Guided Imagery Exercise for Surgical Fear and Perioperative Comfort in TURP Patients

NCT07552090 | Not Yet Recruiting DMC

• 1 other identifier: 18.11.2025
• Study Type: interventional
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective: This randomized controlled trial aims to evaluate the impact of guided imagery exercises on surgical fear and perioperative comfort in patients undergoing Transurethral Resection of the Prostate (TURP). Background: Transurethral Resection of the Prostate (TURP) remains the gold standard surgical treatment for Benign Prostatic Hyperplasia (BPH). Despite its efficacy, a significant majority of patients (60-80%) experience substantial surgical fear, which can negatively affect their recovery and perioperative comfort. Guided imagery is a non-pharmacological, cognitive-behavioral technique that utilizes mental visualization to activate the mind-body connection, reduce sympathetic activity, and promote relaxation. Methods: Grounded in Kolcaba's Comfort Theory, this study investigates the relationship between guided imagery and the multi-dimensional aspects of patient comfort (physical, psycho-spiritual, environmental, and socio-cultural). The intervention group will receive structured guided imagery sessions designed to reduce physiological stress responses and enhance emotional regulation, while the control group will receive standard care.

Conditions

Guided Imagery Exercise

Keywords

Guided Imagery Exercise; Transurethral Prostate Resection; surgical fear

Outcome Measures

Primary Outcomes (1)

• surgical fear

  The scale was developed by Burton et al. in 2018. The Turkish validity and reliability study was conducted by Topçu et al. (2023). The scale has four sub-dimensions: health-related anxieties (items 7, 9, 10, 11, 12, and 13), recovery-related anxieties (items 14, 15, 16, and 17), surgical procedure-related anxieties (items 1, 2, 4, and 8), and invasive procedure-related anxieties (items 3, 5, and 6). The items are scored as follows: 0 = "I am not anxious at all", 1 = "I am slightly anxious", 2 = "I am somewhat anxious", 3 = "I am very anxious", and 4 = "I am extremely anxious". The scale contains a total of 17 items. There are no reversed items in the scale. Total and subscale total scores are calculated by summing the total scores of the items they contain. The lowest possible score on the scale is 0 and the highest is 68. The scale has no cutoff point, and higher scores indicate higher levels of anxiety in patients.

  Preoperative period, postoperative days 1 and 2.

Secondary Outcomes (1)

• The Surgical Recovery Scale

  pre-surgery, post-operative day 1, day 2

Study Arms (2)

Control group

NO INTERVENTION

Guided Imagery group

EXPERIMENTAL

Other: Guided Imagery

Interventions

Guided Imagery OTHER

The first session will include information on preoperative procedures, while the second and third sessions will cover postoperative procedures. Guided imagery exercises will be administered using wireless over-ear headphones in a total of three sessions: once before surgery, once on the first day after surgery, and once on the second day after surgery.

Guided Imagery group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• TUR-T surgery performed on Patients over 18 years of age

You may not qualify if:

• Patients undergoing emergency surgery Patients under 8 years of age

Sponsors & Collaborators

• Atlas University: lead

Related Publications (1)

• Ramesh, C., Nayak, B. S., & Pai, V. B. (2020). Guided imagery on anxiety, stress, and comfort level among patients undergoing surgery: A randomized controlled trial. Journal of Clinical Nursing, 29(9-10), 1696-1705.

  RESULT

MeSH Terms

Interventions

Imagery, Psychotherapy

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

Central Study Contacts

çağla toprak Dr

CONTACT

532 799 799 78 14; caykinn@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator , Dr.

Model Details: This randomized controlled trial divides patients into control and experimental groups. While the control group receives standard care, the experimental group receives three sessions (pre-op, post-op days 1 and 2) of guided imagery via wireless headphones. The 40-minute audio, prepared by a psychiatric nursing specialist, consists of 10 minutes of relaxation training and 30 minutes of positive visualization focusing on surgical success and rapid recovery.

Study Record Dates

• First Submitted: April 15, 2026
• First Posted: April 27, 2026
• Study Start: April 20, 2026
• Primary Completion (Estimated): May 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: April 27, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share