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

NCT ID: NCT06726239

Last Updated: 2025-07-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-31

Study Completion Date

2025-06-30

Brief Summary

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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

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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.

Conditions

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Pain Anxiety Physiological Parameter Mobilization Coronary Artery Bypass Graft Surgery (CABG) PROGRESSIVE MUSCLE RELAXATION EXERCISES

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

experiment-control
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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No Intervention

In the preoperative period, patients in the control group completed the Patient Demographic Information Form and the Trait Anxiety Inventory. Patients were preoperatively informed about wearing a smart bracelet on postoperative days 1 and 2 to track step count and walking distance. Physiological parameters, state anxiety, and pain levels (Short-Form McGill Pain Questionnaire) were evaluated at pre-test, 30 minutes later, and 15 minutes after mobilization. Additionally, pain intensity was assessed immediately after mobilization. On postoperative days 1 and 2, all assessments were conducted twice daily. The frequency of analgesic administration was also monitored.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental

In the preoperative period, patients completed the Patient Demographic Information Form and the Trait Anxiety Inventory. Patients were preoperatively informed about wearing a smart bracelet on postoperative days 1 and 2 to track step count and walking distance. Furthermore, patients in the intervention group received video-assisted training on diaphragmatic breathing and progressive muscle relaxation (PMR) exercises.

In the intervention group, PMR was performed twice a day on postoperative days 1 and 2. Physiological parameters, state anxiety, and pain levels (Short-Form McGill Pain Questionnaire) were measured at pre-test, 5 minutes after each PMR session, and 15 minutes after mobilization. Additionally, pain intensity was assessed immediately after mobilization. The frequency of analgesic administration was also monitored.

Group Type EXPERIMENTAL

Progressive relaxation exercises

Intervention Type OTHER

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 activated in sequence. During the exercise, the instructions and steps from the 'Relaxation Exercises' CD published by the Turkish Psychologists Association will be followed.

Interventions

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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 activated in sequence. During the exercise, the instructions and steps from the 'Relaxation Exercises' CD published by the Turkish Psychologists Association will be followed.

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

35 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istanbul University - Cerrahpasa

OTHER

Sponsor Role lead

Responsible Party

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Tugce Bozkurt Elmas

PhD Candidate in Surgical Nursing, Istanbul University-Cerrahpasa

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi

Istanbul, Istanbul, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Tuğçe Bozkurt

Role: CONTACT

05063137927

Ayfer Özbaş

Role: CONTACT

05063137927

Facility Contacts

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Tuğçe Bozkurt

Role: primary

05063137927

Other Identifiers

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1308

Identifier Type: -

Identifier Source: org_study_id

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