Effect of the Palming Technique on Preoperative Anxiety and Hemodynamic Responses in Thyroid Surgery

NCT07259551 | Completed

• 1 other identifier: The Palming Technique
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose of the Observational Study: The purpose of this observational study was to evaluate the effects of the palmar technique on preoperative anxiety, hemodynamic parameters, and intubation-related hemodynamic responses in patients undergoing thyroidectomy. Primary Research Question: Does the palmar technique applied preoperatively reduce preoperative anxiety and associated hemodynamic changes in thyroidectomy patients? Study Design: Type: Prospective, single-blind, observational study Location: A single-center tertiary care hospital in Turkey Sample: 80 patients aged 18-65, ASA I-II Methods: Patients were divided into two groups using a sealed envelope method: Group P: Patients who received the palm-based technique Group N: Control group without intervention When admitted to the preoperative waiting room (T1), all patients: Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention. The same parameters were measured again 15 minutes later (T2). After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times: Pre-intubation (T3) 1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique Sample Size:Total: 80 patients

Conditions

Preoperative Anxiety and Associated Hemodynamic Changes

Keywords

Hemodynamics; intubation; preoperative anxiety; relaxation techniques; thyroidectomy

Outcome Measures

Primary Outcomes (2)

• Change in Preoperative Anxiety Score (State-Trait Anxiety Inventory - STAI-State)

  Baseline (TPreoperative anxiety will be assessed using the State-Trait Anxiety Inventory - State (STAI-State) scale (range: 20-80; higher scores indicate higher anxiety). The primary outcome is the change in STAI-State score from baseline (T1) to 15 minutes after the palming technique (T2).1) and 15 minutes after intervention (T2)

  Baseline (T1) and 15 minutes after intervention (T2)

• Change in Heart Rate

  Change in heart rate (beats per minute) between baseline (T1) and 15 minutes after the palming technique (T2).

  Baseline (T1) and 15 minutes after intervention (T2)

Study Arms (2)

Group P

Patients who received the palm-based technique

Behavioral: Group P

Group N

Control group without intervention

Interventions

Group P BEHAVIORAL

When admitted to the preoperative waiting room (T1), all patients: Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention. The same parameters were measured again 15 minutes later (T2). After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times: Pre-intubation (T3) 1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique

Group P

Eligibility Criteria

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

Study Population

The study population consisted of adult patients scheduled to undergo thyroidectomy at a tertiary care hospital in Türkiye. A total of 80 patients aged 18-65 years and classified as ASA I-II according to the American Society of Anesthesiologists physical status classification were included. All participants were thoroughly informed about the study procedures and provided written informed consent. Eligible patients had no active psychiatric or neurological disorders, no history of glaucoma, and no prior ophthalmic surgery. Following randomization, patients were assigned to either the palming group (n = 40) or the control group (n = 40).

You may qualify if:

• Patients aged 18-65 years
• Patients classified as ASA I-II
• Patients scheduled for thyroid surgery
• Patients without a history of glaucoma
• Patients without active psychiatric or neurological disease
• Patients who were informed about the study and provided written informed consent

You may not qualify if:

• Patients with a diagnosed psychiatric disorder
• Patients using sedatives, antidepressants, or antiepileptic medications
• Patients with impaired cooperation, comprehension, vision, or hearing
• Patients with a history of ophthalmic surgery
• Patients classified as ASA III or higher

Sponsors & Collaborators

• Yuzuncu Yil University: lead

Study Sites (1)

Van Yüzüncü Yıl Universitesi

Van, 65080, Turkey (Türkiye)

Location

Related Publications (1)

• Wang R, Huang X, Wang Y, Akbari M. Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review. Front Public Health. 2022 Apr 11;10:854673. doi: 10.3389/fpubh.2022.854673. eCollection 2022.

  PMID: 35480569 BACKGROUND

Related Links

• Bates method. In: Wikipedia \[Internet\]. 2025 \[cited 2025 May 11\].

Study Officials

• Nureddin Yuzkat

  Yuzuncu Yil University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: November 15, 2025
• First Posted: December 2, 2025
• Study Start: February 1, 2022
• Primary Completion: April 15, 2022
• Study Completion: May 1, 2022
• Last Updated: December 2, 2025

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)