The Effect of Guided Imagery Technique on Anxiety, Pain, and Analgesic Use in Total Joint Arthroplasty Patients

NCT07194252 | Not Yet Recruiting DMC

• 1 other identifier: YBU-HEM-RK-01
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled study will investigate the effects of guided imagery on preoperative anxiety and postoperative pain and analgesic consumption in patients undergoing total joint arthroplasty. Conducted between September 2025 and June 2026 at a public hospital in Zonguldak, Turkey, the study will include patients scheduled for total joint arthroplasty following ethics committee approval. The intervention group will receive guided imagery twice preoperatively and once daily at 48 and 72 hours postoperatively. Outcomes will be assessed using the Surgical Anxiety Scale, surgery-specific anxiety scale, Numerical Rating Scale (NRS), and analgesic consumption tracking.

Conditions

Total Joint Arthroplasty

Keywords

pain; anxiety; analgesic; total joint arthroplasty

Outcome Measures

Primary Outcomes (1)

• Surgical Anxiety Scale

  The scale was developed in Turkish by Karanci and Dirik (2003) and is a 5-point Likert-type scale (1: Strongly disagree, 5: Strongly agree). The scale consists of 10 statements covering fears that patients may experience regarding surgery. The maximum score that can be obtained from the scale is 50. High scores on the scale reflect anxiety about experiencing pain, dying during surgery, and complications and restrictions that may arise after surgery. The Cronbach's Alpha coefficient for the scale was found to be 0.79.

  September 2025-June 2026 (9 months)

Secondary Outcomes (2)

• Numerical Rating Scale

  September 2025-June 2026 (9 months)

• Analgesic Consumption Tracking Form

  September 2025-June 2026 (9 months)

Study Arms (2)

intervention Grubs

EXPERIMENTAL

The intervention group's surgical anxiety levels were assessed using the "Surgical Anxiety Scale" during the preoperative period. Subsequently, at the relevant clinic, the scale was administered twice on the day before the scheduled surgery date (at noon and in the evening) and once each at 48 and 72 hours post-surgery, for a total of four times. At the end of the application, the "Surgical Anxiety Scale" and the "Surgical-Specific Anxiety Scale" will be reapplied to the intervention group. In the postoperative period, participants' pain intensity will be measured using the "NRS" at 48 hours postoperatively before the intervention, immediately after the intervention, and at 72 hours before the intervention and immediately after the intervention.

Other: Guided imagery technique application

Control Grubs

NO INTERVENTION

During the preoperative period, nursing care will be provided according to the routine care protocol of the clinic where the study is conducted. Subsequently, participants' levels of surgical anxiety will be assessed using the "Anxiety Scale Specific to Surgery" simultaneously with the intervention group patients. In the postoperative period, participants' pain intensity will be measured using the "NRS" at 48 and 72 hours postoperatively and will be measured again 60 minutes after the measurements (simultaneously with the intervention group patients). In the final stage, the analgesic consumption of the intervention and control groups will be evaluated on the 2nd and 3rd days of the postoperative period using the "Analgesic Consumption Tracking Form" to assess the administration status of the analgesic drugs included in the treatment protocol, and the application phase of the study will be completed.

Interventions

Guided imagery technique application OTHER

Intervention is a guided imagery technique designed for patients undergoing total joint arthroplasty. It will be administered in a total of 4 sessions: once daily on the day before surgery, twice daily on the day of surgery, and once daily on the 2nd and 3rd days after surgery, accompanied by imagery scenarios developed in accordance with the Compact Disc (CD) and literature developed by the Turkish Psychological Association. The study aims to examine its effects on surgical anxiety levels, postoperative pain intensity, and analgesic consumption. This approach is structured as a non-pharmacological method specific to surgical nursing practice and differs from previous similar studies in that it is applied in both the preoperative and postoperative periods using the same sample in the literature.

intervention Grubs

Eligibility Criteria

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

You may qualify if:

• Patients who have undergone unilateral arthroplasty surgery,
• Without cognitive impairment,
• Who speak and write Turkish,
• Without hearing or vision problems,
• Without any other acute illness causing pain or anxiety,
• Who received the same analgesic agent in the treatment protocol during the postoperative period,
• And who volunteered to participate in the study will be included.

You may not qualify if:

• Having a diagnosis of chronic pain syndrome or neuropathic pain,
• Having a diagnosis of psychiatric illness/being under treatment
• Continuous use of analgesic/sedative medication that may affect the pain threshold,
• Hearing impairment or severe cognitive impairment that prevents participation in guided imagery applications.

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Zonguldak Atatürk State Hospital

Zonguldak, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

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

Study Officials

• Gülay YAZICI, Assoc. Prof.

  Ankara Yildirim Beyazıt University

  STUDY DIRECTOR

Central Study Contacts

Büşra ERGEN TURAN, Lecturer

CONTACT

+90543810595; brergen62@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: Parallel Assignment Randomized Controlled Trial

Study Record Dates

• First Submitted: September 10, 2025
• First Posted: September 26, 2025
• Study Start: September 22, 2025
• Primary Completion (Estimated): May 22, 2026
• Study Completion (Estimated): June 22, 2026
• Last Updated: September 26, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)