The Effect of Head and Neck Stretching Exercises on Voice, Anxiety and Psychological Resilience After Thyroidectomy

NCT ID: NCT07277647

Last Updated: 2025-12-11

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

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-12

Study Completion Date

2024-01-12

Brief Summary

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The aim of this clinical randomized controlled trial is to evaluate the effects of head and neck stretching exercises performed after thyroidectomy on voice function, anxiety, and psychological resilience, and to examine the effectiveness of this intervention in adult patients undergoing thyroidectomy.

The primary questions to be answered are:

Do head and neck stretching exercises improve voice function (Voice Handicap Index) after thyroidectomy? Do head and neck stretching exercises reduce patients' anxiety levels and increase psychological resilience? As a comparison group, researchers will compare the effects of head and neck stretching exercises to a control group receiving only routine care to assess the effects of exercises on voice, anxiety, and psychological resilience.

Participants will be asked to participate in the following procedures:

Patients in the experimental group will undergo head and neck stretching exercises in the early post-thyroidectomy period.

Voice function, anxiety, and psychological resilience will be measured in both groups before surgery and at postoperative day 1, week 1, week 2, and month 1.

Detailed Description

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Conditions

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Effects of Post-Thyroidectomy Head and Neck Stretching Exercises on Voice, Anxiety, and Psychological Resilience

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

This study is a quasi-experimental research with a pre-test-post-test control group. This research was conducted at the General Surgery Clinic of Atatürk University Research Hospital between May 2023 and January 2024. The population of this study consisted of patients who underwent thyroidectomy at the General Surgery Clinic of Atatürk University Research Hospital. The study sample consisted of all patients who were informed, agreed to participate, and met the inclusion criteria. The study was completed with 103 patients (training: 50, control: 53) who met the study criteria. The Patient Identification Form, Voice Handicap Index, State-Trait Anxiety Inventory, and Connor-Davidson Resilience Scale were used to collect the research data.Data Collection Process Patients undergoing thyroidectomy who agreed to participate in the study and met the sample selection criteria were included in the study. Patients undergoing thyroidectomy are generally admitted to the hospital one day before surg
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Education Group

Structured patient education + neck stretching exercises

Group Type EXPERIMENTAL

Structured patient education + neck stretching exercises

Intervention Type BEHAVIORAL

The intervention is a nurse-led, structured patient education program based on the, combined with a supervised head-neck stretching exercise program. Unlike routine postoperative care, this intervention includes: (1) preoperative individualized education using the Teach-Back method, (2) a printed educational booklet specifically developed for thyroidectomy patients, and (3) a standardized 30-day head-neck stretching exercise program initiated in the early postoperative period (starting on postoperative day 1). The exercise program is performed daily at home with visual and written guidance. In addition, patients receive regular follow-up and reinforcement during the postoperative period. This comprehensive and multimodal structure distinguishes the intervention from standard care and other single-component educational approaches.

Control Group

routine care only

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Structured patient education + neck stretching exercises

The intervention is a nurse-led, structured patient education program based on the, combined with a supervised head-neck stretching exercise program. Unlike routine postoperative care, this intervention includes: (1) preoperative individualized education using the Teach-Back method, (2) a printed educational booklet specifically developed for thyroidectomy patients, and (3) a standardized 30-day head-neck stretching exercise program initiated in the early postoperative period (starting on postoperative day 1). The exercise program is performed daily at home with visual and written guidance. In addition, patients receive regular follow-up and reinforcement during the postoperative period. This comprehensive and multimodal structure distinguishes the intervention from standard care and other single-component educational approaches.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients aged between 18 and 65, with adequate cognitive functions, who could communicate in Turkish, and who volunteered to participate in the study were included in our study.

Exclusion Criteria

* Individuals who had previously undergone partial thyroidectomy, had cervical problems before thyroidectomy, had current or previous voice disorders, or had any illness that could affect decision-making ability (psychological disorder, dementia, etc.) were not included in the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ataturk University

OTHER

Sponsor Role lead

Responsible Party

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yasemin ay karadaş

PHD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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NEZİHA KARABULUT, Principal Investigator

Role: STUDY_DIRECTOR

Ataturk University Faculty of Nursing, Erzurum, Türkiye

Locations

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Atatürk University Research Hospital, Erzurum, Türkiye

Erzurum, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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B.30.2.ATA.0.01.00/359

Identifier Type: -

Identifier Source: org_study_id

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