Effect of Different Animal Interventions on Pain and Anxiety Levels Due to Port Catheter Needle Entry

NCT ID: NCT07238361

Last Updated: 2025-11-20

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

2024-07-02

Study Completion Date

2024-10-07

Brief Summary

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This study was conducted to examine the effect of parrot, fish, and turtle therapies on procedural pain and anxiety levels associated with implantable venous port catheter needle insertion in patients receiving palliative care.

Detailed Description

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Pain and anxiety management are two symptoms that are quite challenging and important in cancer patients. Non-pharmacological methods are used alongside pharmacological methods to control pain and anxiety. This study was conducted to examine the effect of parrot, fish, and turtle therapies on procedural pain and anxiety levels associated with implantable venous port catheter needle insertion in patients receiving palliative care. The study was completed with a total of 120 individuals, including the parrot, fish, and turtle groups (n=30) and a control group. Before starting the study, all group participants completed a "Patient Information Form," and all participants in all groups completed the "Visual Analog Scale (VAS)" and "State-Trait Anxiety Inventory-I (STAI-I)" before (pre-test) and after (post-test) the implantable venous port catheter needle insertion. Patients in the experimental groups were provided with live parrots, fish, or turtles to spend time with during the needle insertion. No intervention was performed on patients in the control group other than needle insertion and data collection.There was a statistically significant difference (p\<0.001) between the experimental groups and the control group in the mean scores of the total and subscale scores of the "VAS" and "STAI-I" after the port catheter needle insertion (post-test). no differences were found between the groups before port catheter needle insertion (pre-test) (p\>0.05). Statistically significant differences were found between the mean scores of the total and subscale scores of the "VAS" and "STAI-I" for the experimental groups and the control group according to the measurement times within the groups (p\<0.001). Parrot, fish, and turtle therapies were found to be effective in reducing pain and anxiety levels in cancer patients receiving palliative care. Parrot therapy was determined to be the most effective in reducing pain and anxiety.

Conditions

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Pain Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Considering accessibility, a total of 120 patients (4 groups each) who had their port catheter needles changed were included in the study . After completion of the study, a post-hoc power analysis performed using the G\*Power 3.1.9.7 program found the statistical power of the test to be 92% with an error rate of α:0.05 and an observed effect size of f=0.38.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Before the implantable port catheter needle insertion procedure began, a nurse academic (to prevent bias) who was unaware of the study details administered the "Structured Patient Information Form," "VAS," and "STAI-I" to the patients. After the implantable port catheter needle was inserted by another nurse, accompanied by a therapy animal (Sultan parrot, Betta fish, and Red-cheeked turtle) that provided interaction with the patients (such as watching and talking to the pet therapy animal), the "VAS" and "STAI-I" were administered again to measure patients' pain and anxiety levels during the procedure.

Study Groups

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Sultan Parrot

Before the implantable port catheter needle insertion procedure began, a nurse academic (to prevent bias) who was unaware of the study details administered the "Structured Patient Information Form," "VAS," and "STAI-I" to the patients. After the implantable port catheter needle was inserted by another nurse, accompanied by Sultan parrot therapy that provided interaction with the patients (such as watching and talking to the pet therapy animal), the "VAS" and "STAI-I" were administered again to measure patients' pain and anxiety levels during the procedure.

Group Type EXPERIMENTAL

Sultan Parrot Therapy (Pet Therapy)

Intervention Type BEHAVIORAL

Sultan parrot therapy was applied during implantable port catheter needle insertion

Betta Fish

Before the implantable port catheter needle insertion procedure began, a nurse academic (to prevent bias) who was unaware of the study details administered the "Structured Patient Information Form," "VAS," and "STAI-I" to the patients. After the implantable port catheter needle was inserted by another nurse, accompanied by Betta fish therapy that provided interaction with the patients (such as watching and talking to the pet therapy animal), the "VAS" and "STAI-I" were administered again to measure patients' pain and anxiety levels during the procedure.

Group Type EXPERIMENTAL

Betta Fish Therapy (Pet Therapy)

Intervention Type BEHAVIORAL

Betta fish therapy was applied during implantable port catheter needle insertion.

Red-Eared Slider Turtle Group

Before the implantable port catheter needle insertion procedure began, a nurse academic (to prevent bias) who was unaware of the study details administered the "Structured Patient Information Form," "VAS," and "STAI-I" to the patients. After the implantable port catheter needle was inserted by another nurse, accompanied by Red-cheeked turtle therapy that provided interaction with the patients (such as watching and talking to the pet therapy animal), the "VAS" and "STAI-I" were administered again to measure patients' pain and anxiety levels during the procedure.

Group Type EXPERIMENTAL

Red-Eared Slider Turtle Therapy (Pet Therapy)

Intervention Type BEHAVIORAL

Red-eared slider turtle therapy was applied during implantable port catheter needle insertion.

Control Group

No procedures other than the needle insertion procedure for implantable port catheters were performed on these patients. Before and after the implantable port catheter needle insertion procedure, a nurse academic (to prevent bias) who was unaware of the details of the study administered the "Structured Patient Information Form," "VAS," and "STAI-I".

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Sultan Parrot Therapy (Pet Therapy)

Sultan parrot therapy was applied during implantable port catheter needle insertion

Intervention Type BEHAVIORAL

Betta Fish Therapy (Pet Therapy)

Betta fish therapy was applied during implantable port catheter needle insertion.

Intervention Type BEHAVIORAL

Red-Eared Slider Turtle Therapy (Pet Therapy)

Red-eared slider turtle therapy was applied during implantable port catheter needle insertion.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Being 18 years of age or older,
* Agreement to participate in the study,
* Being able to communicate verbally,
* No vision, hearing, or speech problems,
* The patient must have a port catheter,
* The patient must be able to access the implantable port catheter needle in a single attempt,

Exclusion Criteria

* Refusal to participate in the study,
* Resence of a psychiatric disorder,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karadeniz Technical University

OTHER

Sponsor Role lead

Responsible Party

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Hatice Demirağ, Ph.D

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Gümüşhane University

Gümüşhane, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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RCS03072024

Identifier Type: -

Identifier Source: org_study_id

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