Pain and Anxiety During Extracorporeal Shock Wave Lithotripsy

NCT ID: NCT02725281

Last Updated: 2024-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2014-09-30

Brief Summary

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Investigators observed that during the Extracorporeal Shock Wave Lithotripsy (ESWL) non-pharmacological methods used for reducing the level of the pain and anxiety among the patients with the urinary stones are not sufficient and the effectiveness of these methods is controversial. There are very few studies, which investigated the effects of music on the pain and anxiety during ESWL. In addition, any randomized clinical trial related to the use of stress ball for relaxation and distraction on the reduction of pain and anxiety during lithotripsy has not been found in the relevant literature. Investigators also evaluated that further evidence-based studies are necessary. Thus, investigators aimed to investigate the effectiveness of stress ball and music for reducing the pain and anxiety of the patients during ESWL in this study.

Detailed Description

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Extracorporeal Shock Wave Lithotripsy (ESWL), used commonly in urinary stone treatment, can cause pain and anxiety for patients. The aim of this study was to investigate the efficacy of use of music and stress ball to reduce pain and anxiety during lithotripsy. This was a single center parallel-randomized controlled trial. The study sample consisted of a total of 120 patients who applied to lithotripsy unit of urology clinic in a training and research hospital in Turkey between April and September 2014. The patients were randomly divided into three groups. The patients in group-I (control group) were not interfered, while group-II was given stress ball into their palms in order to squeeze and group-III was listened to the music chosen by themselves with a headset during the lithotripsy procedure. Data were collected using the Patient Information Form, Visual Analogue Scale (VAS), and State Trait Anxiety Inventory (STAI-SA).

Conditions

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Urinary Tract Stones Pain Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Control group

The patients in "Group 1" didn't receive any intervention during ESWL.

Group Type NO_INTERVENTION

No interventions assigned to this group

Stress ball

The patients in "Group 2" were given stress ball into both their palms 5 minutes before ESWL. Participants were instructed to "squeeze the balls twice after counting up to ten" and "repeat it until the end of the procedure". This ball was medium hard and it was made of high quality silicon.

Group Type ACTIVE_COMPARATOR

Stress ball

Intervention Type OTHER

The patients in this group were given stress ball into both their palms 5 minutes before ESWL. Participants were instructed to "squeeze the balls twice after counting up to ten" and "repeat it until the end of the procedure". This ball was medium hard and has been made of high quality silicon.

Music

The patients in "Group 3" were listened to the music chosen by them with a headset as a nonpharmacological method during lithotripsy.

Group Type ACTIVE_COMPARATOR

Music

Intervention Type OTHER

The patients in this group were also listened to the music chosen by them with a headset from 5 min before until the end of lithotripsy. Types of music played for the patients were Turkish folk music, Turkish art music, Turkish arabesque music, Turkish pop music, foreign pop music, rock music, and classical music.

Interventions

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Stress ball

The patients in this group were given stress ball into both their palms 5 minutes before ESWL. Participants were instructed to "squeeze the balls twice after counting up to ten" and "repeat it until the end of the procedure". This ball was medium hard and has been made of high quality silicon.

Intervention Type OTHER

Music

The patients in this group were also listened to the music chosen by them with a headset from 5 min before until the end of lithotripsy. Types of music played for the patients were Turkish folk music, Turkish art music, Turkish arabesque music, Turkish pop music, foreign pop music, rock music, and classical music.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* To be the first lithotripsy treatment,
* To be older than 18 years old,
* To have the body mass index of 30kg/m2 or less,
* Not to be given analgesic before the procedure,
* Not to have renal colic just before ESWL,
* Not to have any contraindication in terms of lithotripsy,
* Not to have ureteral stent.

Exclusion Criteria

* To refuse to participate in this study,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

OTHER

Sponsor Role lead

Responsible Party

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Elif Gezginci

RN, Msc, PhDs

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elif Gezginci, RN,PhDs

Role: PRINCIPAL_INVESTIGATOR

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Emine Iyigun, RN,AssocProf

Role: STUDY_DIRECTOR

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Serdar Yalcin, MD

Role: PRINCIPAL_INVESTIGATOR

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Selahattin Bedir, MD,Prof

Role: STUDY_DIRECTOR

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Yasar I. Ozgok, MD,Prof

Role: STUDY_DIRECTOR

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

References

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Other Identifiers

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50687469-1491-85-14/1648.4-464

Identifier Type: -

Identifier Source: org_study_id