eigth hours from surgery (Day 1)

• Coping Attitudes Assessment Scale

  The Coping Attitudes Assessment Scale evaluates an individual's strategies and attitudes toward managing stress and adapting to challenging situations. The highest possible score on the scale is 160, and the lowest is 40. A higher score on the scale indicates a higher level of coping attitude.

  Day 1: 1 hour after the decision for surgery is explained to the patient and and at after eigth hours from surgery (Day 1)

Study Arms (2)

Intervention group

EXPERIMENTAL

As part of the bibliotherapy intervention, the book "My Surgery Journey" (bibliotherapy), developed by the researchers, was read to the patients during in two hours the preoperative period and discussed individually with them, aiming to help the patients understand the surgical process and reduce their anxiety.

Behavioral: bibliotherapy

Control group

NO INTERVENTION

Only routine nursing care and information were continued in this group.

Interventions

bibliotherapy BEHAVIORAL

Bibliotherapy is a therapeutic approach that uses carefully prepared reading materials (My Surgery Story) to support individuals' understanding, coping, and anxiety, facilitated through guided reading and discussion.

Intervention group

Eligibility Criteria

• Age: 10 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• who were between 10 and 17 years old,
• literate (able to read and write),
• diagnosed with appendicitis and scheduled for surgery,
• without any prior major surgical interventions,
• who, along with their parents, consented to participate in the study.

You may not qualify if:

• Failure of the patient to recover physiologically on the 1st and 2nd postoperative days
• Presence of postoperative complications
• Early discharge from the clinic

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (2)

Istanbul Medipol University Hospital

Istanbul, Bağcılar, Turkey (Türkiye)

Location

Istanbul Medipol University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders; Critical Illness

Interventions

Bibliotherapy

Condition Hierarchy (Ancestors)

Mental Disorders; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participant masking indicates a patient with a diagnosis of chronic renal failure receiving hemodialysis treatment
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst.Prof.

Model Details: a pretest-posttest randomized controlled experimental design

Study Record Dates

• First Submitted: August 9, 2025
• First Posted: August 17, 2025
• Study Start: October 1, 2023
• Primary Completion: January 30, 2024
• Study Completion: June 1, 2024
• Last Updated: August 17, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)