Progressive Relaxation Exercises Before Mobilization:Effects on Pain, Anxiety and Physiologic Parameters CABG Patients

Official title

The Effect of Progressive Relaxation Exercises Applied Before Mobilization on Pain, Anxiety and Physiological Parameters in Patients With Coronary Artery Bypass Graft Surgery

Overview

This study is planned as a randomized controlled experimental study to determine the effect of progressive relaxation exercises applied before mobilization on pain, anxiety and physiological parameters in patients undergoing coronary artery bypass graft surgery.

Detailed description

This study was planned as a randomized controlled experimental study to determine the effect of progressive relaxation exercises on pain, anxiety and physiological parameters before mobilization in patients undergoing coronary artery bypass graft (CABG) surgery. Ethics committee and institutional approval were obtained before starting the study. Patients were informed about the study and their verbal and written informed consent was obtained. The study will be conducted in a public hospital in Istanbul with 68 patients (experimental group = 34, control group = 34) who met the research criteria and underwent CABG surgery. The patients in the experimental group will be given progressive relaxation exercises twice at 6-hour intervals on postoperative day 1 and day 2. Patients in the control group will receive routine treatment and care. Physiological parameters, pain, and anxiety levels will be evaluated twice daily on postoperative days 1 and 2 in both groups.It was also stated that a smart wristband should be worn on the arms of the patients on postoperative days 1 and 2 to monitor the frequency of mobilization in both the experimental and control groups. In addition, the frequency of analgesic use will be monitored.

Interventions

• Other Progressive relaxation exercises
  The aim of relaxation exercises is to help individuals recognize the difference between tension and relaxation and to enable them to relax in situations of stress. These exercises are performed with light background music and verbal instructions, allowing patients to mentally focus on the process. The progressive relaxation technique involves the voluntary contraction and subsequent relaxation of muscle groups, typically starting from the hands and progressing to the feet, with each muscle group

Primary outcome measures

• Descriptive Characteristics Form [Time frame: Preoperative]
• Trait Anxiety Inventory [Time frame: Preoperative]
• Physiological parameters monitoring [Time frame: Postoperative Day 1:(measured twice, 6-hour apart): Control: Pre-test, 30 min later, 15 min post-mobilization Experimental: Pre-test, 5 min post-PGE, 15 min post-mobilization. Postoperative Day 2: Both groups:Same measurements at 6-hour intervals, twice]
• State Anxiety Inventory [Time frame: Postop Day 1:(measured twice, 6-hour apart): Control: Pre-test,30 minutes after,15 min post-mobilization.Experimental: Pre-test, 5 minutes after PGE, 15 min post-mobilization.Postoperative Day 2: Both groups:Same measurements at 6-hour intervals, twice]
• Short Form McGill Pain Questionnaire [Time frame: Postop1:Measured twice at 6h:Control:Pre-test, 30 min later, post-mobilization vas, 15 min post-mobilization. Experimental: Pre-test, 5 min post-PGE, post-mobilization vas, 15 min post-mobilization.Postop2: Both groups:Measured twice at 6-hour intervals]

Secondary outcome measures (2)

• Mobilization Schedule [Time frame: Postoperative day 1 and 2]
• Analgesia monitoring form [Time frame: Postoperative day 1 and 2]

Eligibility criteria

Inclusion criteria

• Ability to read and write in Turkish,
• Analgesics given ≥4h before assessment,
• Conscious and communicative,
• Elective coronary artery bypass graft surgery planned,
• Patients undergoing coronary artery bypass graft surgery for the first time were included in the study.

Exclusion criteria

• Diagnosed with a psychiatric or neurological disorder,
• Diagnosis of a musculoskeletal condition that could affect mobilization,
• Patients with hearing and vision loss,
• Patients participating in another clinical trial during the same period,
• Patients who developed any complications during the postoperative period were excluded.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Single blind

Primary purpose

Prevention

Study locations

Turkey (Türkiye) · 1 center

• Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi — Istanbul

Identifiers

NCT: NCT06726239 · 1308

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗